H-1B Visa Accounts Receivable Assistant Jobs
Accounts Receivable Assistant roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree in accounting, finance, or a related field. Large healthcare systems, staffing firms, and Fortune 500 finance departments file LCAs for this role regularly. Your employer must certify prevailing wage compliance before USCIS can approve your petition.
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Why work for us?
Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care.
Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth.
We will help you grow in your leadership experiences while learning the new value-based care world.
Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire.
Employer contribution of up to 7.5% of annual pay for your 401K.
Generous paid time off plus 8 paid holidays!
Company paid life insurance.
Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations.
Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!
Our Values: Patient-centered I Accountability I Respect I Innovation I Data-Driven
Our Mission: Igniting hope and healing for people with kidney disease through compassionate, innovative care.
Work Location:
Works out of our Hazard Way office in San Diego, CA.
Eligible for hybrid schedule upon successful completion of onboarding/training.
Employee must reside within San Diego County, California.
Position Summary:
The Healthcare Accounts Receivable & Insurance Follow-Up Specialist is responsible for managing and resolving outstanding insurance and patient accounts to maximize reimbursement and reduce accounts receivable aging. This role performs comprehensive claim follow-up, denial resolution, appeals management, payment research, and account reconciliation while maintaining compliance with payer, regulatory, and organizational requirements.
The ideal candidate possesses strong knowledge of healthcare billing, insurance reimbursement, payer guidelines, and revenue cycle operations. Success in this role requires critical thinking, attention to detail, persistence in resolving complex claims issues, and the ability to work collaboratively with billing, coding, clinical, and payer representatives to achieve timely and accurate reimbursement.
This position plays a key role in improving cash flow, reducing aged receivables, and supporting the organization's overall revenue cycle performance through proactive account management and effective resolution of billing and payment barriers.
Pay Range: $25 - $29.00/hour, depending on experience
Eligible for Revenue Cycle incentive based on performance after 90 days.
Essential Duties and Responsibilities:
- Completes efficient and appropriate follow up activities on outstanding Medical A/R as assigned following procedures
- Contacts patients to follow up on outstanding self-pay balances, take payments, setup payment plans and/or initiate financial assistance
- Submits effective appeals resulting in higher propensity to pay
- Submits and/or attaches correct medical documentation to support prompt payment of claims based on payor requirements
- Works assigned charge review and claim edits accordingly
- Promptly responds to billing inquiries from patients, insurance companies and clinics in order to resolve account/claim issues while providing outstanding service
- Provides outstanding customer service when answering patient billing questions via inbound calls
- Identifies issues impacting quality and timely reimbursement and proposes potential solutions
- Exceeds quality and productivity standards
- Supports and actively participates in process improvement initiatives
- Assists with other duties to support the revenue cycle process and Balboa’s core values as assigned
- Other duties as assigned.
Required Qualifications:
- 2 or more years recent professional medical billing/collection experience for a physician practice.
- Knowledge of medical terminology and CPT/HCPS codes and modifiers
- Demonstrated knowledge of medical terminology, CPT, HCPCS, ICD-10 and modifier codes, including impact on coverage and reimbursement.
- Knowledge of collection processes and collection laws.
- Vast payor experience including Medicare, Medi-Cal, HMO, FFS, PPO and IPA’s.
- Strong proficiency with Microsoft Windows (ability to navigate, create and rename folders, save and organize files), Strong proficiency with Microsoft Office products (Outlook, OneNote, Teams, Excel, Word), proficiency with Adobe PDF. Ability to type 30 words per minute.
- Reside within San Diego County, CA
Preferred Qualifications:
- Proficient with the Epic billing system
- Bilingual in English and Spanish
- Nephrology specific experience
- 3 or more years recent Medical A/R experience working denials and self-pay follow up.
Education Requirement:
High School graduate required
Required Skills:
- Excellent verbal and written communication.
- Ability to provide excellent customer service.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to use good reasoning and judgement and react appropriately in emergency situations.
- Ability to establish and maintain effective working relationships with patients, medical staff, and coworkers.
- Ability to multitask and stay organized. Detail oriented and ability to prioritize work.
Other considerations:
- Background check required
- Travel to other sites located within San Diego County may be required
- Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
- Supervisory duties – No
This position is being handled internally. We are not accepting solicitations from external recruiters or staffing agencies at this time.
Language Skills
While performing duties, the employee is regularly required to talk, hear, read, write, type and respond in English and understand clinical/medical vocabulary written and spoken.
Vision Requirements
Vision requirements include close vision, ability to adjust focus, and see color.
Physical Demands
Physical requirements may vary slightly and should be reviewed with your manager. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies. Must be able to safely ascend and descend stairs as a core part of the job, with or without reasonable accommodation, when no elevator or lift is present.
Work Environment
Job required tasks routinely involve a potential for mucous membrane or skin contact with blood, body fluids, tissues or potential spills or splashes. Use of appropriate personal protection measures is required for every healthcare provider in these positions. Require to routinely use standard office equipment such as laptop, computer, mouse, and photocopier.
About Balboa United
Beginning in 1973, Balboa has grown from two physicians to a comprehensive nephrology team of 52 board certified physicians and 8 advanced practitioners. On January 1, 2018, Balboa Nephrology Medical Group (BNMG) launched Balboa United, a full-service medical practice management services organization. From one small office, BNMG now has 24 clinical offices throughout San Diego, Imperial, Orange and Riverside counties. In addition to office and hospital-based patient care, Balboa physicians manage the dialysis treatments of approximately 4,500 patients at 88 dialysis centers and conduct Nephrology based clinical research at 6 centers throughout Imperial and San Diego counties (California Institute of Renal Research).
EEO Statement
Balboa United is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available person in every job. Our Company policy prohibits unlawful discrimination based on race, color, creed, religion (including religious dress & grooming), sex (including pregnancy, childbirth or related medical conditions), gender (including gender identity and gender expression), marital status, registered domestic partner status, military status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, sexual orientation, or any other basis protected by applicable federal, state, or local law. We also prohibit unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics. The Company is committed to compliance with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee of Balboa United, including managers and co-workers. If you believe you have been subjected to any form of unlawful discrimination, submit a written complaint to your manager or Human Resources (HR). Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your complaint, or if you prefer to make a complaint in person, contact the Company's Human Resources Department. We will immediately undertake an effective, thorough, and objective investigation and attempt to resolve the situation.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
See all 100+ H-1B Visa Accounts Receivable Assistant Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as an Accounts Receivable Assistant
Verify your degree matches the role
H-1B specialty occupation requires a direct relationship between your degree and the job. A finance or accounting bachelor's supports AR roles clearly. A general business degree may trigger an RFE if the employer's job description doesn't specify field-specific duties.
Target employers with LCA filing history
Search Migrate Mate to filter Accounts Receivable Assistant openings by employers who have previously filed LCAs for this role. Prior filings signal the employer already understands H-1B costs and timelines, reducing the risk of a withdrawn offer mid-process.
Check prevailing wage before accepting an offer
Use the OFLC Wage Search to look up the prevailing wage for your job title and work location. Your offered salary must meet or exceed this figure for DOL to certify the LCA, so confirming the wage tier early prevents surprises after you've accepted.
Ask employers about E-Verify enrollment upfront
STEM OPT employers must be E-Verify enrolled, and many H-1B sponsors are too. Confirm enrollment status before your final interview round. An employer who isn't enrolled will need extra time to register before your I-129 can be filed.
Prepare your credential documentation early
Gather official transcripts, any foreign credential evaluations, and employer verification letters from previous AR roles before the H-1B cap season opens in March. USCIS reviews specialty occupation evidence closely for accounting support roles, so gaps in documentation slow adjudication.
Understand the cap timeline for your current status
If you're on OPT, your H-1B start date is October 1 and the cap-gap provision protects your work authorization through that date if your EAD expires first. Confirm your I-20 program end date against the filing window so your employer files on time.
H-1B Visa Accounts Receivable Assistant: Frequently Asked Questions
Does an Accounts Receivable Assistant role qualify as a specialty occupation for H-1B purposes?
It qualifies when the employer's job description requires a bachelor's degree or higher in accounting, finance, or a directly related field. Roles framed as general clerical work with no degree requirement will not meet the specialty occupation standard. Employers strengthen the case by specifying accounting software expertise, reconciliation duties, and degree requirements explicitly in the job posting and LCA.
Which types of employers most commonly sponsor H-1B visas for Accounts Receivable Assistant positions?
Healthcare systems, large staffing and outsourcing firms, and Fortune 500 companies with centralized finance departments file LCAs for this role most frequently. These employers typically have established immigration workflows and in-house HR teams experienced with H-1B filings. You can browse verified sponsoring employers for this specific role on Migrate Mate before applying.
What does the employer need to file before USCIS can process my H-1B petition?
Your employer must first file a Labor Condition Application with DOL and receive certified status, which typically takes around seven business days. The certified LCA certifies that your offered wage meets the prevailing wage for the role and location. Only after LCA certification can the employer submit the I-129 petition to USCIS during or after the cap registration period.
Can I transfer my H-1B to a new Accounts Receivable Assistant employer mid-year?
Yes. H-1B portability under AC21 allows you to start working for a new employer as soon as the new I-129 petition is filed, without waiting for approval, as long as you've been in H-1B status for at least 180 days. The new employer files a new LCA and I-129 reflecting the updated role, location, and wage. You don't re-enter the lottery.
How does the prevailing wage requirement affect what I can negotiate for this role?
DOL assigns a wage level based on the job duties, required education, and geographic location. For Accounts Receivable Assistant roles, this is typically a Level 1 or Level 2 wage. Your offer must meet or exceed that floor, but you can negotiate above it. Use the OFLC Wage Search to look up the applicable wage before your offer conversation so you know the minimum the employer is legally committed to meet.