H-1B Visa Billing Specialist Jobs
Billing Specialist roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree in accounting, finance, or a related field. Employers in healthcare, SaaS, and professional services regularly file LCAs for these roles. The annual H-1B cap and lottery mean timing your job search around the April registration window matters.
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INTRODUCTION
The Billing Specialist in this role administers billing and collection function, including both automated and manual billing processes. Prepares and reconciles reporting to remit premium to insurance carriers monthly.
Your Impact:
- Reviews Interim Bill Invoices auto generated by system and releases according to established guidelines.
- Audits Automated Clearing House (ACH) billing and retiree pension deductions monthly for accuracy.
- Prepares month-end reconciliation for insurance carriers and provides check request to Finance unit.
- Processes unidentified cash and maximum age policy adjustments; processes premium refunds in accordance with established guidelines.
- Fulfills insurance carrier reporting requirements, works directly with carriers to resolve payment/reporting discrepancies, and performs system and/or manual adjustments as directed.
- Reconciles month-end commission calculations in response to sales representative request to account for lost or dropped commissions.
- Reconciles Daily Cash Report to ensure all variances have been applied and calculates policy cash surrender values and/or policy loan values in accordance with carrier specifications.
- Identifies and responds to billing/collection inquiries as presented by insureds or insurance carriers; resolves escalated insured complaints as referred by Customer Relations Representatives or management and aids customer service phones as needed.
BASIC QUALIFICATIONS
- High school or general education degree (GED), Associate degree preferred.
- Minimum of 3 years of experience related to billing and customer service.
- Demonstrated proficiency with PC skills including but not limited to MS Outlook, Excel, Teams, and Word.
- Prior experience working with labor unions, multiple billing cycles, insurance programs, and JMAX is a plus.
PAY RANGE
$17.49 - $22.75 HourlyThe pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.
Personal information submitted by California applicants in response to a job posting is subject to One80's California Job Applicant Privacy Notice.
RECRUITING VENDOR DISCLOSURE STATEMENT
Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies (“Recruiting Vendors”). Recruiting Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Billing Specialist
Verify your degree supports specialty occupation
Billing Specialist petitions get RFEs when the degree field is too broad. Pull your official transcripts and confirm your coursework maps directly to accounting, finance, or business administration before applying to H-1B roles.
Check LCA filings for billing roles
Use OFLC Wage Search to filter Labor Condition Applications by SOC code 43-3021, which covers billing and posting clerks. Employers with recent certified LCAs have already cleared the DOL prevailing-wage step for your exact role type.
Target healthcare and SaaS billing departments
Hospital systems, medical billing companies, and subscription SaaS firms file H-1B petitions for Billing Specialists far more consistently than general staffing firms. Focus your search on Migrate Mate, which filters employers by verified H-1B filing history.
Confirm the offered wage meets prevailing wage
Before signing an offer, cross-reference the salary against the Level I or Level II wage for SOC 43-3021 in your metro area using OFLC Wage Search. A wage below prevailing level will cause the LCA to fail before USCIS even sees the petition.
Ask employers about cap-exempt entity status
Universities, nonprofit research institutions, and government-affiliated organizations are cap-exempt, meaning your H-1B petition skips the lottery entirely. Billing roles at hospital systems affiliated with academic medical centers may qualify, so ask HR directly before the registration window opens.
Time your offer letter for premium processing
USCIS offers premium processing on I-129 petitions, currently adjudicated within 15 business days. If your OPT or current status expires before October 1, ask your employer to file with premium processing to avoid a gap in work authorization.
H-1B Visa Billing Specialist: Frequently Asked Questions
Does a Billing Specialist role qualify as a specialty occupation for H-1B purposes?
It depends on how the employer defines the position. USCIS requires the role to normally require at least a bachelor's degree in a specific field such as accounting, finance, or business administration. Generic billing clerk roles often fail this test, but Billing Specialist positions requiring revenue cycle analysis, healthcare coding compliance, or ERP system management are regularly approved when the employer documents the degree requirement clearly in the petition.
Which industries sponsor H-1B visas most often for Billing Specialists?
Healthcare systems, medical billing organizations, SaaS companies with subscription revenue models, and large professional services firms file LCAs for Billing Specialists with measurable frequency. These employers handle complex billing operations that justify the specialty occupation classification. You can search for employers with verified H-1B filing history in these sectors directly on Migrate Mate to identify which companies are actively hiring and sponsoring.
What SOC code applies to Billing Specialist roles and why does it matter?
Most Billing Specialist positions are classified under SOC code 43-3021, covering billing and posting clerks, or in some cases 43-3031 for bookkeeping roles. The SOC code determines which prevailing wage level your employer must certify on the LCA before filing with USCIS. If your duties include financial analysis or system administration, the employer may legitimately argue a higher SOC code applies, which changes the wage requirement and the specialty occupation argument.
Can a Billing Specialist job offer arrive after the H-1B registration window?
Yes, and it's more common than you'd expect. H-1B registration opens in March each year, but employers can submit petitions for cap-exempt workers year-round. If you're working at a cap-exempt institution or already hold an approved H-1B through a prior employer, transfers don't require a new lottery slot. For cap-subject positions, an offer after March means waiting until the following registration cycle unless premium processing is available for your situation.
What documents should a Billing Specialist gather before starting an H-1B job search?
Compile your official degree transcripts showing a major in accounting, finance, or a related field, along with any professional certifications such as Certified Professional Biller credentials. If your degree is from outside the U.S., get a credential evaluation from a NACES-member organization before applying. Having an O*NET occupation profile printout for SOC 43-3021 can also help employers and their immigration counsel build the specialty occupation argument in the I-129 petition.