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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Position Summary: With general direction, this role performs a variety of routine and non-routine complex billing functions to ensure the proper preparation of accurate and timely bills to customers based on service contract terms and is responsible for related activities. This role typically entails responsibility for customer accounts with complex billing arrangements due to contractual or statutory requirements.
PRINCIPAL RESPONSIBILITIES:
- Following standard operating procedures, this role prepares monthly billing adjustments, obtains required approvals, and enters adjustments into the billing system.
- Researches and resolves routine and non-routine billing questions and discrepancies. Following standard operating procedures, determines the appropriate adjustment codes to process the transaction.
- Reviews invoices for completeness and accuracy. Follows up with customers or other division staff/management to resolve identified discrepancies.
- May calculate and prepare manual billings for non-routine, complex billing arrangements.
- May gather and summarize supplemental billing information to accommodate customer billing requirements.
- Reviews various billing system reports to identify billing discrepancies. Makes corrections as appropriate to ensure accurate billing following standard operating procedure.
- Posts case receipts to customer accounts based on information from lock box reports and local cash receipt listings. Performs basic and routine research to resolve differences or unidentified/misapplied payments.
- Posts payments as appropriate into the billing system to clear open obligations or prepares remittance advices to accompany payments sent to the lock box or corporate office.
- May accept credit card payment from customers over the phone and process recurring payments.
- May complete customer set up in company billing system(s).
- May act as a resource for less experienced personnel within the division or other divisions. This includes answering questions and providing training and support for others.
- Performs other job-related duties as assigned.
QUALIFICATIONS
- Directly related experience in which incumbents have worked with customers in a billing function in a service-based industry.
- A thorough knowledge and understanding of billing transactions and processes.
- MS Excel skills at an intermediate level.
- Demonstrated ability to follow standard operating procedures and instructions to complete tasks in a timely and accurate manner.
- The ability to effectively interact and communicate with division managers as well as customers in a professional manner.
- Must be able to demonstrate initiative to thoughtfully research and follow up on non-standard situations to ensure compliance with company policies and procedures.
- Good math aptitude and the ability to work accurately with numbers are essential.
MINIMUM QUALIFICATIONS:
- High school diploma or G.E.D.
- 18 months of related billing experience.
Rewarding Compensation and Benefits
Eligible employees can elect to participate in:
- Comprehensive medical benefits coverage, dental plans and vision coverage.
- Health care and dependent care spending accounts.
- Short- and long-term disability.
- Life insurance and accidental death & dismemberment insurance.
- Employee and Family Assistance Program (EAP).
- Employee discount programs.
- Retirement plan with a generous company match.
- Employee Stock Purchase Plan (ESPP).
- Paid Time Off (PTO)
The statements used herein are intended to describe the general nature and level of the work being performed by an employee in this position, and are not intended to be construed as an exhaustive list of responsibilities, duties and skills required by an incumbent so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the Company.
EEO STATEMENT: Republic Services is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status, relationship or association with a protected veteran (spouses or other family members), genetic information, or any other characteristic protected by applicable law. For any concerns relating to Republic Services’ commitment to equal opportunity employment, you may contact the AWARE Line at 1-866-3-AWARE-4.
ABOUT THE COMPANY
Republic Services, Inc. (NYSE: RSG) is a leader in the environmental services industry. We provide customers with the most complete set of products and services, including recycling, waste, special waste, hazardous waste and field services. Our industry-leading commitments to advance circularity and support decarbonization are helping deliver on our vision to partner with customers to create a more sustainable world.
In 2025, Republic’s total company revenue was $16.6 billion, and adjusted EBITDA was $5.3 billion. We serve 13 million customers and operate more than 1,000 locations, including collection and transfer stations, recycling and polymer centers, treatment facilities, and landfills.
Although we operate across North America, the collection, recycling, treatment, or disposal of materials is a local business, and the dynamics and opportunities differ in each market we serve. By combining local operational management with standardized business practices, we drive greater operating efficiencies across the company while maintaining day-to-day operational decisions at the local level, closest to the customer.
Our customers, including small businesses, major corporations and municipalities, want a partner with the expertise and capabilities to effectively manage their multiple recycling and waste streams. They choose Republic Services because we are committed to exceeding their expectations and helping them achieve their sustainability goals. Our 42,000 team members understand that it's not just what we do that matters, but how we do it.
Our company values guide our daily actions:
- Safe: We protect the livelihoods of our colleagues and communities.
- Committed to Serve: We go above and beyond to exceed our customers’ expectations.
- Environmentally Responsible: We take action to improve our environment.
- Driven: We deliver results in the right way.
- Human-Centered: We respect the dignity and unique potential of every person.
We are proud of our high employee engagement score of 86. We have an inclusive and diverse culture where every voice counts. In addition, our team positively impacted 5.1 million people in 2024 through the Republic Services Charitable Foundation and local community grants. These projects are designed to meet the specific needs of the communities we serve, with a focus on building sustainable neighborhoods.
STRATEGY
Republic Services’ strategy is designed to generate profitable growth. Through acquisitions and industry advancements, we safely and sustainably manage our customers’ multiple waste streams through a North American footprint of vertically integrated assets.
We focus on three areas of growth to meet the increasing needs of our customers: recycling and waste, environmental solutions and sustainability innovation.
With our integrated approach, strengthening our position in one area advances other areas of our business. For example, as we grow volume in recycling and waste, we collect additional material to bolster our circularity capabilities. And as we expand environmental solutions, we drive additional opportunities to provide these services to our existing recycling and waste customers.
Recycling and Waste
We continue to expand our recycling and waste business footprint throughout North America through organic growth and targeted acquisitions. The 13 million customers we serve and our more than 5 million pick-ups per day provide us with a distinct advantage. We aggregate materials at scale, unlocking new opportunities for advanced recycling. In addition, we are cross-selling new products and services to better meet our customers’ specific needs.
Environmental Solutions
Our comprehensive environmental solutions capabilities help customers safely manage their most technical waste streams. We are expanding both our capabilities and our geographic footprint. We see strong growth opportunities for our offerings, including PFAS remediation, an increasing customer need.
Sustainability Innovation
Republic’s recent innovations to advance circularity and decarbonization demonstrate our unique ability to leverage sustainability as a platform for growth.
The Republic Services Polymer Center is the nation’s first integrated plastics recycling facility. These innovative sites process rigid plastics from our recycling centers, producing recycled materials that promote true bottle-to-bottle circularity. We also formed Blue Polymers, a joint venture with Ravago, to develop facilities that will further process plastic material from our Polymer Centers to help meet the growing demand for sustainable packaging. We are building a network of Polymer Centers and Blue Polymer facilities across North America.
Our customers are increasingly looking for decarbonization solutions, and we are leveraging our network of landfills to meet that need. Republic is committed to harnessing landfill gas, a natural byproduct of decomposing waste, and converting it to energy. Republic has partnered with renewable gas developers to construct Renewable Natural Gas (RNG) plants at our landfills, expanding beyond the 77 projects we currently have to make progress towards our goal to beneficially reuse 50% more biogas by 2030 (2017 baseline year).
RECENT RECOGNITION
- Barron’s 100 Most Sustainable Companies
- CDP Discloser
- Dow Jones Best-In-Class Indices
- Ethisphere’s World’s Most Ethical Companies
- Fortune World’s Most Admired Companies
- Great Place to Work
- Sustainability Yearbook S&P Global
See all 395+ H-1B Visa Billing Representative Jobs
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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.