H-1B Visa Billing Manager Jobs
Billing Manager roles qualify for H-1B visa 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
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
CC209041 Physician Billing
JOB DESCRIPTION SUMMARY:
The Collector – Physician Billing is responsible for managing physician accounts receivable by resolving denied, pending, and unpaid claims to maximize reimbursement. This role works within EPIC, conducts insurance follow-up, prepares and tracks appeals, reviews medical records for claim support, and maintains accurate documentation of collection activities. The position requires strong organizational skills, attention to detail, and the ability to work collaboratively to resolve complex billing issues and meet productivity goals.
BASIC QUALIFICATIONS:
- High school diploma or equivalent required
- Knowledge of physician billing, accounts receivable, and claims collection processes
- Understanding of managed care plans, including PPO, POS, HMO, Medicare, and Medicaid
- Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution
- Ability to navigate payer portals and billing systems, preferably EPIC
- Strong analytical, communication, and documentation skills
- Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment
- Team-oriented with a commitment to continuous learning and process improvement
POSITION RESPONSIBILITIES
- Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.
- Prioritizes work tasks to maximize productivity and efficiency on an ongoing basis while maintaining accuracy.
- Responsible for working claims workques in order to resolve claim issues and identifying denied claims requiring the submission of appeals.
- Responsible for tracking submitted appeals for status and resolution (both 1st and 2nd level appeals), and conducting follow-up on deferred claims for resolution.
- Clear and concise documentation of all collection activity on each patient account. Must include claim issue and activity performed in order to resolve.
- Able to access and obtain claim information and eligibility using insurance payor web portals (including SPOT), in addition to contacting the insurance payers via telephone in order to process pending claims.
- Conducts review of medical records to identify medical necessity of physician services and submits copies of medical records with the reason for reconsideration for all claim appeals.
- Attends all educational programs as assigned by manager. Participates in team discussions.
- Consistently demonstrates the ability to organize work duties, recognize and resolve errors, and establish priorities in order to complete work without creating backlogs.
- Ability to work as part of a team and share information with team members in order to facilitate and promote excellent quality performance.
- Responsible for seeking information as needed by reaching out to the team leader, manager, and other departments as needed in order to resolve claim issues.
- Participates in the completion of special collection projects by established deadlines as assigned.
- Embraces opportunities to acquire more knowledge and shows initiative to learn/improve skills.
- Any other duties as assigned.
QUALIFICATIONS
License/Registration/Certification
- None
Education
- High School graduate or equivalent level of experience.
Experience
- Knowledge of managed care benefits (PPO/POS/HMO, Medicare, and Medicaid)
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements:
Certification:
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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.
H-1B Visa Billing Manager: 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.