Bookkeeper Visa Sponsorship Jobs in Tennessee
Tennessee's bookkeeper job market spans healthcare systems like HCA Healthcare, manufacturing firms in Nashville and Chattanooga, and a growing professional services sector across Memphis. Employers in these industries regularly hire international bookkeeping professionals and have established pathways for visa sponsorship, making Tennessee a practical target for qualified candidates seeking sponsored roles.
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JOB SUMMARY/ESSENTIAL JOB FUNCTIONS:
The Account and Budget Manager oversees comprehensive financial operations for the College of Dentistry, including budgeting, reporting, accounting, grants, and compliance under the supervision of the Director of Finance and Assistant Dean of Finance and Administration. This role blends strategic planning with hands-on financial management across academic units, dental clinics, and auxiliary services.
- Builds on the annual and multi-year budget development process for all college units, including dental clinics, graduate programs, and auxiliary operations.
- Partners with department chairs, clinic directors, and the Sponsored Programs Office to gather historical financial data, forecast enrollment, patient volumes, and grant commitments.
- Oversees preparation, analysis, and distribution of monthly, quarterly, and annual financial statements for all dental clinics, academic units, and restricted accounts.
- Generates detailed income/expense and revenue/production reports using AxiUm and Banner—incorporating patient ledger data, faculty extra-service pays, and grant burn rates—to inform clinic operations and academic planning.
- Supervises daily accounting operations: general ledger maintenance, journal entry approvals, bank and credit-card reconciliations, and cashiering oversight.
- Negotiates budget revisions and carry-forward requests with university finance; secures approvals for mid-year reallocations or new clinic site funding.
- Develops and maintains interactive dashboards (Power BI/Cognos) tracking key metrics: revenue per clinic operator, cost per procedure, accounts receivable aging, and budget utilization.
- Oversees payroll cycle activities, faculty extra service pay in AxiUm, and staff payroll reconciliation; ensures compliance with payroll policies and grant cost-share requirements.
- Collaborates with faculty and Sponsored Programs to design grant budgets, justifications, and cost-sharing schedules in compliance with Uniform Guidance (2 CFR §200), NIH, HRSA, and university policy.
- Drafts, reviews, and updates college-level financial policies and standard operating procedures, including billing and revenue cycle protocols, cashiering procedures, and travel and payroll guidelines.
- Performs other duties as assigned.
MINIMUM REQUIREMENTS:
Education: Bachelor’s Degree. (TRANSCRIPT REQUIRED)
Experience: Four (4) years of experience in financial management, accounting, or budget administration; OR a combination of education and experience to equal eight (8) years.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Knowledge of fund accounting, GAAP, federal grant regulations, and university financial policies.
- Skill in financial modelling, variance analysis, and executive-level presentation of complex data.
- Ability to design and implement internal controls over cash handling, revenue cycle, and compliance processes.
- Ability to lead, coach, and develop cross-functional teams, including Sr. Fee Control Clerks, Admitting Clerks, Accounting Assistants, and Reconciliation Specialists.
- Knowledge of dental clinic operations, patient billing workflows, and AxiUm software.
- Skill in leveraging ERP and BI tools (Oracle Financials, Banner, Cognos, Power BI) to create interactive dashboards and reports.
COMPENSATION:
- Market Range: 13
- Hiring Range: $5,566.40 - $7,792.95/Monthly

JOB SUMMARY/ESSENTIAL JOB FUNCTIONS:
The Account and Budget Manager oversees comprehensive financial operations for the College of Dentistry, including budgeting, reporting, accounting, grants, and compliance under the supervision of the Director of Finance and Assistant Dean of Finance and Administration. This role blends strategic planning with hands-on financial management across academic units, dental clinics, and auxiliary services.
- Builds on the annual and multi-year budget development process for all college units, including dental clinics, graduate programs, and auxiliary operations.
- Partners with department chairs, clinic directors, and the Sponsored Programs Office to gather historical financial data, forecast enrollment, patient volumes, and grant commitments.
- Oversees preparation, analysis, and distribution of monthly, quarterly, and annual financial statements for all dental clinics, academic units, and restricted accounts.
- Generates detailed income/expense and revenue/production reports using AxiUm and Banner—incorporating patient ledger data, faculty extra-service pays, and grant burn rates—to inform clinic operations and academic planning.
- Supervises daily accounting operations: general ledger maintenance, journal entry approvals, bank and credit-card reconciliations, and cashiering oversight.
- Negotiates budget revisions and carry-forward requests with university finance; secures approvals for mid-year reallocations or new clinic site funding.
- Develops and maintains interactive dashboards (Power BI/Cognos) tracking key metrics: revenue per clinic operator, cost per procedure, accounts receivable aging, and budget utilization.
- Oversees payroll cycle activities, faculty extra service pay in AxiUm, and staff payroll reconciliation; ensures compliance with payroll policies and grant cost-share requirements.
- Collaborates with faculty and Sponsored Programs to design grant budgets, justifications, and cost-sharing schedules in compliance with Uniform Guidance (2 CFR §200), NIH, HRSA, and university policy.
- Drafts, reviews, and updates college-level financial policies and standard operating procedures, including billing and revenue cycle protocols, cashiering procedures, and travel and payroll guidelines.
- Performs other duties as assigned.
MINIMUM REQUIREMENTS:
Education: Bachelor’s Degree. (TRANSCRIPT REQUIRED)
Experience: Four (4) years of experience in financial management, accounting, or budget administration; OR a combination of education and experience to equal eight (8) years.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Knowledge of fund accounting, GAAP, federal grant regulations, and university financial policies.
- Skill in financial modelling, variance analysis, and executive-level presentation of complex data.
- Ability to design and implement internal controls over cash handling, revenue cycle, and compliance processes.
- Ability to lead, coach, and develop cross-functional teams, including Sr. Fee Control Clerks, Admitting Clerks, Accounting Assistants, and Reconciliation Specialists.
- Knowledge of dental clinic operations, patient billing workflows, and AxiUm software.
- Skill in leveraging ERP and BI tools (Oracle Financials, Banner, Cognos, Power BI) to create interactive dashboards and reports.
COMPENSATION:
- Market Range: 13
- Hiring Range: $5,566.40 - $7,792.95/Monthly
Bookkeeper Job Roles in Tennessee
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Search Bookkeeper Jobs in TennesseeBookkeeper Jobs in Tennessee: Frequently Asked Questions
Which companies sponsor visas for bookkeepers in Tennessee?
Large Tennessee employers with established HR and legal infrastructure are the most consistent sponsors. Healthcare organizations like HCA Healthcare and Vanderbilt University Medical Center, logistics firms operating out of Memphis, and national accounting networks with Tennessee offices have historically filed H-1B petitions for accounting and bookkeeping roles. Smaller local firms sponsor far less frequently due to the administrative costs involved in the petition process.
Which visa types are most common for bookkeeper roles in Tennessee?
The H-1B is the most common visa for bookkeepers in Tennessee, though it requires the role to qualify as a specialty occupation, meaning a bachelor's degree in accounting or a closely related field is typically expected. The TN visa is available to Canadian and Mexican nationals working in qualifying accounting roles. The O-1 is rarely applicable unless the candidate has exceptional recognition in their field.
Which cities in Tennessee have the most bookkeeper sponsorship jobs?
Nashville leads Tennessee for bookkeeper sponsorship activity, driven by its concentration of healthcare corporations, financial services firms, and corporate headquarters. Memphis is significant for logistics and distribution companies that maintain large accounting teams. Knoxville and Chattanooga have smaller but active markets, particularly tied to manufacturing, engineering firms, and regional hospital networks that employ bookkeeping staff.
How to find bookkeeper visa sponsorship jobs in Tennessee?
Migrate Mate filters job listings specifically by visa sponsorship status and state, making it straightforward to browse bookkeeper roles in Tennessee without sifting through positions that don't offer sponsorship. You can search by role type and location to surface employers actively hiring internationally. Given that sponsoring employers in Tennessee tend to cluster in healthcare, logistics, and corporate services, filtering by those industries on Migrate Mate can improve results.
Are there state-specific considerations for bookkeepers seeking visa sponsorship in Tennessee?
Tennessee has no state income tax on wages, which affects prevailing wage calculations used in H-1B Labor Condition Applications filed by Tennessee employers. The Department of Labor sets prevailing wages by metropolitan area, so Nashville, Memphis, and Knoxville each have distinct benchmarks. Employers must certify they're paying at least the prevailing wage for the specific location. Candidates with a CPA credential or progress toward one are generally stronger sponsorship candidates in this market.
What is the prevailing wage for sponsored bookkeeper jobs in Tennessee?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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