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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INTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
Welcome to the Revenue Cycle IT Support Team. In this role, you will be part of a dynamic, fast-paced team that provides support for operational needs and requests, while also contributing to projects and system go-lives. This team is responsible for support of Epic Resolute Hospital and Professional billing, including claims and remits.
For this role as a Systems Management Analyst on the Revenue Cycle team, you will play a key role in configuring, maintaining, and supporting the hospital billing system and workflows. You will partner closely with operations and business stakeholders to ensure accurate, efficient data flow across systems, troubleshoot issues, and optimize processes that support revenue integrity and timely reimbursement.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Provide subject matter expertise in Epic Hospital Billing, including system design, building, testing, implementation, and security
- Collaborate with leadership and end users to design and configure solutions, providing technical and clinical consultation, including workflow analysis and application configuration to support enhancements and issue resolution
- Participate in multiple small to medium-scale Epic upgrade initiatives and workflow enhancements through all project phases
- Facilitate design and validation sessions, ensuring thorough documentation, follow-up, and issue escalation
- Maintain system documentation, including design specifications and build records
- Monitor production applications and respond to incidents
- Execute all phases of testing, including unit, system, and integrated testing for Epic Hospital Billing
- Analyze workflows, data collection, reporting needs, and technical issues to support solution development
- Collaborate with training teams to develop and maintain application-specific training materials
- Translate business requirements into functional specifications; manage system updates, enhancements, and release testing
- Ensure compliance with organizational standards for system configuration and change control
- Build and maintain solid relationships with end users, stakeholders, and business partners
- Facilitate communication across teams from requirements gathering through implementation
- Troubleshoot and resolve application issues, escalating complex problems as appropriate
- Maintain knowledge of Epic functionality and operational workflows
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Active Epic certification in Epic Resolute Hospital Billing Administration
- 1+ years of experience with Epic implementation and/or support
- Ability to participate in on-call after hours rotation. Estimated to occur for 1 week every 2-3 weeks (after hours and weekend on call periods) (Allina only)
- Ability to participate in projects and upgrades requiring after hours availability as business needs dictate (for Epic Upgrades, implementations, other application upgrades)
Preferred Qualifications:
- Additional Epic certifications (Ex: Resolute PB Admin, Epic HB Claims, etc)
- 3+ years of experience with Epic implementation and/or support
- 3+ years of experience in one or more of the following: Epic security administration, CDM/Charge Handler, Charge Router, and/or General Ledger Extracts
- Proficiency with Excel, Visio, PowerPoint and SharePoint
- Proven ability to collaborate with colleagues through clear, effective communication
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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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.