Skip to content
Whittle

Medical Secretaries and Administrative Assistants

Also called Medical Receptionist, Medical Secretary, Unit Clerk, or Unit Support Representative

Updated · Source: O*NET 31.0

What Medical Secretaries and Administrative Assistants do

You are the person who keeps a doctor's office running: booking patients, handling insurance forms, and knowing where every record lives.

Medical secretaries and administrative assistants do office work in places like clinics, hospitals, and labs. You answer phones, greet patients at the desk, schedule appointments and surgeries, fill out insurance claim forms, and keep records organized. Some of the job is money work too, like sending bills and tracking payments.

What makes it different from other office jobs is the language. You learn medical terminology, the words doctors and nurses use for body parts, tests, and treatments, so you can read a patient's chart, the file that holds their medical history and test results, and route a lab result to the right person. People come to you stressed, confused, or in pain, so patience and clear speaking matter as much as typing speed.

A day in the life

You start by checking voicemail and email, then unlock the front desk. Phones ring most of the morning. You book a patient for a scan, confirm two surgeries, and explain to someone why their insurance form needs a second signature. Patients walk up and you greet them, find out why they came, and point them to the right staff member. Between people, you type letters, update records, and fax paperwork to another office. In the afternoon you prepare bills and follow up on unpaid ones. You are part of a team with nurses, doctors, and other office staff all day, though some stretches of typing and filing are quiet, solo work. You sit a lot, indoors, in air conditioning.

This could fit you if you…

  • ✓Like keeping schedules, files, and paperwork in order
  • ✓Can stay calm and friendly with people who are worried or upset
  • ✓Enjoy learning medical words and how a clinic actually runs
  • ✓Write and speak clearly, and listen carefully the first time
  • ✓Want steady indoor office work without a four-year degree

You might not like it if you…

  • –Dislike sitting at a desk and being interrupted by phones all day
  • –Get frustrated by insurance forms, billing rules, and detailed paperwork
  • –Want hands-on patient care rather than records and scheduling
  • –Need a job where small mistakes do not matter much

How people get in

  1. 1Finish high school or an equivalent, which is the typical entry-level education for this work. Take classes in writing, computers, and biology if you can.
  2. 2Get comfortable with everyday office software for documents, spreadsheets, and email, plus phone and customer service basics.
  3. 3Consider a short college or certificate program if you want more training before you start. Common ones include medical office assistant, medical secretary, medical reception, and medical insurance specialist.
  4. 4Apply for front desk or clerk openings in clinics, hospitals, labs, and dental offices. Titles you may see include medical receptionist, medical secretary, and unit clerk, which is the office worker who handles records and phones for one hospital ward.
  5. 5Plan on a few months to about a year of learning on the job. Most employers teach you their records system, their billing steps, and the medical terms you need while you work.
  6. 6Once you know the office, you can look toward related roles such as medical records specialist or patient representative.

Who tends to enjoy it

Organizing

People who like keeping things accurate, orderly, and running on schedule.

Helping

People who like teaching, caring for, and working closely with people.

Leading

People who like persuading, selling, starting things, and taking charge.

Official task list

Medical Secretaries and Administrative Assistants perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence. (O*NET)

  • Answer telephones and direct calls to appropriate staff.
  • Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
  • Complete insurance or other claim forms.
  • Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
  • Transmit correspondence or medical records by mail, e-mail, or fax.
  • Maintain medical records, technical library, or correspondence files.
  • Receive and route messages or documents, such as laboratory results, to appropriate staff.
  • Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.

A typical day involves

Face-to-face with people Email Sitting Part of a team Indoors, climate controlled

Skills that matter most

  • Speaking
  • Active Listening
  • Service Orientation
  • Reading Comprehension
  • Writing
  • Critical Thinking

What you'll need to know

  • Customer and Personal Service
  • English Language
  • Administrative
  • Medicine and Dentistry
  • Personnel and Human Resources

How much Medical Secretaries and Administrative Assistants make

The median pay for Medical Secretaries and Administrative Assistants in the U.S. is $45,930 a year ($22.08 an hour). Most earn between $35,930 and $60,530. (Bureau of Labor Statistics, May 2025)

Pay depends a lot on where you live: the median is highest in Washington ($58,100) and lowest in Puerto Rico ($29,620).

Pay by state and territory
StateMedian payJobs
Alabama$36,93016,580
Alaska$47,8702,520
Arizona$45,82018,090
Arkansas$37,0002,190
California$54,490115,050
Colorado$46,92011,560
Connecticut$48,5006,480
Delaware$44,5004,510
District of Columbia$49,1801,930
Florida$41,73096,000
Georgia$43,16039,380
Guam$31,680310
Hawaii$49,9202,160
Idaho$44,9205,120
Illinois$46,67027,560
Indiana$44,06021,180
Iowa$40,98010,560
Kansas$43,0206,470
Kentucky$38,75026,430
Louisiana$36,9302,970
Maine$46,9904,610
Maryland$47,85017,290
Massachusetts$50,29022,210
Michigan$41,10027,960
Minnesota$50,03016,860
Mississippi$36,290—
Missouri$43,98012,260
Montana$43,7404,410
Nebraska$46,1004,110
Nevada$46,9907,030
New Hampshire$48,4103,680
New Jersey$48,66020,980
New Mexico$44,2304,590
New York$47,71057,720
North Carolina$44,19056,840
North Dakota$45,3901,120
Ohio$44,28029,110
Oklahoma$38,3308,430
Oregon$50,13016,840
Pennsylvania$44,93027,600
Puerto Rico$29,6208,480
Rhode Island$46,8602,350
South Carolina$40,17015,630
South Dakota$45,81080
Tennessee$39,94041,810
Texas$42,91078,740
U.S. Virgin Islands$36,710230
Utah$44,3305,260
Vermont$48,2002,390
Virginia$46,18027,600
Washington$58,10010,960
West Virginia$38,4301,550
Wisconsin$48,3807,760
Wyoming$44,4301,110

Where to study for this

College programs that commonly lead to this career, and how many US colleges offer each.

Related careers

Office and Administrative Support

Receptionists and Information Clerks

Answer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding activities conducted at establishment and location of departments, offices, and employees within the organization.

$38,010/yr median Little to some preparation

Healthcare Practitioners and Technical

Medical Records Specialists

Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.

$51,140/yr median Medium preparation

Office and Administrative Support

Secretaries and Administrative Assistants, Except Legal, Medical, and Executive

Perform routine administrative functions such as drafting correspondence, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to callers.

$47,540/yr median Little to some preparation

Office and Administrative Support

Office Clerks, General

Perform duties too varied and diverse to be classified in any specific office clerical occupation, requiring knowledge of office systems and procedures. Clerical duties may be assigned in accordance with the office procedures of individual establishments and may include a combination of answering telephones, bookkeeping, typing or word processing, office machine operation, and filing.

$45,010/yr median Little to some preparation

Healthcare Support

Medical Assistants

Perform administrative and certain clinical duties under the direction of a physician. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician.

$45,690/yr median Medium preparation

Healthcare Practitioners and Technical

Patient Representatives

Assist patients in obtaining services, understanding policies and making health care decisions.

$50,290/yr median Medium preparation

Office and Administrative Support

Executive Secretaries and Executive Administrative Assistants

Provide high-level administrative support by conducting research, preparing statistical reports, and handling information requests, as well as performing routine administrative functions such as preparing correspondence, receiving visitors, arranging conference calls, and scheduling meetings. May also train and supervise lower-level clerical staff.

$76,590/yr median Medium preparation

Healthcare Support

Medical Transcriptionists

Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.

$40,410/yr median Medium preparation

Source: O*NET 31.0 Database (USDOL/ETA), occupation 43-6013.00, used under CC BY 4.0 and modified by Whittle. Pay: BLS Occupational Employment and Wage Statistics (May 2025), SOC 43-6013. Outlook and entry education: BLS Employment Projections 2025–35. Program links: NCES CIP 2020 to SOC 2018 crosswalk. How we build these pages.