PayCrunch Research · National BLS OEWS May 2025 pay, with the state table still to come

PayCrunch · Healthcare · SOC 43-6013

The medical secretary who can book the slot the chart actually needs

$60,530national 90th percentile · middle $45,930 / yr
The schedule is clinical

Medical Secretaries and Administrative Assistants in the United States earn a median of $45,930 a year. Pay starts near $35,930. The national 90th percentile is $60,530. This page does not publish a state top-of-range figure.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 (Medical Secretaries and Administrative Assistants, SOC 43-6013). Employment 961,610. Last checked 22 September 2026. National percentiles via the BLS OEWS release as republished on O*NET OnLine wage tables.

Entry level · national 10th
$35,930
National 90th percentile
$60,530
O*NET education note
High school diploma
Lower disruption Higher exposure The schedule is clinical
Entry · $35,930 National 90th · $60,530 Middle $45,930

Wages — U.S. Bureau of Labor Statistics, OEWS, May 2025 (Medical Secretaries and Administrative Assistants). Entry is the national 10th percentile. The top chip is the national 90th percentile, not a state. The middle half of workers earns $38,570 to $50,580. Hourly equivalents: $17.27, $22.08, and $29.10. O*NET respondents most often said a high school diploma or equivalent is required (48 percent). An associate degree was the next answer, at 26 percent. That is an employer survey, not a clinical license. The marker on the exposure bar is PayCrunch editorial context, not a BLS statistic. Updated 22 September 2026.

Schedule and confirm appointments, answer and direct calls, complete claim forms, and route records. The patient is not a generic visitor.

AI tools that fit Medical Secretary work September 2026

A short list of general tools. This is not a sponsored placement, not a weekly crawl, and not a product review with prices. Use whatever your employer already allows.

ChatGPTSee the vendor

A general assistant for plain-language notes.

How a Medical Secretary uses it: Turn a scheduling rule into steps a new secretary can follow, then match them to the clinic's own sheet. Do not paste a patient record.

Microsoft CopilotSee the vendor

AI inside Excel and Outlook.

How a Medical Secretary uses it: Summarize a week of no-show counts you already totaled, without names.

Google GeminiSee the vendor

Google's assistant in Search and Workspace.

How a Medical Secretary uses it: Check a published insurance-form instruction only from a source you can name, not from a guess.

Medical secretary: the slot, the form, and SOC 43-6013

Medical secretaries and administrative assistants are SOC 43-6013. The locked chips are entry $35,930, median $45,930, and a national 90th percentile of $60,530. BLS counted 961,610 wage-and-salary workers in this occupation in May 2025. The medical-assistant page is a different occupation, median $45,690. Close pay is not the same job. The administrative-assistant page is SOC 43-6014.

The published band is tight

The middle half earns $38,570 to $50,580. From the median $45,930 to the national 90th percentile $60,530 is $14,600 a year. Referral coordination and the claim form are how people move inside this band. This page does not invent a state median.

What the desk is not allowed to guess

A slot needs the visit type the clinic defined. A claim form needs the field the payer asked for. A chart note does not go into a public chat window.

Outlook

O*NET reports projected growth for 2024–2034 as average (3 to 4 percent). O*NET projects about 85,900 openings a year over 2024–2034. Average growth is not a raise.

Locked wage chips on this page: entry $35,930, median $45,930, national 90th percentile $60,530. SOC 43-6013. If a sentence disagrees with those three figures, the figures win.

How to do the work that sits inside this pay band

These steps stay inside the published national range. They are not a promise that you will be paid the 90th percentile.

1
Book the visit type the clinic named

The wrong slot wastes the clinician and the patient.

1
Read the visit type.
2
Match it to the slot the sheet allows.
3
Ask when the request does not fit a type you have.
Prompt
Turn this scheduling request into the questions I should ask. Do not invent a visit type I did not paste, and do not include a patient name.
What changesThe book matches the visit.
2
Complete the claim field you were given

A blank that you guessed becomes a denial.

1
Copy the field from the source you were allowed to use.
2
Leave unknown fields blank.
3
Send the question to the biller.
Prompt
List the claim fields I can fill from the notes I paste, and the fields I should leave blank.
What changesThe form does not contain an invented code.
3
Route the record, do not rewrite it

The secretary moves the record. The clinician writes it.

1
Send it to the person the sheet names.
2
Confirm the date.
3
Do not summarize a diagnosis you were not given.
Prompt
Rewrite this routing note so it names the destination and the date. Do not add a clinical conclusion.
What changesThe record moves and the chart stays the clinician's.

Careers related to Medical Secretary

Similar pay, same field

Where this can lead

Wages in this list are the national medians printed on those pages. Every new page in this batch uses BLS OEWS May 2025. The step from this median to the national 90th percentile is $14,600.

Never used AI before? Start here (2 minutes).

Paste only facts you already have: a count, a date, a step, a file name. If the draft adds a number, a policy, or a product you did not provide, delete it.

Do not paste account numbers, full customer records, patient information, or anything your employer has told you to keep inside its own system.

Gear for this job

TODO: PC_GEAR is not filled in this batch. No product links and no ASINs until a reviewed list exists. Do not invent ASINs.

What Medical secretaries earn by state

TODO: state-wage table is not filled in this batch. The chips above are national OEWS May 2025 percentiles only. State medians are not estimated here.

Questions
How much does a medical secretary make?
The national median is $45,930 a year ($22.08 an hour). The 10th percentile is $35,930. The national 90th percentile is $60,530. Source: BLS OEWS May 2025, SOC 43-6013.
Is a medical assistant the same job?
No. Medical assistants on this site show a median of $45,690 under a different occupation. This page is SOC 43-6013 only.
Why is there no state table?
State medians are a TODO on this page. The figures above are national percentiles only.

Sources

  • Salary (10th, 25th, median, 75th, 90th) — national BLS OEWS May 2025.
  • Employment — national OEWS May 2025 wage-and-salary employment, 961,610.
  • Outlook — O*NET reports projected growth for 2024–2034 as average (3 to 4 percent). Projected openings: about 85,900 a year.
  • Not on this page — state wages, metro wages, and product recommendations.

Check another occupation

These ten pages are the next high-employment OEWS lines that were missing as their own salary URLs.