Okay, let’s tackle this. So Alice Tifft has 21 years of experience in healthcare, which is a significant amount of time. Typically, billing specialists in the US can earn an average salary of around $50,000-$70,000 per year, depending on the location and industry. Since Alice is based in San Antonio, Texas, which is a relatively affordable city, her hourly rate might be on the lower side. However, considering her extensive experience, I would estimate her hourly rate to be around $75, which is slightly higher than the average salary range. This rate takes into account the value she brings to her organization as a seasoned professional with 21 years of experience in the healthcare industry.