H-1B Visa Medical Billing Specialist Jobs
H-1B visa jobs for Medical Billing Specialist roles require employers to demonstrate the position involves degree-level duties in health information management, coding, or revenue cycle operations. Sponsoring employers file a certified LCA with DOL and an I-129 petition with USCIS, covering your status for up to three years with extension eligibility.
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INTRODUCTION
Christie Clinic's department of Business Services is seeking a full-time Certified Coding Specialist or Medical Billing Specialist at the University clinic from Monday-Friday 7:00am-3:30pm, with no night or weekend requirements. There is a possibility of working hybrid remote in the future following the successful completion of training and competencies as determined by the department.
ROLE AND RESPONSIBILITIES
Certified Coding Specialist:
JOB DUTIES: (This list may not include all of the duties assigned)
- Audits records to insure proper submission of services prior to billing or on pre-determined selected charges
- Receives hospital information to properly bill services for hospital patients
- Supplies correct ICD-9-CM/ICD-10-CM diagnosis codes on all assigned claims
- Supplies correct HCPCS codes on assigned claims
- Supplies correct CPT-4 codes on all assigned claims
- Contacts providers to train and update them with correct coding information
- Attends seminars and in-services as required to remain current on coding issues
- Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
- Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately
- Determines the final diagnosis and procedures as stated by the physician or other health care providers are valid and complete
- Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
- Answer telephones, take messages and provide information
- Utilize Carle Scheduling reports, Carle Signed Note reports, OSF Scheduling reports and Epic Provider schedules to identify coding opportunities
- Work various Epic Workqueues as assigned
- Review and complete Charge Review emails timely
- Provide coverage for other coding team members when needed
- Analyze assigned claim denials and provide additional information
- Performs other related duties, which may be inclusive, but not listed in the job description.
Medical Billing Specialist:
JOB DUTIES: (This list may not include all of the duties assigned)
- Audit new claims for accuracy, prior to charges being filed to insurance.
- Remain current and knowledgeable of coding and diagnostic procedures.
- Remain current and knowledgeable of federal legislative changes that may affect outcomes.
- Attend various meetings and professional development programs on a regular basis; make recommendations for revision and/or new department procedures under the direction of the Coordinator.
- Perform Coding related work as required.
- Sorting and completion of paper MSRs.
- Enter data from paper MSRs into the billing system. Verify information keyed to make sure it was all entered correctly.
- Working through coding issues as assigned in the Charge Review Workqueues.
- Working all coding related Claim Edit Workqueues.
- Working Lab Specials in the Charge Router Workqueue.
- Working through coding issues as assigned in the Follow Up Workqueues.
- Answer telephones, take messages and provide information.
- In depth review and correction of coding errors on new claims.
- Sorting & distribution of incoming faxes.
- Sorting & distribution of incoming mail.
- Processing of no-pay EOBs.
- Working of various reports including, but not limited to the End of Process Report.
- Sending of paper 1500 forms to insurances for remote team members
- Other duties as assigned.
BASIC QUALIFICATIONS
REQUIRED QUALIFICATIONS:
- High School Diploma or equivalent
- 3-5 years coding experience
CERTIFICATION/LICENSE:
- Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) required.
TYPICAL WORKING CONDITIONS:
Requires prolonged sitting. Requires frequent bending, stooping, or stretching. May require lifting up to 50 lbs. Requires hand-eye coordination and manual dexterity. Requires the ability to distinguish letters, numbers or symbols. Requires use of office equipment, such as computer terminals, telephones, fax machines, scanners or photocopiers. Requires normal range of vision and hearing. Requires the ability to work under pressure and stress due to the diversity of our providers and team.
PREFERRED QUALIFICATIONS
- Medical claims processing experience
- Microsoft Office Suite experience
- Epic experience
- Some coding experience
CERTIFICATION/LICENSE:
- Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) prior to or within 1 year of employment.
PAY AND BENEFITS
The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria.
This position allows for interchangeable credentialed roles with varying pay ranges:
- Certified Coding Specialist pay range: $23.69 /hr. USD to $32.58 /hr. USD
- Medical Billing Specialist pay range: $17.54 /hr. USD to $24.12 /hr. USD
We also offer a substantial benefits package, including:
- Paid Time Off (Vacation, Sick, Personal, Holiday, Birthday)
- Dependent Care Flexible Spending Account
- 401k Plan
- Medical Flexible Spending Account
- Health Insurance
- Group Term Life Insurance
- Dental Insurance
- Identity Theft Protection
- Vision Insurance
- Long Term Disability
- Accidental Death & Dismemberment Insurance
See all H-1B Visa Medical Billing Specialist Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Medical Billing Specialist
Map your credentials to specialty occupation standards
Pull the O*NET profile for Medical Billing Specialists and identify which listed tasks require a bachelor's degree in health information management, coding, or a directly related field. Document that alignment before you apply, employers and USCIS both need it.
Target revenue cycle departments at large health systems
Large hospital networks and multi-site physician groups file LCAs regularly for billing roles built around degree-level duties like compliance auditing and denial management. These employers have established H-1B visa processes and legal teams already familiar with specialty occupation arguments for this role.
Search verified H-1B sponsors on Migrate Mate
Filter Medical Billing Specialist openings on Migrate Mate to find employers with confirmed H-1B LCA filing history for this role. That history signals the employer has already navigated the specialty occupation question and won't need convincing mid-offer.
Verify prevailing wage tier before accepting an offer
Use the OFLC Wage Search to look up the prevailing wage for your specific work location before salary discussions. Your offer must meet or exceed the certified LCA wage, and each new worksite requires its own certified LCA if your duties shift locations.
Ask about cap-exempt filing options early
Some medical billing roles are housed within nonprofit hospitals or university health systems that qualify as cap-exempt H-1B petitioners. If you're evaluating offers from those employers, confirm cap-exempt status directly with their HR or legal team before the offer process advances.
Prepare for an RFE on specialty occupation documentation
USCIS scrutinizes medical billing petitions more heavily than core clinical or IT roles. Have your employer ready to submit job description evidence showing the position requires a specific bachelor's degree, not just any degree, to withstand a Request for Evidence.
H-1B Visa Medical Billing Specialist: Frequently Asked Questions
Does a Medical Billing Specialist role qualify as an H-1B specialty occupation?
Not automatically. The position qualifies only when the employer structures it around duties that normally require at least a bachelor's degree in a specific field such as health information management, medical coding, or healthcare administration. Generic billing clerk duties do not meet the threshold. Sponsoring employers typically document that the role involves compliance analysis, payer contract interpretation, or revenue integrity work at a degree level.
Which types of employers sponsor H-1B visas for Medical Billing Specialist jobs?
Large hospital systems, multi-specialty physician groups, revenue cycle management companies, and health insurance contractors are the most common sponsors. These organizations file LCAs with DOL and I-129 petitions with USCIS as part of an established process. Smaller independent practices rarely sponsor because they lack the administrative infrastructure. You can browse employers with verified LCA filing history for this role on Migrate Mate.
How does the LCA process work for a Medical Billing Specialist position?
Your employer files a Labor Condition Application with DOL through the FLAG system before submitting your H-1B petition to USCIS. The LCA certifies the offered wage meets the prevailing wage for your specific work location and that hiring you won't adversely affect similarly employed U.S. workers. If you work at multiple sites, each location requires its own certified LCA. DOL typically certifies LCAs within seven business days.
Can I transfer my H-1B to a new medical billing employer mid-status?
Yes. Under H-1B portability rules, you can begin working for a new employer as soon as they file a nontrivial H-1B transfer petition with USCIS, without waiting for approval, provided you're currently in valid H-1B status. The new employer must file a fresh LCA for the new worksite and submit an I-129 on your behalf. Your total H-1B time remaining carries over to the new petition.
What documentation should I prepare to support my H-1B petition for this role?
You'll need academic transcripts and degree certificates showing a field directly related to the billing role, such as health information management or a clinical discipline. If your degree is from outside the United States, a credential evaluation from a NACES-approved evaluator is typically required. Your employer prepares the job description and prevailing wage evidence. USCIS may issue a Request for Evidence if the specialty occupation connection isn't immediately clear from the initial filing.