E-3 Visa Billing Representative Jobs
Billing Representative roles qualify for E-3 visa sponsorship when the position requires a bachelor's degree in accounting, finance, or a related field. Australian professionals can pursue these roles at U.S. healthcare systems, insurance carriers, and revenue cycle management firms, with no lottery and indefinite two-year renewals.
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Scheduled Hours
40
Position Summary
This position serves as the lead to Patient Billing/Services Representatives; plans, organizes, gives direction, and assists in aspects of the front desk/scheduling team; coordinates office functions and performs specialized/technical duties with minimal supervision; serves as a liaison between consumers (staff, patients, healthcare professionals and general public) and advocates the patients’ needs.
Job Description
Primary Duties & Responsibilities:
- Monitors the performance of the staff areas to ensure quality care and compliance with practice standards.
- Monitors and observes to ensure appointments are scheduled appropriately in accordance with departmental procedures to include scheduling transactions, registration review, pre-arrival processes and HIPAA acknowledgement notification and documentation using department-approved monitoring tools.
- Works with physician and/or appropriate personnel to appropriately triage patient phone calls, tasks and e-mails as needed.
- Assists in management of providers' schedules, scheduling templates and master schedules according to physician protocols and management direction.
- Assists in coordination of training, interoffice activities, schedules, programs, distribution of policy/procedure changes and related administrative needs; serves as primary trainer for new procedures and to new staff members in conjunction with manager.
- Assists in coordination of staff vacations, schedules and coverage.
- Assists with staff timesheets and distribution of accruals.
- Plans, schedules and/or carries out orientation program and staff training/development for established and new personnel under guidance of management.
- Coordinates ordering and monitoring of supplies, equipment, mail and related operational services as needed.
- Maintains required skills/competencies and participates in in-services, staff programs, continuing education and cross-training programs according to established standards.
- Complies with OSHA, state and federal regulatory sources/standards.
- Acts as backup for staff during peak times, vacations, illnesses.
- Prepares custom reports as directed by management.
- Participates in quality improvement activities to ensure appropriate clinical outcomes.
- Incorporates the Fish Philosophy and Principles into daily job activities.
- May provide Medical Assistant services to the department (MA certification required) as needed.
- Performs other duties as assigned.
Working Conditions:
Job Location/Working Conditions:
- Normal office environment.
- Patient care setting.
Physical Effort:
- Typically sitting at desk or table.
Equipment:
- Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.
- Assessment Based Recognition (ABR) - American Association of Medical Assistants (AAMA)
- Basic Life Support - American Heart Association
- Basic Life Support - American Red Cross
- Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA)
- Certified Pharmacy Technician - Illinois Department of Financial and Professional Regulation
- Certified Pharmacy Technician - Missouri Division of Professional Registration
- Certified Pharmacy Technician - National Healthcareer Association (NHA)
- Certified Pharmacy Technician - Pharmacy Technician Certification Board
- Pharmacist Technician - Illinois Department of Financial and Professional Regulation
- Pharmacist Technician - Missouri Board of Pharmacy
- Pharmacist Technician - Missouri Division of Professional Registration
- Pharmacist Technician - Pharmacy Technician Certification Board
- Registered Medical Assistant (RMA) - American Medical Technologists (AMT)
Work Experience:
Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (4 Years)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Required Qualifications:
- Basic Life Support certification must be obtained within one month of hire date.
- Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).
- Registered/Certified Medical Assistant or successfully achieve Medical Assistant registration/certification or pass assessment-based recognition (ABR) exam or Pharmacy Technician licensure within 6 months of hire date or within a shorter time frame if noted by hiring manager.
Preferred Qualifications
Education:
No additional education unless stated elsewhere in the job posting.
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Communication, Computer Literacy, Confidential Data Handling, Data Entry, Decision Making, Epic EHR, Fast-Paced Environments, Interpersonal Communication, Managed Care, Medical Terminology, Multitasking, Office Equipment, Organizing, Stress Management, Telephone Communications, Working Independently
Grade
C08-H
Salary Range
$20.57 - $30.84 / Hourly
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
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Get Access To All JobsTips for Finding E-3 Visa Sponsorship in Billing Representative
Match your degree to the role description
E-3 visa requires your bachelor's degree field to align with the job duties. A finance or accounting degree supports billing roles clearly. If your degree is in a tangentially related field, get a credential evaluation from a NACES-member agency before applying.
Target revenue cycle management employers directly
Large hospital networks, insurance carriers, and third-party billing firms file LCAs regularly for billing staff. Search DOL's Foreign Labor Application Gateway to confirm whether a specific employer has recent LCA activity for billing or revenue cycle titles.
Use Migrate Mate's E-3 filing service for end-to-end support
Once you have an offer, use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork. The service covers DOL certification, consulate preparation, and document review so your employer doesn't need separate immigration counsel.
Frame your Australian billing credentials for U.S. employers
U.S. hiring managers may not recognize Australian billing systems or medical coding frameworks. Translate your experience into U.S. equivalents: CPT codes, ICD-10, HCPCS, and AR collections terminology signal direct role fit to revenue cycle hiring teams.
Confirm your offer letter supports specialty occupation
The E-3 requires the role to meet the specialty occupation definition. Ask your employer to specify that a bachelor's degree in a relevant field is required, not just preferred, in both the offer letter and the LCA. USCIS scrutinizes this distinction.
Understand the LCA prevailing wage before negotiating
Your employer files the LCA with DOL before you can apply for the E-3. The LCA sets a prevailing wage floor for your location and job title. Review the DOL wage data for your metro area so your offer meets the certified wage requirement from the start.
E-3 Visa Billing Representative: Frequently Asked Questions
Where can I find Billing Representative jobs with E-3 visa sponsorship?
Migrate Mate is built specifically for Australian professionals searching for E-3 visa sponsorship roles in the U.S. It surfaces Billing Representative positions at employers with active sponsorship history, so you're not cold-applying to companies unfamiliar with the E-3 process. Searching through a general job board means sorting through listings with no visibility into an employer's sponsorship readiness.
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 Representative role qualify as a specialty occupation for the E-3?
It depends on how the employer defines the position. If the role requires a bachelor's degree in accounting, finance, health information management, or a related field as a standard entry requirement, it qualifies. Billing roles that accept any degree or no degree won't meet the specialty occupation standard. Ask the employer to confirm degree requirements in the offer letter before the LCA is filed.
How does the E-3 compare to the H-1B for Billing Representative roles?
The E-3 has no lottery and no annual cap, so Australian nationals can apply any time of year after receiving a job offer. The H-1B visa requires registration in a lottery with roughly a 25% selection rate and a defined filing window each spring. For billing roles, the E-3 process is faster and more predictable, with most consulate appointments available within weeks of LCA certification.
Can my E-3 employer change my billing role title or duties after I arrive?
Significant changes to your job duties or location may require a new LCA and could affect your E-3 status. Minor title changes within the same occupation are generally manageable, but if your employer restructures your role substantially, they should file an amended LCA with DOL before those changes take effect to keep your status current.