H-1B Visa Medical Biller Jobs
Medical Biller jobs with H-1B visa sponsorship exist at hospital systems, large physician groups, and revenue cycle management firms that classify the role as a specialty occupation requiring a degree in health information management, healthcare administration, or a related field. Each sponsoring employer must file a certified LCA before your I-129 petition can be submitted to USCIS.
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Benefits:
* Flexible schedule
Position Overview
We are seeking a dependable, detail-oriented Part-Time Behavioral Health Medical Biller to support billing and revenue cycle operations for our counseling practice and consulting clients.
The ideal candidate has experience with outpatient mental health billing, understands commercial insurance reimbursement, and can independently manage claims submission, payment posting, denial resolution, and accounts receivable follow-up.
This position offers flexible scheduling and the opportunity to grow alongside an expanding behavioral health organization.
Key Responsibilities
Medical Billing & Claims Processing
- Prepare, review, and submit accurate electronic insurance claims.
- Monitor claim status and ensure timely reimbursement.
- Investigate and resolve rejected, denied, or underpaid claims.
- Post insurance payments and reconcile EOBs and ERAs.
- Follow up with insurance companies regarding outstanding claims.
- Maintain accurate billing records across multiple providers and practices.
Revenue Cycle Management
- Monitor accounts receivable and aging reports.
- Identify billing discrepancies and recurring denial trends.
- Assist with insurance eligibility and benefits verification.
- Support billing audits and workflow improvements.
- Prepare routine billing updates and reports for leadership.
- Assist with patient billing inquiries and account reconciliation as needed.
Administrative & Practice Support
- Collaborate with clinicians and practice leadership to resolve billing concerns.
- Maintain organized billing documentation.
- Support multiple behavioral health practices and billing platforms.
- Follow HIPAA requirements and maintain strict confidentiality.
Assist with additional revenue cycle tasks as assigned.
Qualifications
Required
- At least 1 year of medical billing experience; behavioral health billing experience strongly preferred.
- Knowledge of insurance claims processing, denials, and payment posting.
- Familiarity with behavioral health CPT codes.
- Experience working with commercial insurance payers.
- Strong attention to detail and organizational skills.
- Ability to work independently and manage competing priorities.
- Strong written and verbal communication skills.
- Understanding of HIPAA and patient confidentiality.
Preferred
- Experience with outpatient mental health or group practice billing.
- Familiarity with Valant and similar EHR platforms and clearing houses.
- Experience with Pennsylvania insurance payers, including IBX, Highmark, Aetna, Cigna, and UnitedHealthcare/Optum.
- Experience with accounts receivable management and denial resolution.
- Basic familiarity with CAQH, credentialing, and payer enrollment processes.
Schedule & Compensation
- Employment: Part-time W-2 employee
- Hours: 10–20 hours per week
- Schedule: Flexible, with availability during regular business hours for insurance follow-up
- Work Arrangement: Remote or hybrid considered based on experience and operational needs
- Growth Opportunity: Potential for additional hours as billing volume and consulting services expand
Flexible work from home options available.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Medical Biller
Frame your credentials around specialty occupation
Medical billing qualifies for H-1B only when the employer ties the role to a specific bachelor's degree requirement. Gather your transcripts and any health information management or coding certifications before you apply, so employers can verify degree-to-role alignment upfront.
Search employers using LCA filing data
Target hospital networks and revenue cycle outsourcing firms with verified H-1B LCA filing history for billing roles. Migrate Mate surfaces this data by employer so you can prioritize companies that have already sponsored the SOC code matching your position.
Verify prevailing wage before accepting an offer
Your employer must pay at least the DOL prevailing wage for your worksite location and job classification. Cross-check the offered salary against the OFLC Wage Search using the correct SOC code for medical billers before you sign an offer letter.
Confirm each worksite has its own certified LCA
If you bill for a practice with multiple clinic locations, each worksite requires a separately certified LCA posted at that location. Ask your prospective employer whether their filing covers all sites where you will actually work, not just the primary office address.
Use O*NET to document specialty occupation duties
If USCIS issues a Request for Evidence questioning whether your role qualifies, the O*NET occupation profile for medical billers lists degree-level analytical duties your employer can reference when drafting a support letter explaining how your position meets the specialty occupation standard.
File for an extension before your third year ends
H-1B status is approved for up to three years initially and can be extended once to reach the six-year maximum. Work with your employer to file the extension petition well before your I-94 expiration so there is no gap in your authorized work status.
H-1B Visa Medical Biller: Frequently Asked Questions
Does a medical biller role qualify as an H-1B specialty occupation?
Not automatically. H-1B requires the position to normally demand at least a bachelor's degree in a directly related field. Employers who sponsor medical billers for H-1B typically structure the role around health information management, healthcare administration, or a related degree-level discipline, and document that requirement formally in the job description and LCA filing submitted to DOL.
Which types of employers sponsor H-1B visas for medical billing roles?
Large hospital systems, academic medical centers, and revenue cycle management companies are the most consistent sponsors because they have dedicated HR and legal teams to manage the LCA and I-129 process. Smaller private practices sponsor far less frequently due to administrative cost and complexity. You can browse verified sponsoring employers for billing roles on Migrate Mate.
How does the prevailing wage requirement affect medical biller H-1B petitions?
Your employer must pay at least the DOL prevailing wage for your specific worksite location and occupational classification before USCIS will approve the petition. The wage level is determined by the SOC code on the LCA, so an employer who miscodes the position at a lower-complexity level could expose you to a wage that undervalues the role or creates a compliance problem.
Can my employer sponsor my H-1B if I work across multiple clinic locations?
Yes, but each worksite where you regularly perform work requires its own certified LCA on file and posted at that location. A single LCA filed for the employer's headquarters does not cover satellite clinics or remote billing centers. Confirm before accepting an offer that your employer's filing plan accounts for every location listed in your work arrangement.
What happens to my H-1B status if my employer terminates me before the petition expires?
USCIS allows a 60-day grace period after involuntary termination before your status lapses, giving you time to find a new sponsoring employer, change to another visa status, or depart the country. A new employer can file an H-1B transfer petition using your remaining validity period without you needing to leave the country, as long as the petition is filed before your grace period ends.