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.

Find H-1B Visa Billing Specialist Jobs

Overview

Open Jobs462+
Work Type67% On-site
Top LocationDallas, TX
Most JobsJobot

Showing 5 of 462+ Billing Specialist jobs

Pitney Bowes
Client Billing Representative
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Pitney Bowes
New 1h ago
Client Billing Representative
Pitney Bowes
Arlington, Texas
Finance
Accounting
Customer Service & Support
Administrative & Office Support
Procurement & Supply Chain
Procurement & Purchasing
$23.00/hr
On-Site
Associate's
10,000+

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Essentia Health
Billing Representative
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Essentia Health
New 1h ago
Billing Representative
Essentia Health
Brainerd, Minnesota
Remote (US)
None
10,000+

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Baylor Scott & White Health
Billing Representative
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Baylor Scott & White Health
New 1h ago
Billing Representative
Baylor Scott & White Health
Temple, Texas
Healthcare Administration
Medical Coding & Billing
On-Site
High School
10,000+

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Boston Children's Hospital
Billing Compliance Auditor III
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Boston Children's Hospital
New 3h ago
Billing Compliance Auditor III
Boston Children's Hospital
Boston, Massachusetts
Finance
Accounting
Healthcare Administration
Compliance & Legal
Audit
Medical Coding & Billing
$70k - $112k/yr
Hybrid
Associate's
5,001-10,000

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Tulane University
Billing Coordinator II
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Tulane University
New 3h ago
Billing Coordinator II
Tulane University
New Orleans, Louisiana
Healthcare Administration
Administrative & Office Support
Medical Coding & Billing
On-Site
High School
1,001-5,000

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Tips 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.