Billing Specialist Jobs in USA with Visa Sponsorship
Billing specialists qualify for H-1B visa, E-3 visa, 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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POSITION DESCRIPTION:
The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.
DUTIES AND RESPONSIBILITIES:
- Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.
- Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
- Enters charges accurately and expeditiously to ensure proper records handling and fast payment.
- Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
- Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
- Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
- Performs self-pay patient billing.
- Prepares and sends patient statements for charges not covered by insurance.
- Other duties as assigned.
KNOWLEDGE:
- Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
- Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage
- Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
- EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
- Understand and adhere to all HIPAA guidelines
- MS Office Suite (Excel proficiency)
- Alpha-Numeric data entry
SKILLS AND ABILITIES:
- High School or Equivalent (Associates Degree preferred)
- 2 Years Medical Billing experience
- CMRS, CPB, or CPC credentials a plus
- Attention to detail with strong documentation, analytic and problem-solving skills
- Ability to multi-task in a fast-paced environment
- Strong interpersonal written & verbal communication skills

POSITION DESCRIPTION:
The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.
DUTIES AND RESPONSIBILITIES:
- Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.
- Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
- Enters charges accurately and expeditiously to ensure proper records handling and fast payment.
- Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
- Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
- Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
- Performs self-pay patient billing.
- Prepares and sends patient statements for charges not covered by insurance.
- Other duties as assigned.
KNOWLEDGE:
- Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
- Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage
- Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
- EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
- Understand and adhere to all HIPAA guidelines
- MS Office Suite (Excel proficiency)
- Alpha-Numeric data entry
SKILLS AND ABILITIES:
- High School or Equivalent (Associates Degree preferred)
- 2 Years Medical Billing experience
- CMRS, CPB, or CPC credentials a plus
- Attention to detail with strong documentation, analytic and problem-solving skills
- Ability to multi-task in a fast-paced environment
- Strong interpersonal written & verbal communication skills
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Get Access To All JobsTips for Finding 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.
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.
Find Billing Specialist 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.
How to find Billing Specialist jobs with visa sponsorship?
To find Billing Specialist jobs with visa sponsorship, use Migrate Mate, which specializes in connecting international candidates with employers offering visa support. Focus your search on healthcare systems, insurance companies, and large corporations that frequently sponsor H-1B visas for billing and finance roles. These employers often have established immigration processes and regularly hire international talent for their billing departments.
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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