H-1B Visa Practice Assistant Jobs
Practice Assistant roles qualify for H-1B sponsorship when the position requires a bachelor's degree in a directly related field such as healthcare administration, clinical science, or a allied health discipline. Many hiring practices in hospital systems, outpatient clinics, and specialty medical groups sponsor H-1B workers annually, making this a viable path for international candidates with the right credentials.
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We are a Firm where people truly believe in what they do and strive to achieve the highest standards of performance and success.
This position is based in our Nashville office.
General Description:
We are seeking a Practice Assistant to join our team! Practice Assistants provide high-quality administrative support to a group of lawyers and professionals in a team environment, effectively and efficiently meeting Firm/client needs.
Key Responsibilities and Essential Job Functions:
- Communicate effectively and professionally with clients, lawyers, and co-workers via email, by telephone, and in person; answer telephone, providing responses to routine questions from clients and staff members, and/or route calls to appropriate lawyer or staff member; arrange conference calls and greet clients.
- Create, draft, format, edit, proofread, and manage Word documents, Excel spreadsheets, PowerPoint presentations; draft routine business correspondence, forms, and documents under the supervision of an appropriate lawyer/professional.
- Schedule domestic and foreign travel through Firm travel system, including flights, hotels, and/or car rentals.
- Prepare, organize, and process reimbursements, invoices, and check requests in a timely manner.
- Collect and prepare information to run conflict checks, open new client matters, and draft engagement letters, scope letters, and other required documents; provide guidance to lawyers to ensure completed forms are prepared and submitted properly.
- Learn client-specific billing guidelines or restrictions and consistently apply them to client invoices to ensure compliance and cost-effective practices.
- Open, prioritize, and distribute mail (both paper and electronic), coordinate mailings, deliveries, copying, scanning, and printing, when appropriate.
- Enter and manage work requests from lawyers in the Firm’s workflow tool and complete according to provided deadline(s).
- Perform routine electronic and paper filing in an organized manner for easy access; photocopy, scan, compile, and distribute documents; identify and coordinate available services provided by administrative departments, including office services, the IT Help Desk, document services, accounting, billing, and records.
- Perform all file maintenance, including saving documents to the document management system.
- Assist lawyers with time entry, billing, and collection, as needed.
- Operate independently to ensure completion of assignments, which may be complex in nature or require high-level production, in an accurate and timely manner. Produce a high volume of work assignments in an accurate and timely manner.
- Perform clerical duties for non-legal departments, as needed.
- Special projects and duties as assigned.
Required Skills:
- Advanced knowledge of Microsoft Office Suite and Adobe.
- Experience with document management systems.
- Experience with electronic signature software programs.
- Proficiency in core legal administrative assistant functions and advanced technical and communications skills.
- Ability to thrive in a fast-paced environment with demonstrated ability to coordinate multiple competing tasks and demands.
- Superb attention to detail, grammar, and punctuation, and the ability to articulate thoughts and effectively present innovative ideas and findings.
- Ability to take direction and work independently with little supervision.
- Ability to effectively work well with others.
- Effective and professional interpersonal and communication skills.
- Ability to write clearly and professionally, with excellent proofing skills.
- Strong work ethic with ability and commitment to maintain confidentiality.
Required Qualifications & Education:
- Bachelor's degree
- 4 – 5 years of experience supporting lawyers and paralegals with administrative or client-related tasks preferred.
Physical Requirements:
- Ability to sit or stand for extended periods of time.
- Moderate or advanced keyboard usage.
- Ability to lift and carry up to thirty pounds.
Benefits: Our goal is to promote a work environment in which individuals have access to the resources they need to be their best both professionally and personally, which includes resources that encourage individuals to focus on their health and well-being.
Below are the benefits we offer: comprehensive medical (PPO and HDHPs), dental and vision plans including coverage for domestic partners; life and AD&D insurance; short and long term disability insurance; tax-advantaged accounts for health care expenses, including FSAs and HSAs; FSAs for dependent care; health advocacy services; behavioral health and counseling resources for all family members; 401(k); profit sharing; backup dependent care; senior care planning support; resources for individuals with development disabilities and their caregivers; and paid holidays and other paid time off, including paid leave for new parents.
Holland & Knight is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related conditions, transgender status, and sexual orientation), national origin, age, disability, genetic information, veteran status or any other factor prohibited by law.
Applicants who are interested in applying for a position and require an accommodation during the process should contact ApplicantAccommodations@hklaw.com.
Personal Information collected from applicants will be used for the purpose of processing the application throughout any recruitment or employment process, as well as inclusion in a personnel file. Categories of data collected may include name, address, phone numbers, email, Social Security Number, and signature. Holland & Knight may collect further information if you consent to a background check. This includes criminal background, employment, and certifications. Please visit Legal Information Portal for Holland & Knight LLP’s privacy policies.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Practice Assistant
Verify your degree meets specialty occupation
USCIS requires Practice Assistant roles to demand a specific bachelor's degree, not just any degree. Pull the O*NET profile for your exact job code and confirm the typical education requirement is a field-specific bachelor's before you apply.
Search LCA filings for healthcare employers
Use the OFLC Wage Search to find employers who have filed Labor Condition Applications for Practice Assistant or related healthcare support titles. Those filings confirm the employer already understands H-1B compliance, which reduces friction at the offer stage.
Time applications around the April cap filing window
H-1B cap petitions must be filed by April 1 for an October 1 start date. If you're negotiating an offer in late winter, confirm your prospective employer can complete the I-129 and LCA in time, or discuss cap-exempt facilities like hospitals and nonprofits.
Target cap-exempt healthcare organizations directly
Hospitals affiliated with research universities and nonprofit healthcare systems are exempt from the H-1B annual cap, meaning they can file year-round. Prioritize these employers if you need sponsorship outside the April lottery window.
Use Migrate Mate to find verified sponsoring employers
Filter your Practice Assistant job search on Migrate Mate to surface employers with confirmed H-1B LCA filing history in healthcare settings, so you're not spending time on applications at practices that have never sponsored a visa.
Clarify prevailing wage tier before accepting an offer
DOL prevailing wage determinations for Practice Assistants vary by geographic area and experience level. Ask the employer which wage level their LCA targets and confirm your offered salary meets or exceeds it, or USCIS may issue a Request for Evidence.
Practice Assistant jobs are hiring across the US. Find yours.
Find Practice Assistant JobsPractice Assistant H-1B Visa: Frequently Asked Questions
Does a Practice Assistant role qualify as a specialty occupation for H-1B purposes?
It depends on how the employer defines the position. USCIS requires the job to normally demand a bachelor's degree in a specific field, not just any bachelor's degree. Practice Assistant roles tied to healthcare administration, clinical informatics, or allied health typically qualify, but generalist administrative support roles may not. Reviewing the O*NET profile for your specific job code helps confirm the education standard before you apply.
Which types of employers sponsor H-1B visas for Practice Assistants?
Hospital systems, multi-specialty outpatient clinics, academic medical centers, and large physician group practices are the most consistent H-1B sponsors for Practice Assistant roles. Academic medical centers and nonprofit hospitals are especially useful because they're cap-exempt, meaning they can file H-1B petitions year-round rather than only during the April lottery. You can browse verified sponsoring employers on Migrate Mate.
What documents should I prepare before an employer files my H-1B petition?
Your employer needs your official degree transcripts, credential evaluation if your degree is from outside the U.S., a detailed job description matching a specialty occupation, and evidence of any relevant licensure or certifications your state requires for the Practice Assistant role. Having a credential evaluation from a NACES-member organization ready before the offer stage speeds up the LCA filing and reduces back-and-forth with the employer's legal team.
How does the H-1B cap affect my job search timeline as a Practice Assistant?
Cap-subject H-1B petitions must be filed in early April for an October 1 start date, so a job offer finalized in January or February gives an employer enough lead time. If your preferred employer is cap-exempt, such as a nonprofit hospital or a research-affiliated medical group, you can start any time of year. Confirming the employer's cap status during the interview process prevents timeline surprises after an offer is extended.
Can my employer sponsor me for a green card after I'm on an H-1B as a Practice Assistant?
Yes. Many healthcare employers who sponsor H-1B visas for Practice Assistants also file PERM labor certification as a pathway to permanent residence, typically under the EB-2 or EB-3 employment-based categories. The timeline varies by your country of birth due to priority date backlogs, but starting PERM early in your H-1B period is standard practice at larger healthcare systems. Ask prospective employers whether they have an established immigration sponsorship policy for long-term staff.
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