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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Get Access To All JobsINTRODUCTION
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
CC209041 Physician Billing
JOB DESCRIPTION SUMMARY:
The Collector – Physician Billing is responsible for managing physician accounts receivable by resolving denied, pending, and unpaid claims to maximize reimbursement. This role works within EPIC, conducts insurance follow-up, prepares and tracks appeals, reviews medical records for claim support, and maintains accurate documentation of collection activities. The position requires strong organizational skills, attention to detail, and the ability to work collaboratively to resolve complex billing issues and meet productivity goals.
BASIC QUALIFICATIONS:
- High school diploma or equivalent required
- Knowledge of physician billing, accounts receivable, and claims collection processes
- Understanding of managed care plans, including PPO, POS, HMO, Medicare, and Medicaid
- Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution
- Ability to navigate payer portals and billing systems, preferably EPIC
- Strong analytical, communication, and documentation skills
- Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment
- Team-oriented with a commitment to continuous learning and process improvement
POSITION RESPONSIBILITIES
- Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.
- Prioritizes work tasks to maximize productivity and efficiency on an ongoing basis while maintaining accuracy.
- Responsible for working claims workques in order to resolve claim issues and identifying denied claims requiring the submission of appeals.
- Responsible for tracking submitted appeals for status and resolution (both 1st and 2nd level appeals), and conducting follow-up on deferred claims for resolution.
- Clear and concise documentation of all collection activity on each patient account. Must include claim issue and activity performed in order to resolve.
- Able to access and obtain claim information and eligibility using insurance payor web portals (including SPOT), in addition to contacting the insurance payers via telephone in order to process pending claims.
- Conducts review of medical records to identify medical necessity of physician services and submits copies of medical records with the reason for reconsideration for all claim appeals.
- Attends all educational programs as assigned by manager. Participates in team discussions.
- Consistently demonstrates the ability to organize work duties, recognize and resolve errors, and establish priorities in order to complete work without creating backlogs.
- Ability to work as part of a team and share information with team members in order to facilitate and promote excellent quality performance.
- Responsible for seeking information as needed by reaching out to the team leader, manager, and other departments as needed in order to resolve claim issues.
- Participates in the completion of special collection projects by established deadlines as assigned.
- Embraces opportunities to acquire more knowledge and shows initiative to learn/improve skills.
- Any other duties as assigned.
QUALIFICATIONS
License/Registration/Certification
- None
Education
- High School graduate or equivalent level of experience.
Experience
- Knowledge of managed care benefits (PPO/POS/HMO, Medicare, and Medicaid)
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements:
Certification:
INTRODUCTION
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
CC209041 Physician Billing
JOB DESCRIPTION SUMMARY:
The Collector – Physician Billing is responsible for managing physician accounts receivable by resolving denied, pending, and unpaid claims to maximize reimbursement. This role works within EPIC, conducts insurance follow-up, prepares and tracks appeals, reviews medical records for claim support, and maintains accurate documentation of collection activities. The position requires strong organizational skills, attention to detail, and the ability to work collaboratively to resolve complex billing issues and meet productivity goals.
BASIC QUALIFICATIONS:
- High school diploma or equivalent required
- Knowledge of physician billing, accounts receivable, and claims collection processes
- Understanding of managed care plans, including PPO, POS, HMO, Medicare, and Medicaid
- Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution
- Ability to navigate payer portals and billing systems, preferably EPIC
- Strong analytical, communication, and documentation skills
- Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment
- Team-oriented with a commitment to continuous learning and process improvement
POSITION RESPONSIBILITIES
- Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.
- Prioritizes work tasks to maximize productivity and efficiency on an ongoing basis while maintaining accuracy.
- Responsible for working claims workques in order to resolve claim issues and identifying denied claims requiring the submission of appeals.
- Responsible for tracking submitted appeals for status and resolution (both 1st and 2nd level appeals), and conducting follow-up on deferred claims for resolution.
- Clear and concise documentation of all collection activity on each patient account. Must include claim issue and activity performed in order to resolve.
- Able to access and obtain claim information and eligibility using insurance payor web portals (including SPOT), in addition to contacting the insurance payers via telephone in order to process pending claims.
- Conducts review of medical records to identify medical necessity of physician services and submits copies of medical records with the reason for reconsideration for all claim appeals.
- Attends all educational programs as assigned by manager. Participates in team discussions.
- Consistently demonstrates the ability to organize work duties, recognize and resolve errors, and establish priorities in order to complete work without creating backlogs.
- Ability to work as part of a team and share information with team members in order to facilitate and promote excellent quality performance.
- Responsible for seeking information as needed by reaching out to the team leader, manager, and other departments as needed in order to resolve claim issues.
- Participates in the completion of special collection projects by established deadlines as assigned.
- Embraces opportunities to acquire more knowledge and shows initiative to learn/improve skills.
- Any other duties as assigned.
QUALIFICATIONS
License/Registration/Certification
- None
Education
- High School graduate or equivalent level of experience.
Experience
- Knowledge of managed care benefits (PPO/POS/HMO, Medicare, and Medicaid)
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements:
Certification:
See all 413+ H-1B Visa Billing Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Billing Specialist Jobs.
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.