Bill acceptors are a whole different breed, but in game applications they are NOT changemakers. When you put a bill in your are buying non refundable credits toward game play just as if you put 4 quarters in the machine.
Before 1996 there were no standards for bill acceptors. Everything wired different between different makes & models. Even connectors were different. Models like the Rowe OBA and Ardac MBA required a seperate control box to operate. Modern post-1996 bill acceptors usually conform to either Mars Electronics or CashCode standards for mounting, power connector, and interfacing standards. In general a bill acceptor (or it's control box) has a relay inside it. This relay has a set of contacts that you connect either in parallel with the existing coin switch or to coin switch #2 input on you gameboard. Either your bill acceptor or it's control box has dip switches that you set for the number of and duration of the pulses output. Example: If you are wired in parallel with the existing coin switch you set the dip switches to have the bill acceptor output 4 pulses per dollar (each pulse representing a quarter).
There are many early bill acceptors out there still working but they may not be upgradeable for the new $5 bills.
In my opinion the best and easiest to repair bill acceptor is the Rowe OBA. Even though that model is around 25 years old it was in production for a long time and Rowe still supports it! They even have an upgrade retrofit kit (cost $50) to allow it to accept the new $5 bills). Belts and parts for it are plentiful and frequently on sale.
The best bill acceptors made currently are Mars and Cashcode if you want to buy brand new. Mars are very expensive, though (in the $400 range).