Medical Biller Jobs in USA with Visa Sponsorship
Medical biller roles qualify for H-1B visa sponsorship when the position requires a degree in health information management, healthcare administration, or a closely related field. Many large hospital systems and revenue cycle management companies file LCAs regularly for this occupation, making employer-sponsored visa pathways a realistic route for international candidates.
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* Flexible schedule
Position Overview
We are seeking a dependable, detail-oriented Part-Time Behavioral Health Medical Biller to support billing and revenue cycle operations for our counseling practice and consulting clients.
The ideal candidate has experience with outpatient mental health billing, understands commercial insurance reimbursement, and can independently manage claims submission, payment posting, denial resolution, and accounts receivable follow-up.
This position offers flexible scheduling and the opportunity to grow alongside an expanding behavioral health organization.
Key Responsibilities
Medical Billing & Claims Processing
- Prepare, review, and submit accurate electronic insurance claims.
- Monitor claim status and ensure timely reimbursement.
- Investigate and resolve rejected, denied, or underpaid claims.
- Post insurance payments and reconcile EOBs and ERAs.
- Follow up with insurance companies regarding outstanding claims.
- Maintain accurate billing records across multiple providers and practices.
Revenue Cycle Management
- Monitor accounts receivable and aging reports.
- Identify billing discrepancies and recurring denial trends.
- Assist with insurance eligibility and benefits verification.
- Support billing audits and workflow improvements.
- Prepare routine billing updates and reports for leadership.
- Assist with patient billing inquiries and account reconciliation as needed.
Administrative & Practice Support
- Collaborate with clinicians and practice leadership to resolve billing concerns.
- Maintain organized billing documentation.
- Support multiple behavioral health practices and billing platforms.
- Follow HIPAA requirements and maintain strict confidentiality.
Assist with additional revenue cycle tasks as assigned.
Qualifications
Required
- At least 1 year of medical billing experience; behavioral health billing experience strongly preferred.
- Knowledge of insurance claims processing, denials, and payment posting.
- Familiarity with behavioral health CPT codes.
- Experience working with commercial insurance payers.
- Strong attention to detail and organizational skills.
- Ability to work independently and manage competing priorities.
- Strong written and verbal communication skills.
- Understanding of HIPAA and patient confidentiality.
Preferred
- Experience with outpatient mental health or group practice billing.
- Familiarity with Valant and similar EHR platforms and clearing houses.
- Experience with Pennsylvania insurance payers, including IBX, Highmark, Aetna, Cigna, and UnitedHealthcare/Optum.
- Experience with accounts receivable management and denial resolution.
- Basic familiarity with CAQH, credentialing, and payer enrollment processes.
Schedule & Compensation
- Employment: Part-time W-2 employee
- Hours: 10–20 hours per week
- Schedule: Flexible, with availability during regular business hours for insurance follow-up
- Work Arrangement: Remote or hybrid considered based on experience and operational needs
- Growth Opportunity: Potential for additional hours as billing volume and consulting services expand
Flexible work from home options available.
Benefits:
* Flexible schedule
Position Overview
We are seeking a dependable, detail-oriented Part-Time Behavioral Health Medical Biller to support billing and revenue cycle operations for our counseling practice and consulting clients.
The ideal candidate has experience with outpatient mental health billing, understands commercial insurance reimbursement, and can independently manage claims submission, payment posting, denial resolution, and accounts receivable follow-up.
This position offers flexible scheduling and the opportunity to grow alongside an expanding behavioral health organization.
Key Responsibilities
Medical Billing & Claims Processing
- Prepare, review, and submit accurate electronic insurance claims.
- Monitor claim status and ensure timely reimbursement.
- Investigate and resolve rejected, denied, or underpaid claims.
- Post insurance payments and reconcile EOBs and ERAs.
- Follow up with insurance companies regarding outstanding claims.
- Maintain accurate billing records across multiple providers and practices.
Revenue Cycle Management
- Monitor accounts receivable and aging reports.
- Identify billing discrepancies and recurring denial trends.
- Assist with insurance eligibility and benefits verification.
- Support billing audits and workflow improvements.
- Prepare routine billing updates and reports for leadership.
- Assist with patient billing inquiries and account reconciliation as needed.
Administrative & Practice Support
- Collaborate with clinicians and practice leadership to resolve billing concerns.
- Maintain organized billing documentation.
- Support multiple behavioral health practices and billing platforms.
- Follow HIPAA requirements and maintain strict confidentiality.
Assist with additional revenue cycle tasks as assigned.
Qualifications
Required
- At least 1 year of medical billing experience; behavioral health billing experience strongly preferred.
- Knowledge of insurance claims processing, denials, and payment posting.
- Familiarity with behavioral health CPT codes.
- Experience working with commercial insurance payers.
- Strong attention to detail and organizational skills.
- Ability to work independently and manage competing priorities.
- Strong written and verbal communication skills.
- Understanding of HIPAA and patient confidentiality.
Preferred
- Experience with outpatient mental health or group practice billing.
- Familiarity with Valant and similar EHR platforms and clearing houses.
- Experience with Pennsylvania insurance payers, including IBX, Highmark, Aetna, Cigna, and UnitedHealthcare/Optum.
- Experience with accounts receivable management and denial resolution.
- Basic familiarity with CAQH, credentialing, and payer enrollment processes.
Schedule & Compensation
- Employment: Part-time W-2 employee
- Hours: 10–20 hours per week
- Schedule: Flexible, with availability during regular business hours for insurance follow-up
- Work Arrangement: Remote or hybrid considered based on experience and operational needs
- Growth Opportunity: Potential for additional hours as billing volume and consulting services expand
Flexible work from home options available.
See all Medical Biller Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Medical Biller roles.
Get Access To All JobsTips for Finding Medical Biller Jobs
Verify your credential aligns with the role
H-1B eligibility for medical billers hinges on a specialty occupation finding. A degree in health information management or healthcare administration maps most cleanly. A general business degree may trigger a Request for Evidence from USCIS, so confirm the match before applying.
Target revenue cycle management companies directly
Large revenue cycle management firms and hospital billing departments file LCAs far more consistently than small private practices. Search Migrate Mate's verified employer database to identify which companies have an active sponsorship history for medical billing and coding roles.
Check prevailing wage tiers before accepting an offer
Your employer must pay at least the prevailing wage for your location and role. Use the OFLC Wage Search to look up the Level I through Level IV wage for your metro area before negotiations, so you can spot whether an offer clears the DOL threshold.
Confirm the job posting requires a degree
If a job description says a degree is preferred but not required, the employer will struggle to justify specialty occupation status to USCIS. Ask the recruiter to confirm the position description formally requires a bachelor's degree in a relevant field before you invest time in the process.
Understand PERM timing if you plan to stay long-term
H-1B status is capped at six years without a green card filing underway. If your employer is willing to sponsor permanent residence, ask about starting the PERM labor certification early so your priority date begins accruing before you hit the extension wall.
Get your O*NET classification documented early
Medical billing sits at a job zone boundary that USCIS scrutinizes. Pull the O*NET occupation profile for your specific role and confirm it lists a bachelor's degree as the standard education. Keep this documentation ready, since employers often need it to build a strong specialty occupation argument in the LCA and I-129 petition.
Frequently Asked Questions
Does a medical biller job qualify as a specialty occupation for H-1B purposes?
It can, but it isn't automatic. USCIS requires the position to normally require a bachelor's degree in a specific related field. Medical billing roles that require a degree in health information management, healthcare administration, or medical coding have the strongest case. Generalist billing positions that accept any background or only require a certification often don't meet the specialty occupation standard without additional employer documentation.
Do medical billers need a four-year degree to get visa sponsorship?
For H-1B sponsorship specifically, the employer must demonstrate the role requires at least a bachelor's degree in a directly related field. A two-year associate's degree alone typically won't satisfy USCIS. However, three years of specialized work experience can substitute for one year of education under USCIS equivalency rules, so a combination of a two-year degree and six or more years of medical billing experience may qualify.
Which types of employers are most likely to sponsor a medical biller?
Large hospital networks, academic medical centers, and national revenue cycle management companies sponsor medical billing roles far more often than small physician practices, which rarely have the administrative capacity to manage an H-1B petition. Browse Migrate Mate to find employers with a verified history of sponsoring medical billing and healthcare administration positions, so you're targeting companies that have already demonstrated willingness to file.
Is medical billing sponsorship affected by the H-1B annual cap and lottery?
Yes. Standard H-1B petitions for medical billing roles at private employers are subject to the annual cap of 65,000 regular plus 20,000 advanced-degree slots, and selection is based on an annual process whose rules have changed recently. Nonprofit hospital systems and university-affiliated medical centers may qualify as cap-exempt employers, which means those employers can file year-round without waiting for a selection round.
Can a medical biller use OPT or STEM OPT while waiting for H-1B sponsorship?
OPT is available to F-1 graduates in any field for 12 months, so a medical billing job that relates to your degree qualifies. STEM OPT's 24-month extension only applies if your degree program carries a STEM-designated CIP code, which health information management sometimes does and general healthcare administration typically doesn't. Confirm your program's CIP code with your Designated School Official before counting on the extension.
What is the prevailing wage requirement for sponsored Medical Biller 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.