TN Visa Billing Clerk Jobs
Billing Clerk roles qualify for TN visa sponsorship under the USMCA's Accounting category, giving Canadian and Mexican professionals a cap-free, lottery-free path to U.S. employment. Your degree or post-secondary training in accounting or business administration is the credential that makes this classification work.
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Senior Regulatory Billing Auditor (100% Remote)
The Senior Regulatory Billing Auditor is responsible for conducting comprehensive audits of clinical and technical documentation to ensure accurate, compliant charging and billing practices. This role performs a full range of audits, including complex inpatient, outpatient, and facility billing reviews, while serving as a trusted resource on regulatory compliance, coding, and revenue cycle integrity.
Why This Role Stands Out
- Work on complex, high-impact audits that directly support compliance and revenue integrity.
- Join an exceptional team of highly skilled auditors and revenue cycle professionals who value collaboration and continuous learning.
- Leverage your coding, auditing, and revenue cycle expertise to influence organizational success.
- Enjoy the flexibility of a fully remote position with a strong culture of connection and support.
Why MaineHealth?
- Be part of Maine's largest integrated health system, dedicated to improving the health of the communities we serve.
- Work for an organization that values collaboration, innovation, and professional growth.
- Contribute to meaningful work that supports exceptional patient care across the region.
- Experience a supportive, mission-driven culture where your expertise makes a difference every day.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: High School diploma or GED preferred. Associate or Bachelor’s Degree in a related field preferred.
- License/Certifications: Must possess one or more of the following certifications: CPC, COC, RHIT, RHIA, CCS, or CCS-P. Additional certifications including CPMA, CHC, or CPCO are preferred.
- Experience: Eight years of combined experience in coding, billing, documentation improvement, clinical practice, payer claims adjudication, and/or compliance required. Three years of experience with medical auditing, research, and chart review required.
- Additional Skills/Requirements Required: Experience demonstrating knowledge of physician and hospital billing practices, CMS regulations, CPT coding guidelines from the American Medical Association, ICD-10-CM, as well as knowledge of the AHA Coding Clinic, commercial payer guidelines, state and federal healthcare regulatory guidance required. Knowledge of ICD-10-PCS along with DRG methodology.
- Additional Skills/Requirements Preferred: In-depth knowledge of teaching hospital, provider-based medical and behavioral health practice organizational structure. CAH, RHC, Home Health and FQHC experience preferred.
Additional Information
MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally.
We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package.
The pay range for this position is $71,448.00 to $96,636.80 per year.
Compensation for part-time positions is determined on a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).
In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable, shift differentials or other incentives.
If you have questions about this role, please contact alyssa.lewis@mainehealth.org
Hiring Scam Alert
MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org.
Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.
Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
Description
Senior Regulatory Billing Auditor (100% Remote)
The Senior Regulatory Billing Auditor is responsible for conducting comprehensive audits of clinical and technical documentation to ensure accurate, compliant charging and billing practices. This role performs a full range of audits, including complex inpatient, outpatient, and facility billing reviews, while serving as a trusted resource on regulatory compliance, coding, and revenue cycle integrity.
Why This Role Stands Out
- Work on complex, high-impact audits that directly support compliance and revenue integrity.
- Join an exceptional team of highly skilled auditors and revenue cycle professionals who value collaboration and continuous learning.
- Leverage your coding, auditing, and revenue cycle expertise to influence organizational success.
- Enjoy the flexibility of a fully remote position with a strong culture of connection and support.
Why MaineHealth?
- Be part of Maine's largest integrated health system, dedicated to improving the health of the communities we serve.
- Work for an organization that values collaboration, innovation, and professional growth.
- Contribute to meaningful work that supports exceptional patient care across the region.
- Experience a supportive, mission-driven culture where your expertise makes a difference every day.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: High School diploma or GED preferred. Associate or Bachelor’s Degree in a related field preferred.
- License/Certifications: Must possess one or more of the following certifications: CPC, COC, RHIT, RHIA, CCS, or CCS-P. Additional certifications including CPMA, CHC, or CPCO are preferred.
- Experience: Eight years of combined experience in coding, billing, documentation improvement, clinical practice, payer claims adjudication, and/or compliance required. Three years of experience with medical auditing, research, and chart review required.
- Additional Skills/Requirements Required: Experience demonstrating knowledge of physician and hospital billing practices, CMS regulations, CPT coding guidelines from the American Medical Association, ICD-10-CM, as well as knowledge of the AHA Coding Clinic, commercial payer guidelines, state and federal healthcare regulatory guidance required. Knowledge of ICD-10-PCS along with DRG methodology.
- Additional Skills/Requirements Preferred: In-depth knowledge of teaching hospital, provider-based medical and behavioral health practice organizational structure. CAH, RHC, Home Health and FQHC experience preferred.
Additional Information
MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally.
We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package.
The pay range for this position is $71,448.00 to $96,636.80 per year.
Compensation for part-time positions is determined on a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).
In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable, shift differentials or other incentives.
If you have questions about this role, please contact alyssa.lewis@mainehealth.org
Hiring Scam Alert
MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org.
Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.
Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
See all TN Visa Billing Clerk Jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Billing Clerk
Align your credentials to accounting classifications
TN visa classification for Billing Clerks falls under the Accounting category, so your diploma or degree must reflect accounting, business administration, or a related field. A general commerce credential works; a certificate in office administration alone typically won't satisfy the officer.
Request an official credential evaluation early
Mexican professionals with credentials from Mexican institutions should obtain a credential evaluation from a NACES-approved evaluator before applying. Officers at the border assess equivalency on the spot, and an unevaluated transcript creates unnecessary risk during a port-of-entry TN review.
Target employers with multi-state billing operations
Healthcare networks, logistics companies, and regional utilities regularly hire Billing Clerks across multiple locations and are accustomed to TN sponsorship paperwork. Focusing your search on employers with established cross-border hiring reduces the chance your offer falls through due to unfamiliarity with the process.
Use Migrate Mate to find TN-ready billing employers
Search Migrate Mate to identify employers experienced with visa sponsorship for accounting and billing roles. Filtering by employers with recent visa filings helps you find companies already familiar with the sponsorship process. For TN visa roles, your employer will need to prepare a support letter and ensure you meet the specific educational and professional requirements for the Billing Clerk classification.
Require a detailed support letter before crossing
Your employer's support letter must specify your job title, duties tied to billing and accounts receivable, your qualifying credential, and your wage. Canadian professionals presenting at a port of entry have their TN decided on the spot, so an incomplete letter is a hard stop with no opportunity to supplement.
Understand how Canadian and Mexican filing paths differ
Canadians apply directly at a U.S. port of entry with no prior petition. Mexican nationals must obtain a TN visa stamp at a U.S. consulate before entering. Build extra lead time into your start date if you're filing from Mexico, since consulate appointment availability varies by location.
Billing Clerk TN Visa: Frequently Asked Questions
Does a Billing Clerk role actually qualify for a TN visa?
Yes, provided the role is classified under the Accounting category in the USMCA's TN occupational list. The key requirement is that your position involves substantive accounting or financial record-keeping duties and that your degree or post-secondary credential is in accounting, business administration, or a directly related field. General clerical work without an accounting foundation is unlikely to qualify.
How does the TN visa compare to the H-1B for Billing Clerk positions?
The TN visa has no annual lottery and no numerical cap for Canadians, so you can start as soon as an employer extends an offer and the paperwork is in order. H-1B visa selection is randomized and limited to 85,000 slots per fiscal year, meaning most applicants wait years or never get selected. For Billing Clerk roles, TN is almost always the faster and more predictable route for Canadian and Mexican professionals.
What documentation does a TN applicant need for a Billing Clerk role?
You'll need a support letter from your employer detailing your job title, billing-specific duties, wage, and intended duration of employment, plus proof of your qualifying credential. Canadian professionals also bring a valid passport and the support letter directly to a U.S. port of entry. Mexican nationals need these same documents plus a visa stamp obtained at a U.S. consulate before traveling.
Where can I find employers sponsoring TN visas for Billing Clerk jobs?
Migrate Mate is built specifically for this search. You can filter by TN visa sponsorship and target Billing Clerk and accounting roles at employers already familiar with the USMCA classification process. This matters because many employers are willing to sponsor but don't advertise it, and reaching them through a TN-focused platform shortens the search considerably.
Can a Mexican Billing Clerk professional get TN status as easily as a Canadian?
The qualification requirements are identical, but the process differs. Canadians receive TN status at the port of entry without a prior visa appointment. Mexican nationals must schedule a consulate interview and obtain a TN visa stamp before entering the U.S. Consulate appointment wait times in Mexico vary and can add several weeks to your timeline, so planning your start date around that window is essential.