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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What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.
The Clinical Billing Manager on our Path & Lab team is responsible for managing and optimizing the professional fee revenue cycle to ensure accurate, timely charge capture, coding, billing, and collections. This role monitors performance metrics, reconciles physician service charges, maintains billing compliance, and serves as a key liaison with physicians, billing vendors, and payors. The position also provides training, reporting, and subject-matter expertise in coding, billing policies, and reimbursement practices.
Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you’ll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
- Plus many more!
Position Summary:
Responsible for ensuring the operational efficiency and effectiveness of the revenue cycle for professional fee income (including charge capture and coding, reconciliation, charge submission, and collections).
Position Key Accountabilities:
- Ensures prompt submission of charges to billing company.
- Establishes sound processes for capture and reconciliation of physician service charges.
- Develops and monitors tracking mechanism to ensure proper and prompt submission and receipt of charge documents.
- Monitors key performance metrics including but not limited to 1. charge activity (by physician and division) on a weekly basis; 2. elapsed time between dates of service and dates of charge submission; 3. charge document submission and receipt cycle time; 4. coding patterns by specialty and division; and 5. receivables, denials and collections.
- Ensures that the data entry and charge documents are captured correctly and promptly.
- Investigates and reports variances from expected levels.
- Monitors billing provider lists and ensures that profile information is set-up, maintained, and current in the system.
- Trains new physicians on charge capture and billing processes.
- Serves as the department’s primary resource for all coding and billing questions particularly in the area of Medicaid reimbursement.
- Serves as primary liaison with billing company for requests of additional information and research documents.
- May work with Billing Coordination & Compliance dept. on faculty billing & documentation issues, as well as coding compliance training, and policy interpretation.
- Generates monthly operational reports.
- Stays current with changes/updates related to standardized and specialty coding conventions, 3rd party payors, and other relevant coding and billing guidelines.
- Working knowledge of top 3rd party payors.
- May serve as a liaison with 3rd party payors.
- Communicates billing policies and procedures to staff.
- Other duties as assigned.
Certification/Skills:
- Superior working knowledge of insurance reimbursement is required.
- Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) required
- Certified Coding Specialist
- Physician-based (CCS-P) by American Health Information Management Association (AHIMA) required
- Registered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) required
- Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) required
- Must complete certification within 12 months of employment at UTHSC-H required
Minimum Education:
Bachelor’s degree in Business, Healthcare Administration, Health Information Management or related field, or equivalent experience in lieu of degree.
Minimum Experience:
Five years directly related experience.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
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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.