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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Position Summary:
The Billing Manager is responsible for overseeing the daily operations of the billing department to ensure accurate, timely, and compliant revenue cycle processes. This role leads billing staff, manages invoicing and collections, and ensures alignment with organizational, local, state, and federal requirements. The Billing Manager plays a critical role in securing revenue, maintaining financial integrity, and supporting operational efficiency across the organization.
Reporting Relationship:
Reports To: Sr. Director of Healthcare Systems Operations
Supervises: Revenue Cycle Analysts and (other staff as assigned)
Key Responsibilities:
Billing Operations Oversight
- Manage the full billing cycle, including invoicing, collections, account reconciliation, and reporting
- Ensure timely and accurate submission of claims and invoices
- Monitor accounts receivable and follow up on outstanding balances
- Identify and resolve billing discrepancies and denials
Team Leadership and Development
- Supervise, train, and support billing staff to ensure fiscal responsibility and accuracy and efficiency
- Conduct performance evaluations and provide ongoing coaching and professional development
- Establish clear expectations and workflows to support best practices and team cohesion
Policy and Process Management
- Develop, implement, and enforce billing policies and procedures IAW with local, state, and federal regulatory agencies
- Ensure alignment with organizational standards and regulatory requirements
- Continuously evaluate processes and implement improvements to enhance efficiency and accuracy
Financial Reporting and Analysis
- Prepare and analyze reports related to billing, accounts receivable, and cash flow, and revenue recovery
- Provide insights and recommendations to leadership to support financial decision-making
- Monitor key financial indicators and identify trends impacting revenue
Compliance and Auditing
- Ensure compliance with all applicable state and federal regulations, including Medicaid and other payer requirements
- Conduct internal audits of billing practices to ensure accuracy and adherence to policy
- Collaborate with Quality Assurance for Continuous Quality Improvement (CQI) efforts
Stakeholder Relations
- Provide direction and solutions regarding any billing inquiries and disputes with internal and external stakeholders
- Maintain professional and effective communication with payers and internal departments
- Support cross-functional collaboration with clinical, administrative, and finance teams
Reporting
- Generate, analyze, and maintain reports within the electronic health record (EHR) system to support billing accuracy, revenue tracking, and oversight.
- Conduct routine internal audits of billing data to ensure alignment with documentation, coding standards, and payer requirements.
- Identify discrepancies, trends, and areas of risk through data analysis and reporting.
- Collaborate with clinical, compliance, and finance teams to address audit findings and implement corrective actions.
- Ensure data integrity within the EHR system to support accurate billing and reporting processes.
Required Qualifications:
Education
- Bachelor's degree in finance, Accounting, Healthcare Administration, or a related field required
Experience
- Minimum of 5 years of experience in billing, revenue cycle, or finance
- At least 1–3 years of supervisory or leadership experience preferred
- Experience in healthcare or behavioral health billing strongly preferred
Skills and Competencies
- Strong attention to detail and accuracy
- Advanced analytical and problem-solving skills
- Demonstrated ability to lead and develop a team
- Knowledge of billing systems, electronic health records, and payer requirements
- Strong organizational and time management skills
- Effective written and verbal communication skills
FT Role
Compensation
- 85,000 - 100,000 Annually
Benefits
- Paid vacation
- Paid Sick Time
- 12 Paid Holidays
- Medical
- Dental
- Vision
- 403(b) Plan
- Life Insurance
- Long-term & short-term disability
- Employee assistance program (EAP)
- Family medical leave
- Tuition reimbursement
Benefit options and eligibility vary by Fulltime and Part-time positions. Compensation within the posted salary range varies based on factors including, but not limited to, experience, skills, education, and performance at the time of the offer.
Mental and Physical Demands:
- Ability to analyze and solve practical problems, managing multiple variables in complex situations.
- Ability to communicate effectively, both verbally and in writing, with internal and external stakeholders.
- Ability to interpret and apply written and verbal instructions.
- Ability to perform essential job functions in a primarily sedentary environment, including extended periods of computer use.
- Ability to perform tasks requiring manual dexterity, such as typing and operating standard office equipment.
- Ability to move within and between work locations, as needed.
- Ability to lift and/or move up to 25 pounds on an occasional basis.
- Ability to perform essential job functions requiring visual acuity, including reviewing documents and screens, with or without reasonable accommodation.
Work Environment:
This role operates within a professional office environment and requires regular collaboration with internal departments and external stakeholders. The position may involve occasional meetings or cross-functional coordination efforts. The Billing Manager is expected to maintain a high level of professionalism, confidentiality, and accountability in all aspects of the role.

Position Summary:
The Billing Manager is responsible for overseeing the daily operations of the billing department to ensure accurate, timely, and compliant revenue cycle processes. This role leads billing staff, manages invoicing and collections, and ensures alignment with organizational, local, state, and federal requirements. The Billing Manager plays a critical role in securing revenue, maintaining financial integrity, and supporting operational efficiency across the organization.
Reporting Relationship:
Reports To: Sr. Director of Healthcare Systems Operations
Supervises: Revenue Cycle Analysts and (other staff as assigned)
Key Responsibilities:
Billing Operations Oversight
- Manage the full billing cycle, including invoicing, collections, account reconciliation, and reporting
- Ensure timely and accurate submission of claims and invoices
- Monitor accounts receivable and follow up on outstanding balances
- Identify and resolve billing discrepancies and denials
Team Leadership and Development
- Supervise, train, and support billing staff to ensure fiscal responsibility and accuracy and efficiency
- Conduct performance evaluations and provide ongoing coaching and professional development
- Establish clear expectations and workflows to support best practices and team cohesion
Policy and Process Management
- Develop, implement, and enforce billing policies and procedures IAW with local, state, and federal regulatory agencies
- Ensure alignment with organizational standards and regulatory requirements
- Continuously evaluate processes and implement improvements to enhance efficiency and accuracy
Financial Reporting and Analysis
- Prepare and analyze reports related to billing, accounts receivable, and cash flow, and revenue recovery
- Provide insights and recommendations to leadership to support financial decision-making
- Monitor key financial indicators and identify trends impacting revenue
Compliance and Auditing
- Ensure compliance with all applicable state and federal regulations, including Medicaid and other payer requirements
- Conduct internal audits of billing practices to ensure accuracy and adherence to policy
- Collaborate with Quality Assurance for Continuous Quality Improvement (CQI) efforts
Stakeholder Relations
- Provide direction and solutions regarding any billing inquiries and disputes with internal and external stakeholders
- Maintain professional and effective communication with payers and internal departments
- Support cross-functional collaboration with clinical, administrative, and finance teams
Reporting
- Generate, analyze, and maintain reports within the electronic health record (EHR) system to support billing accuracy, revenue tracking, and oversight.
- Conduct routine internal audits of billing data to ensure alignment with documentation, coding standards, and payer requirements.
- Identify discrepancies, trends, and areas of risk through data analysis and reporting.
- Collaborate with clinical, compliance, and finance teams to address audit findings and implement corrective actions.
- Ensure data integrity within the EHR system to support accurate billing and reporting processes.
Required Qualifications:
Education
- Bachelor's degree in finance, Accounting, Healthcare Administration, or a related field required
Experience
- Minimum of 5 years of experience in billing, revenue cycle, or finance
- At least 1–3 years of supervisory or leadership experience preferred
- Experience in healthcare or behavioral health billing strongly preferred
Skills and Competencies
- Strong attention to detail and accuracy
- Advanced analytical and problem-solving skills
- Demonstrated ability to lead and develop a team
- Knowledge of billing systems, electronic health records, and payer requirements
- Strong organizational and time management skills
- Effective written and verbal communication skills
FT Role
Compensation
- 85,000 - 100,000 Annually
Benefits
- Paid vacation
- Paid Sick Time
- 12 Paid Holidays
- Medical
- Dental
- Vision
- 403(b) Plan
- Life Insurance
- Long-term & short-term disability
- Employee assistance program (EAP)
- Family medical leave
- Tuition reimbursement
Benefit options and eligibility vary by Fulltime and Part-time positions. Compensation within the posted salary range varies based on factors including, but not limited to, experience, skills, education, and performance at the time of the offer.
Mental and Physical Demands:
- Ability to analyze and solve practical problems, managing multiple variables in complex situations.
- Ability to communicate effectively, both verbally and in writing, with internal and external stakeholders.
- Ability to interpret and apply written and verbal instructions.
- Ability to perform essential job functions in a primarily sedentary environment, including extended periods of computer use.
- Ability to perform tasks requiring manual dexterity, such as typing and operating standard office equipment.
- Ability to move within and between work locations, as needed.
- Ability to lift and/or move up to 25 pounds on an occasional basis.
- Ability to perform essential job functions requiring visual acuity, including reviewing documents and screens, with or without reasonable accommodation.
Work Environment:
This role operates within a professional office environment and requires regular collaboration with internal departments and external stakeholders. The position may involve occasional meetings or cross-functional coordination efforts. The Billing Manager is expected to maintain a high level of professionalism, confidentiality, and accountability in all aspects of the role.
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Billing Clerk
Align your credentials to accounting classifications
TN 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.
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Find Billing Clerk JobsBilling 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 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.
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