Billing Specialist Jobs in USA with Visa Sponsorship
Billing specialists qualify for H-1B, E-3, and TN visa sponsorship when their role requires specialized knowledge of healthcare billing systems, insurance regulations, or complex financial processes. Many positions combine billing expertise with data analysis or compliance functions, strengthening the specialty occupation requirement. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsWHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
Job Summary
UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Billing Specialist II. This position works under moderate supervision to perform intermediate level billing responsibilities. This position supports the division of Hematology & Oncology. The duties for this position will include but are not limited to the following:
- Maintain a monthly average of 150 encounters per day.
- Excellent time management skills
- Ability to partner with a team or work alone.
- Charge review
- Reconciliation
- Manual charge entry
- Ensure the department adheres to a six-day metric.
Work From Home (WFH):
This position will work from home, but the applicant must live within the State of Texas. Additional details shall be discussed with applicants during the interview process.
Shift:
Flex shift, 8-hour days Monday – Friday
Benefits
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare-no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
Required
EXPERIENCE AND EDUCATION
- Education: High School Diploma or equivalent.
- Experience: 2 years Medical billing or collections experience.
Preferred
- Experience: Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) are preferred and may be used in lieu of experience.
- Licenses and Certifications: Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) Upon Hire
Job Duties
- Analyzes, investigates and resolves coding edits for E&M services, diagnostic studies, and minor surgical procedures. This includes CPT, diagnosis, modifier, bundling, duplicate charge, and custom edit resolution. Requires knowledge of the carrier's (Federal/State/Private) regulations and guidelines, internal revenue cycle coding processes and be familiar with the billing practices of the specialty service line. This position requires a high degree of organization and accuracy and requires clear communication with providers on a regular basis to insure visits are well documented and meet all billing requirements.
- Performs limited abstracting on E&M services, diagnostic studies, and moderate to minor surgical procedures. Requires the ability to read the progress note and or procedure results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires knowledge of the carrier coverage policies and be familiar with the billing practices of the specialty service line. Must be familiar with the Medicare and Medicaid teaching physician documentation billing rules.
- Performs monthly charge reconciliation.
- Investigates and resolves coding and registration Epic Resolute Claim edits. Requires strong knowledge of Epic's carrier registration filing order rules and billing rules.
- Performs manual charge entry for all non-EpicCare and non-automated sites of services. This includes E&M visits and procedures across several centralized service lines. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment.
- May assist in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned.
- Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
- Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
Primary Location
Texas-Dallas-5323 Harry Hines Blvd
Work Locations
5323 Harry Hines Blvd
Job
Insurance/Billing
Organization
713002 - MG Rev Cyc Front End
Schedule
Full-time
Shift
Day Job
Employee Status
Regular
Job Type
Standard
Job Level
Individual Contributor
Job Posting
Mar 14, 2026, 2:42:45 AM
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
Job Summary
UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Billing Specialist II. This position works under moderate supervision to perform intermediate level billing responsibilities. This position supports the division of Hematology & Oncology. The duties for this position will include but are not limited to the following:
- Maintain a monthly average of 150 encounters per day.
- Excellent time management skills
- Ability to partner with a team or work alone.
- Charge review
- Reconciliation
- Manual charge entry
- Ensure the department adheres to a six-day metric.
Work From Home (WFH):
This position will work from home, but the applicant must live within the State of Texas. Additional details shall be discussed with applicants during the interview process.
Shift:
Flex shift, 8-hour days Monday – Friday
Benefits
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare-no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
Required
EXPERIENCE AND EDUCATION
- Education: High School Diploma or equivalent.
- Experience: 2 years Medical billing or collections experience.
Preferred
- Experience: Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) are preferred and may be used in lieu of experience.
- Licenses and Certifications: Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) Upon Hire
Job Duties
- Analyzes, investigates and resolves coding edits for E&M services, diagnostic studies, and minor surgical procedures. This includes CPT, diagnosis, modifier, bundling, duplicate charge, and custom edit resolution. Requires knowledge of the carrier's (Federal/State/Private) regulations and guidelines, internal revenue cycle coding processes and be familiar with the billing practices of the specialty service line. This position requires a high degree of organization and accuracy and requires clear communication with providers on a regular basis to insure visits are well documented and meet all billing requirements.
- Performs limited abstracting on E&M services, diagnostic studies, and moderate to minor surgical procedures. Requires the ability to read the progress note and or procedure results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires knowledge of the carrier coverage policies and be familiar with the billing practices of the specialty service line. Must be familiar with the Medicare and Medicaid teaching physician documentation billing rules.
- Performs monthly charge reconciliation.
- Investigates and resolves coding and registration Epic Resolute Claim edits. Requires strong knowledge of Epic's carrier registration filing order rules and billing rules.
- Performs manual charge entry for all non-EpicCare and non-automated sites of services. This includes E&M visits and procedures across several centralized service lines. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment.
- May assist in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned.
- Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
- Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
Primary Location
Texas-Dallas-5323 Harry Hines Blvd
Work Locations
5323 Harry Hines Blvd
Job
Insurance/Billing
Organization
713002 - MG Rev Cyc Front End
Schedule
Full-time
Shift
Day Job
Employee Status
Regular
Job Type
Standard
Job Level
Individual Contributor
Job Posting
Mar 14, 2026, 2:42:45 AM
How to Get Visa Sponsorship as a Billing Specialist
Emphasize regulatory compliance expertise
Healthcare billing roles involving HIPAA compliance, Medicare/Medicaid regulations, or insurance claim processing demonstrate specialized knowledge that supports visa petitions beyond basic data entry functions.
Target healthcare and insurance employers
Hospitals, medical billing companies, and insurance providers frequently sponsor visas for billing specialists who understand complex reimbursement systems and regulatory requirements.
Highlight relevant degree connections
Business administration, healthcare administration, or accounting degrees align well with billing specialist roles. Finance and information systems degrees also support specialty occupation requirements.
Focus on specialized software proficiency
Experience with Epic, Cerner, or other healthcare billing systems demonstrates technical expertise. Medical coding knowledge (ICD-10, CPT) further strengthens sponsorship applications.
Consider E-3 visa advantages for Australians
Australian billing specialists can bypass H-1B lottery restrictions with the E-3 visa. No annual cap and faster processing make this an attractive option.
Position role as analytical, not clerical
Frame your work around revenue cycle analysis, denial management, or process optimization rather than routine data entry to meet specialty occupation standards.
Billing Specialist jobs are hiring across the US. Find yours.
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Get Access To All JobsFrequently Asked Questions
Do billing specialists qualify for H-1B visa sponsorship?
Yes, billing specialists can qualify for H-1B sponsorship when their role requires specialized knowledge of healthcare regulations, complex billing systems, or financial analysis. Entry-level data entry positions typically don't qualify, but roles involving compliance, revenue cycle management, or specialized software often do.
What degree do I need for billing specialist visa sponsorship?
A bachelor's degree in business administration, healthcare administration, accounting, or finance typically supports billing specialist visa petitions. Some employers accept information systems or related degrees. The key is demonstrating how your education connects to the specialized aspects of the billing role.
Which visa types work best for billing specialist positions?
H-1B is most common for billing specialists, though competition is high. Australians should consider the E-3 visa with no annual cap. Canadians and Mexicans may qualify for TN status under the accountant or management consultant categories, depending on job duties and degree requirements.
Do billing specialists have good H-1B approval rates?
Approval rates vary significantly based on job complexity and employer documentation. Healthcare billing roles with compliance responsibilities typically have higher approval rates than basic data entry positions. Employers must demonstrate the role requires specialized knowledge beyond what a high school graduate could perform.
Can billing specialists change employers on an H-1B visa?
Yes, but you need a new H-1B petition filed by your new employer before starting work. You can begin working once USCIS receives the petition (H-1B portability). The new employer must file a fresh Labor Condition Application and I-129 petition specifically for their billing specialist position.
What is the prevailing wage requirement for sponsored Billing Specialist 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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