H-1B Visa Billing Clerk Jobs
Billing Clerk roles qualify for H-1B sponsorship when the position requires a bachelor's degree in accounting, finance, or a related field. Employers in healthcare, logistics, and corporate services regularly file LCAs for billing positions. Use Migrate Mate to find employers with verified H-1B filing history for this occupation.
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Get Access To All JobsGENERAL DESCRIPTION: The Billing Clerk is responsible for managing billing and collections processes for hospital and clinics, including insurance filing, patient charges, and payment follow-up. This role involves submitting claims to insurance companies as well as monitoring payment status. The Billing Clerk also provides support with additional tasks as assigned. Routine working hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. The Billing Clerk must be able to extend the workday as needed during periods of high census or increased departmental workload.
KEY RESPONSIBILITIES:
- Prepare and submit insurance claims to primary and secondary insurance carriers accurately and timely.
- Review patient accounts and ensure all charges are properly billed.
- Monitor payment status, following up on unpaid or denied claims.
- Resolve billing discrepancies by communicating with patients, third party payers and internal departments.
- Maintain accurate records of all billing, payment and collection activities.
- Ensure compliance with all relevant regulations including HIPAA and insurance guidelines.
- Assist in resolving patient billing inquiries promptly and professionally.
- Perform other related duties as assigned.
QUALIFICATIONS
Education: High School Diploma or equivalent required.
Experience: Basic knowledge of insurance policies, CPT/ICD-10 codes and reimbursement process.
Skills:
- Ability to type 50-60 words per minute accurately.
- Strong finger dexterity and hand-eye coordination to operate computer and adding machine efficiently.
- Solid numerical aptitude to perform job duties accurately.
Work Style: Enjoys a variety of tasks and demonstrates a high level of accuracy and attention to detail.
Collaboration: Works effectively with Business Office, medical records personnel, hospital employees and the general public.
Professionalism: Maintains a courteous and professional demeanor when interacting with patients and the general public.
Organization: Excellent organizational skills with the ability to prioritize and adapt to a changing work environment.
Requirements: Must successfully pass the hospital drug screening upon hire and meet the physical demands of the position.
GENERAL DESCRIPTION: The Billing Clerk is responsible for managing billing and collections processes for hospital and clinics, including insurance filing, patient charges, and payment follow-up. This role involves submitting claims to insurance companies as well as monitoring payment status. The Billing Clerk also provides support with additional tasks as assigned. Routine working hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. The Billing Clerk must be able to extend the workday as needed during periods of high census or increased departmental workload.
KEY RESPONSIBILITIES:
- Prepare and submit insurance claims to primary and secondary insurance carriers accurately and timely.
- Review patient accounts and ensure all charges are properly billed.
- Monitor payment status, following up on unpaid or denied claims.
- Resolve billing discrepancies by communicating with patients, third party payers and internal departments.
- Maintain accurate records of all billing, payment and collection activities.
- Ensure compliance with all relevant regulations including HIPAA and insurance guidelines.
- Assist in resolving patient billing inquiries promptly and professionally.
- Perform other related duties as assigned.
QUALIFICATIONS
Education: High School Diploma or equivalent required.
Experience: Basic knowledge of insurance policies, CPT/ICD-10 codes and reimbursement process.
Skills:
- Ability to type 50-60 words per minute accurately.
- Strong finger dexterity and hand-eye coordination to operate computer and adding machine efficiently.
- Solid numerical aptitude to perform job duties accurately.
Work Style: Enjoys a variety of tasks and demonstrates a high level of accuracy and attention to detail.
Collaboration: Works effectively with Business Office, medical records personnel, hospital employees and the general public.
Professionalism: Maintains a courteous and professional demeanor when interacting with patients and the general public.
Organization: Excellent organizational skills with the ability to prioritize and adapt to a changing work environment.
Requirements: Must successfully pass the hospital drug screening upon hire and meet the physical demands of the position.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Billing Clerk
Verify your degree aligns with billing
USCIS requires your degree field to directly relate to the Billing Clerk role. Accounting, finance, business administration, or health information management degrees typically satisfy the specialty occupation requirement. A general studies degree usually won't.
Check prevailing wage before negotiating
Your employer's LCA must certify a wage at or above the prevailing wage for your location and job level. Use the OFLC Wage Search to look up Level I and Level II wages for billing roles in your metro area before you reach the offer stage.
Target industries with consistent LCA filings
Healthcare systems, insurance companies, and large logistics firms file LCAs for Billing Clerk roles far more consistently than small businesses. Use Migrate Mate to filter employers by occupation code and confirmed H-1B filing history specific to billing positions.
Confirm E-Verify enrollment before accepting an offer
If you're on OPT or will need cap-gap protection, your employer must be enrolled in E-Verify. Ask HR directly before signing an offer letter. Non-enrolled employers can't support cap-gap work authorization even if they're willing to sponsor your H-1B.
Request premium processing if your start date is fixed
Standard H-1B adjudication can run several months. If your OPT expires or your employer needs you to start by a specific date, ask whether the employer will file premium processing with I-129. USCIS typically adjudicates premium cases within 15 business days.
Clarify SOC code with your employer before LCA filing
Billing Clerk roles can be filed under different Standard Occupational Classification codes depending on industry. The SOC code on your LCA determines prevailing wage level and must accurately reflect your actual duties. Confirm this with HR before the DOL certifies the application.
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Find Billing Clerk JobsBilling Clerk H-1B Visa: Frequently Asked Questions
Does a Billing Clerk role qualify as a specialty occupation for H-1B purposes?
It depends on how the employer defines the position. A Billing Clerk role qualifies as a specialty occupation only if the employer can demonstrate it requires a bachelor's degree or higher in a specific field, such as accounting or health information management. General billing roles that accept any degree or only require an associate's degree typically won't meet the USCIS specialty occupation standard.
Which industries most commonly sponsor H-1B visas for Billing Clerk positions?
Healthcare organizations, including hospital systems and medical billing companies, sponsor H-1B workers for billing roles more frequently than most other sectors. Large insurance carriers, logistics companies, and corporate shared-services centers also file LCAs for billing positions. You can find employers with verified H-1B filing history for this occupation on Migrate Mate, filtered by industry and location.
What documents should I prepare before applying to H-1B-sponsoring employers for billing roles?
Gather official transcripts showing a degree in accounting, finance, or a related field, along with a credential evaluation if your degree is from outside the U.S. You'll also need employment verification letters from prior billing roles that detail your specific duties, since USCIS may scrutinize whether the position genuinely requires a specialized degree rather than just general office experience.
How does the H-1B cap lottery affect my chances of getting sponsored as a Billing Clerk?
Billing Clerk roles at most private employers are subject to the annual H-1B cap, which means your petition must be selected in the lottery before USCIS can adjudicate it. USCIS opens H-1B registration in March each year for an October 1 start date. If you work for a nonprofit, university, or government research institution, those employers are cap-exempt and can file at any time.
Can my employer file an H-1B for a part-time Billing Clerk position?
Yes, USCIS allows part-time H-1B petitions. The employer's LCA must reflect the actual part-time hours and the corresponding prevailing wage prorated for those hours. Your status will be tied to that specific employer and hours, so taking on additional work elsewhere would require a separate H-1B petition from that second employer.
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