TN Visa Billing Specialist Jobs
Billing Specialist roles qualify for TN visa sponsorship under the USMCA treaty as an Accountant occupation, making them accessible to Canadian and Mexican professionals without a lottery. Your employer prepares a support letter, and Canadians can obtain TN status directly at a port of entry, while Mexicans apply through a U.S. consulate.
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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 Specialist Jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Billing Specialist
Frame your credentials around accounting
TN visa classification for Billing Specialists falls under the Accountant category, so your resume and degree must emphasize accounting, finance, or a related field. A general business degree with no accounting coursework creates unnecessary friction at the border.
Target employers experienced with visa sponsorship
Companies with recent visa filings understand the sponsorship process and won't treat work authorization as a dealbreaker. Search employer databases to identify healthcare systems, staffing firms, and revenue cycle companies experienced with visa sponsorship. These employers have demonstrated familiarity with hiring talent across borders, making them more likely to support candidates for TN status.
Clarify your citizenship early in interviews
Canadian citizens skip the consular interview and gain TN status at a port of entry the same day the employer's offer letter is ready. Mentioning this upfront removes the processing-time concern that causes many hiring managers to deprioritize non-citizen applicants.
Get the offer letter details exactly right
CBP officers at the border review your employer's support letter against the Accountant occupational description. The letter must state your specific billing duties, confirm your accounting-field degree, list your employer's business purpose, and specify the employment period.
Search for TN-ready roles through Migrate Mate
Filtering by visa type on general job boards surfaces roles that may not have TN infrastructure in place. Migrate Mate lets you search Billing Specialist openings specifically by TN sponsorship availability, connecting you with employers already set up to file.
Prepare for renewal before your TN expires
TN status is granted in three-year increments with no cap on renewals, but your employer must reissue a support letter and you or they must file again. Start the renewal process at least 90 days before your I-94 end date to avoid a gap in work authorization.
Billing Specialist TN Visa: Frequently Asked Questions
Does a Billing Specialist role actually qualify for a TN visa?
Yes, but the classification depends on how the role is framed. TN visas don't list Billing Specialist as a standalone occupation, so the position must qualify under the Accountant category. That requires your job duties to center on accounting or financial analysis functions and your degree to be in accounting, finance, or a closely related field. Purely clerical billing roles without analytical duties are harder to support.
How does TN compare to H-1B for Billing Specialist jobs?
For Canadian professionals, TN is faster and more predictable than H-1B visa. There's no annual lottery, no cap, and Canadians can obtain TN status at a port of entry on the same day with the right documentation. H-1B requires employer sponsorship months in advance and selection in a randomized lottery with no guarantee of approval. Mexican nationals face a TN numerical limit and must apply at a U.S. consulate, but still avoid the H-1B lottery entirely.
What degree does my employer need to verify for TN sponsorship?
CBP and USCIS require a bachelor's degree or higher in accounting or a related field to support the Accountant TN category. A finance, economics, or business degree may qualify if your transcript shows substantial accounting coursework. A degree in an unrelated field, even paired with years of billing experience, will not satisfy the educational requirement for TN classification.
How do I find Billing Specialist jobs with TN visa sponsorship?
Most general job postings don't specify TN visa support, which means you waste time applying to employers who lack experience with work visa sponsorship. Migrate Mate filters Billing Specialist roles by employer visa sponsorship history so you're only seeing opportunities where the employer has demonstrated experience supporting visa candidates. That targeting cuts down significantly on the back-and-forth about visa logistics during the hiring process.
Can my TN status be renewed if I stay with the same employer long-term?
Yes, there's no limit on how many times a TN can be renewed. Each renewal is granted in three-year increments, and your employer reissues a support letter confirming the continued employment and your ongoing qualifying duties. Canadians renew at a port of entry or through USCIS by mail. Mexicans renew through a U.S. consulate. As long as your role still meets the Accountant occupational criteria, renewal is straightforward.