Healthcare Revenue Cycle Jobs in USA with Visa Sponsorship
Healthcare revenue cycle roles, including billing specialists, coders, and RCM analysts, are regularly sponsored under the H-1B visa and TN visas. Employers across hospital systems and physician groups file LCAs for these positions, particularly for candidates with coding certifications or healthcare administration degrees. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsSenior Revenue Cycle Specialist
This is NOT A REMOTE ROLE, it will be in person.
ALG Senior is seeking a Senior Revenue Cycle Specialist to join our Central Billing Office, based in Hickory, NC, supporting multiple senior living communities across a multi-state portfolio.
This role is responsible for managing the full accounts receivable cycle across Independent Living, Assisted Living, Memory Care, and Skilled Nursing—ensuring accurate billing, timely reimbursement, and strong collections practices across Medicare, Medicaid, Managed Care, and Private Pay.
This position plays a key role in protecting revenue integrity, reducing Days in AR, and maintaining financial compliance.
Key Responsibilities
Accounts Receivable Management
- Manage a portfolio of resident accounts across multiple communities
- Monitor aging reports and proactively reduce Days in AR
- Identify trends in denials, underpayments, and discrepancies
- Complete month-end close and AR reporting accurately and on time
- Generate resident statements and respond to account inquiries
- Post payments within established timelines
Charge Capture & Billing Accuracy
- Create and validate charges across all payer types
- Ensure timely and accurate charge entry
- Partner with community and clinical teams on census and care level changes
- Audit charges prior to billing and month-end close
Medicare, Medicaid & Managed Care Oversight
- Ensure clean claim submission and accurate account setup
- Track claim status and manage follow-ups/resubmissions
- Interpret payer contracts, authorizations, and fee schedules
- Stay current on CMS and state Medicaid updates
Payment Posting & Reconciliation
- Post EFTs, checks, and resident payments
- Reconcile ERA/EOBs and identify variances
- Resolve denials, short-pays, and discrepancies
- Reconcile resident trust accounts and statements
Collections & Follow-Up
- Conduct consistent follow-up on outstanding balances
- Communicate professionally with residents and families
- Coordinate with Social Security and other agencies as needed
- Document all collection activity thoroughly
Reporting & Financial Support
- Perform account reconciliations
- Prepare monthly AR summaries and explain variances
- Support audits (Medicaid, CMS, financial)
- Partner with accounting on discrepancies
Qualifications
Required
- 3–5+ years of healthcare AR experience (senior living, LTC, or post-acute preferred)
- Experience with Medicare & Medicaid billing
- Knowledge of Managed Care processes
- Experience with billing systems (Yardi, PointClickCare, MatrixCare, etc.)
- Understanding of UB-04 and CMS-1500 forms
- Strong Excel and systems skills
- Ability to manage high-volume accounts independently
Preferred
- Multi-state billing experience
- SNF billing (PPS/MDS knowledge)
- Centralized billing office experience
- Medicaid waiver/level-of-care billing knowledge
- CRCP, CPB, or similar certification
What You Bring
- Strong attention to detail and accuracy
- Analytical, problem-solving mindset
- Ability to prioritize in a fast-paced environment
- Ownership of your AR portfolio
- Professional communication skills
- High integrity and confidentiality
Senior Revenue Cycle Specialist
This is NOT A REMOTE ROLE, it will be in person.
ALG Senior is seeking a Senior Revenue Cycle Specialist to join our Central Billing Office, based in Hickory, NC, supporting multiple senior living communities across a multi-state portfolio.
This role is responsible for managing the full accounts receivable cycle across Independent Living, Assisted Living, Memory Care, and Skilled Nursing—ensuring accurate billing, timely reimbursement, and strong collections practices across Medicare, Medicaid, Managed Care, and Private Pay.
This position plays a key role in protecting revenue integrity, reducing Days in AR, and maintaining financial compliance.
Key Responsibilities
Accounts Receivable Management
- Manage a portfolio of resident accounts across multiple communities
- Monitor aging reports and proactively reduce Days in AR
- Identify trends in denials, underpayments, and discrepancies
- Complete month-end close and AR reporting accurately and on time
- Generate resident statements and respond to account inquiries
- Post payments within established timelines
Charge Capture & Billing Accuracy
- Create and validate charges across all payer types
- Ensure timely and accurate charge entry
- Partner with community and clinical teams on census and care level changes
- Audit charges prior to billing and month-end close
Medicare, Medicaid & Managed Care Oversight
- Ensure clean claim submission and accurate account setup
- Track claim status and manage follow-ups/resubmissions
- Interpret payer contracts, authorizations, and fee schedules
- Stay current on CMS and state Medicaid updates
Payment Posting & Reconciliation
- Post EFTs, checks, and resident payments
- Reconcile ERA/EOBs and identify variances
- Resolve denials, short-pays, and discrepancies
- Reconcile resident trust accounts and statements
Collections & Follow-Up
- Conduct consistent follow-up on outstanding balances
- Communicate professionally with residents and families
- Coordinate with Social Security and other agencies as needed
- Document all collection activity thoroughly
Reporting & Financial Support
- Perform account reconciliations
- Prepare monthly AR summaries and explain variances
- Support audits (Medicaid, CMS, financial)
- Partner with accounting on discrepancies
Qualifications
Required
- 3–5+ years of healthcare AR experience (senior living, LTC, or post-acute preferred)
- Experience with Medicare & Medicaid billing
- Knowledge of Managed Care processes
- Experience with billing systems (Yardi, PointClickCare, MatrixCare, etc.)
- Understanding of UB-04 and CMS-1500 forms
- Strong Excel and systems skills
- Ability to manage high-volume accounts independently
Preferred
- Multi-state billing experience
- SNF billing (PPS/MDS knowledge)
- Centralized billing office experience
- Medicaid waiver/level-of-care billing knowledge
- CRCP, CPB, or similar certification
What You Bring
- Strong attention to detail and accuracy
- Analytical, problem-solving mindset
- Ability to prioritize in a fast-paced environment
- Ownership of your AR portfolio
- Professional communication skills
- High integrity and confidentiality
See all 545+ Healthcare Revenue Cycle Jobs
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Get Access To All JobsTips for Finding Healthcare Revenue Cycle Jobs
Target large hospital systems and health networks
Large health systems like HCA Healthcare, CommonSpirit, and Tenet Health have established immigration programs and sponsor revenue cycle roles more consistently than smaller private practices, which rarely have the infrastructure to navigate visa filings.
Get your CPC or CCS certification before applying
Coding certifications from AAPC or AHIMA, such as the CPC or CCS, signal role-specific expertise that strengthens specialty occupation arguments for H-1B petitions and makes you a more competitive candidate for sponsorship-willing employers.
Clarify your degree field matches the role
Revenue cycle positions typically require a degree in health information management, healthcare administration, or a related field. A general business degree alone may not satisfy the specialty occupation standard USCIS applies to H-1B petitions for these roles.
Ask about sponsorship timing before final interviews
Healthcare revenue cycle hiring cycles can be fast. Raise the visa sponsorship question before the offer stage so employers can confirm their legal counsel is prepared, avoiding delays if the role requires an H-1B cap filing or TN letter.
Explore TN visa eligibility if you are Canadian or Mexican
Canadian and Mexican nationals working in medical or health information roles may qualify for TN status, which bypasses the H-1B lottery entirely. Confirm your specific job title maps to an approved TN occupation category before pursuing this path.
Use Migrate Mate to filter for sponsorship-ready employers
Browse healthcare revenue cycle roles on Migrate Mate to find employers who have documented H-1B or E-3 visa sponsorship histories, saving time by focusing your applications on organizations that have already committed to sponsoring international candidates.
Frequently Asked Questions
Do healthcare revenue cycle jobs qualify for H-1B sponsorship?
Many do, but approval depends on the specific role and how the employer frames the position. USCIS requires that the job meet the specialty occupation standard, meaning it typically requires a bachelor's degree or higher in a specific field like health information management or healthcare administration. Roles like revenue cycle analyst or coding specialist have been approved under H-1B visa, but general billing clerk positions with no degree requirement generally do not qualify.
What degree do I need for a sponsored revenue cycle job?
Most H-1B-sponsored revenue cycle positions require a bachelor's degree in health information management, healthcare administration, business administration with a healthcare focus, or a closely related field. A degree in an unrelated field combined with relevant certifications, such as the CPC or CCS, may support a specialty occupation argument in some cases, but this is less straightforward and can invite additional USCIS scrutiny.
Are Canadian or Mexican nationals in revenue cycle eligible for TN visas?
Potentially, yes. The TN visa covers certain health-related occupations listed under USMCA, but revenue cycle roles do not have their own explicit TN category. Canadians and Mexicans working as medical technologists or health information professionals may qualify depending on their exact job duties and credentials. The fit is not automatic, so it is worth consulting an immigration attorney to assess whether your specific role and degree map to an approved TN occupation.
How can I find healthcare revenue cycle employers who sponsor visas?
Migrate Mate is the most direct way to find healthcare revenue cycle roles where employers have a documented history of visa sponsorship. Rather than applying broadly and discovering late that an employer won't sponsor, Migrate Mate filters for sponsorship-willing organizations so you can focus your time on applications that are actually viable for international candidates.
Does working in healthcare revenue cycle remotely affect sponsorship eligibility?
Remote work does not automatically disqualify a position from H-1B sponsorship, but it adds complexity. The employer must file a Labor Condition Application listing the worksite location, and remote workers may require amended petitions if they move to a different metropolitan area. Some employers are hesitant to sponsor remote revenue cycle roles because of the LCA compliance burden. On-site or hybrid positions at a fixed employer location tend to be smoother from a sponsorship administration standpoint.
What is the prevailing wage requirement for sponsored Healthcare Revenue Cycle 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.