TN Visa Billing Representative Jobs
Billing Representative roles qualify for TN visa sponsorship under the USMCA as an Accountant occupation, making this a practical path for Canadian and Mexican professionals with accounting or business degrees. Employers file directly with CBP, bypassing the H-1B lottery entirely, so qualified candidates can start quickly.
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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 Representative Jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Billing Representative
Frame your credentials around accounting requirements
TN visa sponsorship for Billing Representative roles is granted under the Accountant category, so your resume and credential documents should highlight your accounting or business degree, not just billing experience. CBP officers look for the academic match.
Verify your degree qualifies before applying
A bachelor's degree in accounting, finance, or a closely related business field satisfies the TN Accountant credential requirement. A general business administration degree can work, but expect closer scrutiny if billing is not central to the described curriculum.
Target healthcare and insurance billing departments specifically
Medical billing and insurance revenue cycle teams hire Billing Representatives at high volume and often have HR teams familiar with TN filings. These employers repeat the process regularly, which reduces delays caused by first-time employer unfamiliarity with the visa category.
Ask employers about same-day CBP processing at the border
Canadian citizens can apply for TN status directly at a U.S. port of entry without pre-approval from USCIS. Confirm your offer letter clearly states the Accountant TN category and your start date before you travel to the border for admission.
Search for TN-sponsored billing roles using Migrate Mate
Filtering by TN visa sponsorship for Billing Representative positions saves significant time. Migrate Mate surfaces employers actively sponsoring TN candidates for accounting-category roles, so you're not cold-applying to companies unfamiliar with the filing process.
Prepare a TN support letter covering billing duties explicitly
Your employer's support letter must map your day-to-day billing responsibilities, such as accounts receivable management, invoice reconciliation, and payer audits, to the Accountant TN category. Vague job descriptions citing only data entry are the leading reason officers issue TN denials for this role.
Billing Representative TN Visa: Frequently Asked Questions
Does a Billing Representative role actually qualify for TN visa sponsorship?
Yes, but it depends on how the role is classified. Billing Representatives qualify under the TN Accountant category, which requires the position to involve substantive accounting functions like revenue cycle management, invoice auditing, or accounts receivable analysis. Purely clerical billing data-entry roles are unlikely to qualify. Your employer's support letter needs to clearly articulate how the duties align with the Accountant occupation definition used by CBP.
How does TN visa sponsorship for Billing Representatives compare to H-1B?
TN has no annual lottery, no cap for Canadian citizens, and no multi-month USCIS adjudication wait. Canadians can be approved at the port of entry on the day they present. H-1B requires employer sponsorship through a lottery with roughly a one-in-four chance of selection and a long processing timeline. For Billing Representative roles that qualify under the Accountant TN category, TN is substantially faster and more predictable than H-1B.
What documentation does my employer need to prepare for my TN application?
Your employer provides a support letter on company letterhead stating your job title as Accountant or Billing Representative, your anticipated start date, a description of duties tied to the Accountant TN category, your credentials, and confirmation of full-time employment. You bring this letter along with your degree transcripts or diploma and a valid Canadian or Mexican passport to your CBP port-of-entry appointment or USCIS filing.
Where can I find Billing Representative jobs with TN visa sponsorship?
Migrate Mate is built specifically to surface U.S. jobs that include TN visa sponsorship, including Billing Representative roles filed under the Accountant category. Searching through a TN-specific tool avoids the frustration of applying to employers who have never processed a TN petition and don't understand the filing requirements for your category.
Can Mexican citizens use the TN visa for Billing Representative roles the same way Canadians can?
Mexican citizens qualify for TN status under the same Accountant occupational category, but the process differs. Mexicans must apply at a U.S. consulate in Mexico for a TN visa stamp before entering, rather than seeking admission directly at the border. Processing times vary by consulate. The credential and role requirements are identical, but the application path adds time compared to the Canadian port-of-entry option.