H-1B Visa Billing Representative Jobs
Billing Representative roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree in a directly related field such as finance, accounting, or business administration. Revenue cycle management, medical billing, and accounts receivable billing roles at large healthcare systems, insurers, and healthcare IT firms are active H-1B filers.
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INTRODUCTION
MEDHOST, a division of Harris; is seeking a Billing Representative who is responsible for the timely and accurate submission of patient bills to various insurance payors, including Medicare, Medicaid, Blue Cross, commercial, and other government entities.
This role involves managing billing processes, maintaining customer relationships, and ensuring financial goals are met.
This remote role welcomes candidates anywhere in the US. Preference will be given to candidates whose work schedule aligns with Central Time.
Wage:
$18 - $28/hr
AI & Innovation Mindset
We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.
What your impact will be:
- Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards.
- Manage billing inventory for assigned clients and meet financial goals.
- Build and maintain strong customer relationships.
- Maintain working knowledge of all software applications related to billing claims.
- Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily.
- Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days.
- Communicate issues impairing the billing process to the Team Lead/Manager.
- Communicate with hospitals to retrieve information for rebills/corrected claims.
- Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails.
- Partner with other teams/departments to resolve billing/payor payment issues.
- Submit billing/rebilling requests from customers and team members in a timely manner.
- Stay current with billing practices for private and government payors, including billing software applications.
- Assist in the training and education of new and existing employees.
- Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.
- Perform other duties as assigned.
- Accurately input/submit worked time by departmental deadlines.
- Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses.
- Maintain industry knowledge through self-study and training.
- Recommend department and customer documentation.
- Provide training and training documentation in areas of expertise.
- Attend and participate in team and departmental meetings.
- Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.
- Adhere to all HIPAA Privacy and Security requirements.
- Perform duties in a positive manner that upholds company policies and procedures.
What we are looking for:
- High School or equivalency diploma required.
- Minimum 1 year of experience in a hospital billing/patient account receivable related environment.
- Minimum 1 year of experience utilizing hospital claims management/billing software.
- Ability to follow directions and perform work according to department standards independently.
- Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.).
- Customer Service oriented.
- High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
- Smart phone for Multi Factor Authentication (MFA) application.
What would make you stand out:
- MEDHOST (HMS) knowledge is a plus.
- Knowledge of hospital billing, revenue cycle, and medical terminology.
- Thorough understanding of accounts receivable, collections, billing, appeals, and denials.
- Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines.
- Ability to navigate healthcare information system(s) and clearinghouse(s).
- Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines.
- Skilled in making accurate arithmetic computations.
- Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness.
- Detail-oriented, organized, and able to multi-task.
- Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
- Flexible with a "can do" attitude and ability to remain professional under high-pressure situations.
What we can offer:
- 3 weeks’ vacation and 5 personal days
- Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
- Employee stock ownership and RRSP/401k matching programs
- Lifestyle rewards
- Remote work and more!
ABOUT MEDHOST:
MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.
ABOUT HARRIS:
Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment – both in the people and products that we offer and making investments in acquiring new businesses.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Billing Representative
Verify your SOC code before applying
Billing Representative roles map to multiple SOC codes depending on industry. Pull the O*NET profile for your target role to confirm the degree requirement aligns with your credentials before applying to H-1B-sponsored positions.
Target healthcare and insurance industry employers
Healthcare systems, insurers, and revenue cycle management firms file the most H-1B LCAs for billing roles. Filter your search by industry rather than job title alone to reach employers with consistent sponsorship history.
Use Migrate Mate to find verified sponsors
Search Migrate Mate to identify employers with active H-1B LCA filing history for billing roles. DOL Labor Condition Application data shows which companies have filed for this occupation, saving time you'd spend screening unverified postings.
Check prevailing wage levels before negotiating
Your employer's H-1B LCA must certify a wage at or above the DOL prevailing wage for your job and location. Use the OFLC Wage Search to look up Level I through Level IV wage rates for your specific SOC code and metro area before any salary discussion.
Clarify specialty occupation status with your employer
USCIS requires billing roles to demonstrate that a bachelor's degree in a specific field is a minimum requirement. If your employer uses the title for a range of positions, confirm the posted role requires a degree rather than just preferring one before the I-129 is filed.
Start the H-1B process before your OPT expires
If you're on OPT, your employer must file the H-1B petition before the April cap-subject deadline. Billing roles don't qualify for the STEM OPT extension, so the standard 12-month OPT window may be your only buffer before the next lottery cycle.
H-1B Visa Billing Representative: Frequently Asked Questions
Does a Billing Representative role qualify as an H-1B specialty occupation?
It depends on how the employer defines the position. USCIS requires that the role normally requires at least a bachelor's degree in a specific field such as accounting, finance, or healthcare administration. If the job description accepts any bachelor's degree or substitutes experience for education without restriction, USCIS may issue a Request for Evidence challenging specialty occupation status. Employers should document why a specific degree field is required for that billing function.
Which employers commonly sponsor H-1B visas for Billing Representative jobs?
Healthcare systems, hospital networks, medical billing outsourcing companies, and health insurance carriers are the most active H-1B sponsors for billing roles. Revenue cycle management firms and healthcare IT companies that centralize billing operations also file regularly. You can browse employers with verified H-1B LCA filing history for billing positions on Migrate Mate without having to sort through unsponsored postings manually.
What degree is typically required to support an H-1B petition for a billing role?
Most H-1B-sponsored billing positions require a bachelor's degree in accounting, finance, business administration, or health information management. Medical billing roles in clinical settings may also accept healthcare administration degrees. The key is that the degree field must be directly related to the billing function. A general business degree may satisfy the requirement, but the employer must justify that connection in the LCA and I-129 petition.
How does the DOL prevailing wage requirement affect H-1B billing roles?
Your employer must certify on the Labor Condition Application that your offered wage meets or exceeds the DOL prevailing wage for your specific SOC code, job duties, and work location. Billing roles in high-cost metro areas carry higher prevailing wages than rural markets. You can look up the applicable wage levels using the OFLC Wage Search before your offer is finalized to avoid a mismatch that could delay or jeopardize your petition.
Can a Billing Representative on OPT transition to H-1B sponsorship?
Yes, but timing is critical. Billing Representative roles typically don't qualify for the STEM OPT extension, so you're working within the standard 12-month OPT authorization. Your employer must submit the H-1B cap-subject registration in March and file the full petition by the April 1 deadline if selected. If you're approaching your OPT expiration, confirm your employer is prepared to initiate the process at least 60 days before the registration window opens.