E-3 Visa Billing Manager Jobs
Billing Manager roles qualify for E-3 visa sponsorship as specialty occupations requiring a bachelor's degree in accounting, finance, or a related field. Australian professionals can secure two-year renewable status with no lottery, making this one of the more straightforward paths to U.S. employment in financial operations.
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Get Access To All JobsWhat we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.
The Clinical Billing Manager on our Path & Lab team is responsible for managing and optimizing the professional fee revenue cycle to ensure accurate, timely charge capture, coding, billing, and collections. This role monitors performance metrics, reconciles physician service charges, maintains billing compliance, and serves as a key liaison with physicians, billing vendors, and payors. The position also provides training, reporting, and subject-matter expertise in coding, billing policies, and reimbursement practices.
Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you’ll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
- Plus many more!
Position Summary:
Responsible for ensuring the operational efficiency and effectiveness of the revenue cycle for professional fee income (including charge capture and coding, reconciliation, charge submission, and collections).
Position Key Accountabilities:
- Ensures prompt submission of charges to billing company.
- Establishes sound processes for capture and reconciliation of physician service charges.
- Develops and monitors tracking mechanism to ensure proper and prompt submission and receipt of charge documents.
- Monitors key performance metrics including but not limited to 1. charge activity (by physician and division) on a weekly basis; 2. elapsed time between dates of service and dates of charge submission; 3. charge document submission and receipt cycle time; 4. coding patterns by specialty and division; and 5. receivables, denials and collections.
- Ensures that the data entry and charge documents are captured correctly and promptly.
- Investigates and reports variances from expected levels.
- Monitors billing provider lists and ensures that profile information is set-up, maintained, and current in the system.
- Trains new physicians on charge capture and billing processes.
- Serves as the department’s primary resource for all coding and billing questions particularly in the area of Medicaid reimbursement.
- Serves as primary liaison with billing company for requests of additional information and research documents.
- May work with Billing Coordination & Compliance dept. on faculty billing & documentation issues, as well as coding compliance training, and policy interpretation.
- Generates monthly operational reports.
- Stays current with changes/updates related to standardized and specialty coding conventions, 3rd party payors, and other relevant coding and billing guidelines.
- Working knowledge of top 3rd party payors.
- May serve as a liaison with 3rd party payors.
- Communicates billing policies and procedures to staff.
- Other duties as assigned.
Certification/Skills:
- Superior working knowledge of insurance reimbursement is required.
- Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) required
- Certified Coding Specialist
- Physician-based (CCS-P) by American Health Information Management Association (AHIMA) required
- Registered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) required
- Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) required
- Must complete certification within 12 months of employment at UTHSC-H required
Minimum Education:
Bachelor’s degree in Business, Healthcare Administration, Health Information Management or related field, or equivalent experience in lieu of degree.
Minimum Experience:
Five years directly related experience.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.
The Clinical Billing Manager on our Path & Lab team is responsible for managing and optimizing the professional fee revenue cycle to ensure accurate, timely charge capture, coding, billing, and collections. This role monitors performance metrics, reconciles physician service charges, maintains billing compliance, and serves as a key liaison with physicians, billing vendors, and payors. The position also provides training, reporting, and subject-matter expertise in coding, billing policies, and reimbursement practices.
Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you’ll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
- Plus many more!
Position Summary:
Responsible for ensuring the operational efficiency and effectiveness of the revenue cycle for professional fee income (including charge capture and coding, reconciliation, charge submission, and collections).
Position Key Accountabilities:
- Ensures prompt submission of charges to billing company.
- Establishes sound processes for capture and reconciliation of physician service charges.
- Develops and monitors tracking mechanism to ensure proper and prompt submission and receipt of charge documents.
- Monitors key performance metrics including but not limited to 1. charge activity (by physician and division) on a weekly basis; 2. elapsed time between dates of service and dates of charge submission; 3. charge document submission and receipt cycle time; 4. coding patterns by specialty and division; and 5. receivables, denials and collections.
- Ensures that the data entry and charge documents are captured correctly and promptly.
- Investigates and reports variances from expected levels.
- Monitors billing provider lists and ensures that profile information is set-up, maintained, and current in the system.
- Trains new physicians on charge capture and billing processes.
- Serves as the department’s primary resource for all coding and billing questions particularly in the area of Medicaid reimbursement.
- Serves as primary liaison with billing company for requests of additional information and research documents.
- May work with Billing Coordination & Compliance dept. on faculty billing & documentation issues, as well as coding compliance training, and policy interpretation.
- Generates monthly operational reports.
- Stays current with changes/updates related to standardized and specialty coding conventions, 3rd party payors, and other relevant coding and billing guidelines.
- Working knowledge of top 3rd party payors.
- May serve as a liaison with 3rd party payors.
- Communicates billing policies and procedures to staff.
- Other duties as assigned.
Certification/Skills:
- Superior working knowledge of insurance reimbursement is required.
- Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) required
- Certified Coding Specialist
- Physician-based (CCS-P) by American Health Information Management Association (AHIMA) required
- Registered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) required
- Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) required
- Must complete certification within 12 months of employment at UTHSC-H required
Minimum Education:
Bachelor’s degree in Business, Healthcare Administration, Health Information Management or related field, or equivalent experience in lieu of degree.
Minimum Experience:
Five years directly related experience.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
See all E-3 Visa Billing Manager Jobs
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Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Billing Manager
Translate your Australian credentials for U.S. employers
Your three-year Australian bachelor's degree is generally accepted as equivalent to a U.S. four-year degree for E-3 visa purposes. Get a credential evaluation from a NACES-approved evaluator before interviews so you can address the equivalency question directly.
Target employers with active LCA filing history
Search the DOL's Office of Foreign Labor Certification disclosure data to identify companies that have filed LCAs for billing, revenue cycle, or financial operations roles. Prior filings signal that their HR and legal teams already understand the E-3 process.
Use Migrate Mate to find roles with E-3 sponsorship
Billing Manager positions with E-3 sponsorship don't always appear in standard job searches. Use Migrate Mate to filter roles by visa type so you're only applying to employers already set up to sponsor Australian nationals.
Clarify the specialty occupation case before accepting an offer
Not every Billing Manager role automatically qualifies as a specialty occupation. Confirm with your prospective employer that the position requires a specific bachelor's degree field, not just any degree, before you proceed to the LCA stage with DOL.
Time your LCA filing around your start date
The LCA must be certified by DOL before your visa application can proceed. DOL targets seven business days for certification, but allow two to three weeks of buffer to avoid delaying your consulate appointment or agreed start date.
Streamline the filing process from offer to consulate
Once you have an offer, use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork end-to-end. This avoids the common mistake of submitting incomplete documentation that stalls certification or triggers a consulate request for evidence.
E-3 Visa Billing Manager: Frequently Asked Questions
How do I find Billing Manager jobs that offer E-3 visa sponsorship?
Most standard job boards don't filter by visa type, so you'll spend a lot of time on roles where the employer has no experience sponsoring Australians. Migrate Mate lets you search specifically for Billing Manager positions where E-3 sponsorship is available, so every application you make goes to an employer already prepared to run the LCA and visa process.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Billing Manager role qualify as a specialty occupation for the E-3?
Yes, provided the position genuinely requires a bachelor's degree in a specific field such as accounting, finance, or business administration. The key test is whether the degree requirement is tied to the role itself, not just listed as a general preference. Roles that accept any degree or substitute experience alone are harder to support under the specialty occupation definition, so reviewing the job description carefully before applying matters.
How does the E-3 compare to the H-1B for Billing Manager roles?
For Australian nationals, the E-3 is significantly more practical. There's no annual cap and no lottery, so your employer can file at any point in the year and expect a result rather than a random selection outcome. The H-1B visa has an 85,000-slot annual cap with a lottery that results in most registrants not being selected. E-3 status is also renewable indefinitely in two-year increments as long as you maintain qualifying employment.
Can I switch employers or roles while on an E-3 as a Billing Manager?
Yes, but each new position requires a fresh LCA and a new visa application. You can't port an existing E-3 to a new employer the way some other visa holders can. If you're changing roles within the same company, you may need a new LCA if the job duties, worksite, or wage level changes materially. Timing matters: your current E-3 status remains valid until it expires, but you shouldn't start with the new employer until the new visa is issued.