Billing Representative Jobs in USA with Visa Sponsorship
Billing representatives handle invoice processing, payment collection, and account reconciliation for healthcare systems, insurance companies, and large corporations. These roles typically qualify for H-1B sponsorship when they require specialized knowledge of healthcare billing systems, insurance regulations, or complex financial software. Many positions accept business, accounting, or healthcare administration degrees. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsDESCRIPTION
AAIT is seeking a full-time Billing Representative who is detail-oriented and experienced in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, and insurance appeals. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement.
ESSENTIAL FUNCTIONS
1) Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.
2) Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
3) Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
4) Review and verify accuracy of billing data prior to claim submission.
5) Research and resolve billing discrepancies or claim denials.
6) Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
7) Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.
8) Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.).
9) Collaborate with clinical staff and providers to ensure accurate coding and documentation.
10) Track accounts receivable and follow up on outstanding claims to maximize revenue.
CORE COMPETENCIES
- Experience with Medicare/Medicaid billing and commercial insurance.
- Knowledge of coding and appeals processes.
- Ability to work independently and manage multiple tasks in a fast-paced environment.
- Customer service experience in a healthcare setting.
- Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations.
REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS
The position requires a high school diploma, associate’s degree in healthcare administration, Billing & Coding, or related field preferred, plus 2 years of relevant experience within medical billing, coding, and insurance follow-up. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred. Strong knowledge of ICD-10, CPT, and HCPCS coding systems. Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations. Familiarity with Epic, Meditech and/or PrognoCis EMR systems. Experience creating cost estimates for medical procedures. Skilled in preparing and submitting appeals for denied claims. Proficiency with medical billing software and electronic health record (EHR) systems. Strong attention to detail, problem-solving, and organizational skills. Excellent written and verbal communication skills.
DESCRIPTION
AAIT is seeking a full-time Billing Representative who is detail-oriented and experienced in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, and insurance appeals. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement.
ESSENTIAL FUNCTIONS
1) Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.
2) Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
3) Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
4) Review and verify accuracy of billing data prior to claim submission.
5) Research and resolve billing discrepancies or claim denials.
6) Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
7) Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.
8) Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.).
9) Collaborate with clinical staff and providers to ensure accurate coding and documentation.
10) Track accounts receivable and follow up on outstanding claims to maximize revenue.
CORE COMPETENCIES
- Experience with Medicare/Medicaid billing and commercial insurance.
- Knowledge of coding and appeals processes.
- Ability to work independently and manage multiple tasks in a fast-paced environment.
- Customer service experience in a healthcare setting.
- Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations.
REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS
The position requires a high school diploma, associate’s degree in healthcare administration, Billing & Coding, or related field preferred, plus 2 years of relevant experience within medical billing, coding, and insurance follow-up. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred. Strong knowledge of ICD-10, CPT, and HCPCS coding systems. Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations. Familiarity with Epic, Meditech and/or PrognoCis EMR systems. Experience creating cost estimates for medical procedures. Skilled in preparing and submitting appeals for denied claims. Proficiency with medical billing software and electronic health record (EHR) systems. Strong attention to detail, problem-solving, and organizational skills. Excellent written and verbal communication skills.
How to Get Visa Sponsorship in Billing Representative
Target healthcare organizations and insurance companies
Hospitals, medical groups, and insurance providers regularly sponsor billing representatives due to complex regulatory requirements and specialized billing systems knowledge needed for Medicare, Medicaid, and private insurance processing.
Emphasize specialized billing system expertise
Highlight experience with Epic, Cerner, MEDITECH, or other enterprise healthcare billing platforms. Specialized software knowledge strengthens the specialty occupation argument for visa sponsorship applications.
Focus on regulatory compliance experience
Knowledge of HIPAA, ICD-10 coding, CPT codes, and insurance claim processing regulations demonstrates the specialized expertise that makes billing representative roles eligible for H-1B sponsorship.
Consider revenue cycle management companies
Third-party billing companies and revenue cycle outsourcing firms often need visa-sponsored talent and may offer more sponsorship opportunities than individual healthcare practices or smaller organizations.
Highlight analytical and problem-solving skills
Billing representatives who can analyze claim denials, identify payment discrepancies, and resolve complex billing issues bring specialized value that supports successful H-1B petition approval.
Apply during healthcare industry expansion periods
Healthcare organizations expanding services or implementing new billing systems often need additional specialized staff, creating more opportunities for visa sponsorship and faster hiring decisions.
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Get Access To All JobsFrequently Asked Questions
Do billing representative jobs qualify for H-1B sponsorship?
Yes, billing representative positions can qualify for H-1B sponsorship when they require specialized knowledge of healthcare billing systems, insurance regulations, or complex financial software. The role must demonstrate specialty occupation requirements through specialized training, certification, or degree-level knowledge of billing processes and regulatory compliance.
What degree do I need for visa sponsorship as a billing representative?
Most sponsored billing representative positions accept business administration, accounting, healthcare administration, or finance degrees. Some employers also accept information systems or data management degrees, especially for roles involving complex billing software implementation or revenue cycle analysis in healthcare settings.
Which industries sponsor billing representatives most often?
Healthcare systems, hospitals, insurance companies, and revenue cycle management firms sponsor billing representatives most frequently. Large healthcare organizations need specialized billing expertise for Medicare, Medicaid, and private insurance processing, making these roles strong candidates for H-1B sponsorship.
How do I prove specialty occupation requirements for billing roles?
Demonstrate specialized knowledge through certifications like Certified Professional Biller (CPB), experience with enterprise billing systems like Epic or Cerner, or expertise in healthcare regulations like HIPAA and ICD-10 coding. The job description should emphasize complex analytical work rather than routine data entry.
Can billing representatives get green card sponsorship?
Yes, billing representatives can pursue green card sponsorship, typically through EB-2 or EB-3 categories. Healthcare organizations often sponsor long-term employees, especially those with specialized expertise in revenue cycle management, regulatory compliance, or advanced billing system implementation who demonstrate continued value to the organization.
What is the prevailing wage requirement for sponsored Billing Representative jobs?
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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