Billing and Posting Clerks vs Medical Secretaries and Administrative Assistants: $49K vs $46K Median Pay

Billing and Posting Clerks vs Medical Secretaries and Administrative Assistants: what changes?

Consider Billing and Posting Clerks if you want to compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Consider Medical Secretaries and Administrative Assistants if you would rather perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Both list high school diploma or equivalent; compare training and prior experience separately.

Try this next: Compare three local entry-level postings for Billing and Posting Clerks and Medical Secretaries and Administrative Assistants. List the duties, credentials, prior experience, and paid training each employer actually asks for. Try a supervised class or sample project from each field before choosing a program.

BLS 2025 wages and 2025–2035 projections. National medians are not starting offers. Occupation size is not a count of vacancies. View the BLS data.

Compare the practical differences

Billing and Posting Clerks

National median pay (2025): $48,500
Route into the job: High school diploma or equivalent; More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing
Prior related experience: No prior related occupation is typically required; employer requirements vary.
Training and licensing: More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing.
Work to investigate: Verify accuracy of billing data and revise any errors.
Annual openings (2025–2035): 37,000

Know before you choose

BLS projects employment to shrink 0.1% from 2025 to 2035. Openings can still occur when existing workers leave.

See the full Billing and Posting Clerks brief

Medical Secretaries and Administrative Assistants

National median pay (2025): $45,930
Route into the job: High school diploma or equivalent; More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing
Prior related experience: No prior related occupation is typically required; employer requirements vary.
Training and licensing: More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing.
Work to investigate: Answer telephones and direct calls to appropriate staff.
Annual openings (2025–2035): 89,200

Know before you choose

Review the full career brief for day-to-day working conditions.

See the full Medical Secretaries and Administrative Assistants brief

How the national numbers differ

Medical Secretaries and Administrative Assistants has the edge on projected growth

Medical Secretaries and Administrative Assistants is at 4.8% projected growth, compared with -0.1% projected growth for Billing and Posting Clerks.

Typical preparation differs.

Billing and Posting Clerks: High school diploma or equivalent; More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing Medical Secretaries and Administrative Assistants: High school diploma or equivalent; More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing Preparation categories do not establish admission difficulty, calendar time, tuition, time without earnings, or licensing difficulty.

Medical Secretaries and Administrative Assistants has the edge on annual openings

Medical Secretaries and Administrative Assistants is at 89,200 annual openings, compared with 37,000 annual openings for Billing and Posting Clerks.

Billing and Posting Clerks has the edge on median pay

Billing and Posting Clerks is at $48,500, compared with $45,930 for Medical Secretaries and Administrative Assistants.

48.1/ 100

Billing and Posting Clerks

63.4/ 100

Medical Secretaries and Administrative Assistants

Each available metric is ranked from 0 to 100 against the careers on ChooseField. The weighted average uses this profile: pay 30%, growth 25%, openings 30%, preparation level 15%. Missing values are not scored as zero; their weights are redistributed across available metrics. Occupation size has zero weight: employment is not accessible vacancies. Preparation categories do not measure admission difficulty or years without earnings. The score summarizes national measures; local opportunities and personal fit still need separate consideration.

Detailed evidence

Billing and Posting Clerks vs Medical Secretaries and Administrative Assistants

Dimension	Billing and Posting Clerks	Medical Secretaries and Administrative Assistants
Median pay (2025)	$48,500	$45,930
Pay percentile	28.1 percentile	20.2 percentile
Projected growth (2025–2035)	-0.1%	4.8%
Annual openings (2025–2035)	37,000	89,200
2025 employment	418,000	979,000
How you qualify	High school diploma or equivalent; More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing	High school diploma or equivalent; More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing
O*NET preparation group	Job Zone 3	Job Zone 2
Related work experience	No prior related occupation is typically required; employer requirements vary.	No prior related occupation is typically required; employer requirements vary.
On-the-job training	More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing.	More than one month and up to 12 months of on-the-job training, in addition to any qualifying education or licensing.

The table reports national benchmarks and reviewed work descriptions. It does not rate personal suitability, job security, or physical safety.

Read Billing and Posting Clerks brief Read Medical Secretaries and Administrative Assistants brief

Billing and Posting Clerks vs Medical Secretaries and Administrative Assistants: what changes?

The facts most likely to affect your decision

Billing and Posting Clerks

Medical Secretaries and Administrative Assistants

How the national numbers differ

Medical Secretaries and Administrative Assistants has the edge on projected growth

Typical preparation differs.

Medical Secretaries and Administrative Assistants has the edge on annual openings

Billing and Posting Clerks has the edge on median pay

Billing and Posting Clerks vs Medical Secretaries and Administrative Assistants

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