H-1B Visa Billing Manager Jobs
Billing Manager roles qualify for H-1B sponsorship as specialty occupations requiring a bachelor's degree in accounting, finance, or a related field. Employers file the Labor Condition Application before your petition, and the annual cap means timing your job search around the April lottery window matters.
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INTRODUCTION
Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1.
Why work for us?
- Competitive pay which matches your abilities and experience
- Health coverage for you and your family
- Generous number of vacation days per year
- A robust wellness plan and health club discounts
- Continuing education assistance to grow and further your talents
- 403(B) plan with company matching
ROLE AND RESPONSIBILITIES
We're looking for someone to join our team as a Billing Manager who:
The Manager is responsible for overseeing and leading a team to meet specific operational objectives within the Billing department or project. This role involves managing day-to-day activities, ensuring the efficient use of resources, and maintaining high performance standards. The Manager will work closely with both senior leadership and team members to drive team performance, ensure process compliance, and contribute to achieving company goals. Under the direction of the Director of Revenue Cycle Management, the Billing Manager is responsible for the overall leadership, strategic direction, and performance of the billing department, including billing, collections, payment posting, credit management, and revenue integrity. This role ensures optimization of revenue cycle operations, drives process improvements, and maintains compliance with all regulatory and payer requirements.
Essential Functions:
- Provide leadership and strategic oversight of all billing operations to ensure timely, accurate, and compliant billing and collections.
- Develop and execute departmental strategies to improve cash flow, reduce AR days, minimize denials and bad debt, and enhance overall revenue cycle performance.
- Oversee month-end close processes, reporting, and key performance metrics for billing operations.
- Lead, mentor, and manage billing staff, including hiring, onboarding, performance management, coaching, and disciplinary actions.
- Establish and monitor KPIs and productivity benchmarks, ensuring accountability across the team.
- Drive continuous process improvement initiatives, including workflow optimization and automation within Epic/work queues.
- Oversee work queue management, ensuring appropriate prioritization and staffing alignment.
- Collaborate cross-functionally with Operations, Clinical, Front Office, and Finance to ensure seamless revenue cycle workflows.
- Lead training initiatives for billing staff and provide guidance to operational teams on billing-related processes.
- Oversee system configuration and maintenance within the practice management system, including providers, contracts, fee schedules, and encounter rates.
- Monitor payer trends, reimbursement changes, and regulatory updates; implement necessary process and policy changes.
- Review and approve adjustments, write-offs, refunds, and ensure compliance with internal controls.
- Oversee monthly hospital and specialty reimbursement reconciliations.
- Support audits (internal and external) and ensure readiness for regulatory reviews.
- Maintain expertise in CPT, ICD-10, HCPCS, and payer guidelines.
- Ensure consistent communication and responsiveness across teams.
- Lead employee evaluations, professional development, and succession planning within the department.
- Perform other duties as assigned to support organizational and departmental goals.
BASIC QUALIFICATIONS
- High School diploma or equivalent required; bachelor’s degree preferred.
- Minimum 5+ years of revenue cycle/billing experience, with 2+ years in a leadership role.
- Strong knowledge of CPT, ICD-10, HCPCS, and payer requirements.
- Experience with Epic or similar practice management systems is strongly preferred.
- Strong analytical skills with ability to interpret financial and operational data.
- Proven leadership and team management skills.
- Ability to work under pressure and meet deadlines.
- Strong communication and cross-functional collaboration skills.
Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in the healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations, and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.
Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Billing Manager
Align your degree to the role
USCIS requires your degree field to directly relate to the Billing Manager position. An accounting, finance, or business administration degree strengthens your petition. A general management degree with no finance coursework can trigger a Request for Evidence.
Search LCA filings for billing roles
Use Migrate Mate to filter employers by verified H-1B LCA filings for billing and revenue cycle job titles. This surfaces companies with an active track record of sponsoring this specific occupation, not just general H-1B sponsors.
Target healthcare and large enterprise employers
Hospital systems, insurance companies, and enterprise SaaS firms file the most LCAs for Billing Manager roles. These organizations have in-house HR and immigration counsel, which shortens the employer-side decision process when you raise sponsorship.
Request the prevailing wage tier early
Ask your recruiter which DOL wage level the employer intends to certify on the LCA. Billing Manager roles are often filed at Level II or III. The OFLC Wage Search shows the threshold for your metro area so you can verify the offered salary meets it before signing.
File premium processing if your start date is fixed
If you're changing employers or have a specific start date, premium processing gets USCIS adjudication within 15 business days. For Billing Manager roles with quarter-end reporting responsibilities, a delayed start can create operational problems that complicate employer buy-in.
Document your billing systems experience for the petition
Your H-1B support letter should reference specific EHR, ERP, or billing platforms you've operated, not just job titles. USCIS officers assessing specialty occupation look for specialized technical knowledge that requires degree-level training to perform.
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Find Billing Manager JobsBilling Manager H-1B Visa: Frequently Asked Questions
Does a Billing Manager role qualify as an H-1B specialty occupation?
Yes, provided the position requires a bachelor's degree or higher in a specific field like accounting, finance, or healthcare administration. Roles that accept any degree or substitute extensive experience for education are harder to qualify. Your employer's job description must tie the daily duties to degree-level knowledge to satisfy USCIS's specialty occupation standard.
How do I find employers actively sponsoring H-1B visas for Billing Manager positions?
Migrate Mate shows verified DOL Labor Condition Application filing history filtered by occupation, so you can identify which employers have actually sponsored Billing Manager or revenue cycle roles. Browsing general job postings won't tell you whether a company will sponsor your visa, but LCA records show what they've already committed to filing with the DOL.
What happens to my H-1B status if my Billing Manager role is restructured or eliminated?
Your H-1B is tied to the specific employer and position on file with USCIS. If your role is materially changed, your employer must file an amended petition before the duties change. If you're laid off, you have a 60-day grace period to find a new H-1B sponsor, transfer your petition, or change status. Notify USCIS promptly if your situation changes.
Can a Billing Manager job at a non-profit or hospital qualify for a cap-exempt H-1B?
Yes. Hospitals and non-profit healthcare organizations affiliated with universities or that qualify as research institutions may be cap-exempt employers, meaning your petition isn't subject to the annual 85,000-slot lottery. Confirm cap-exempt status directly with your prospective employer before assuming you can bypass the April filing window.
What wage level should a Billing Manager H-1B petition be filed at?
Most Billing Manager petitions are filed at DOL wage Level II or Level III, depending on supervisory scope and years of experience. Your employer certifies the prevailing wage on the LCA using the O*NET occupation code for your role and your specific metro area. You can cross-check the applicable wage floor using the OFLC Wage Search before your offer is finalized.
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