Medical Secretary Jobs in USA with Visa Sponsorship
Medical secretary jobs attract visa sponsorship from hospital systems, multi-specialty clinics, and academic medical centers that need bilingual administrative staff with clinical terminology fluency. H-1B visa is the most common sponsorship route for degreed candidates, with TN visa available to Canadian and Mexican nationals holding qualifying credentials.
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Title: Senior Medical Secretary
Location: Upper East Side
Org Unit: ICMHC Clinical Operations
Work Days: Monday-Friday
Weekly Hours: 35.00
Exemption Status: Non-Exempt
Salary Range: $27.69 - $30.77
- As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices
Position Summary
Under supervision, is responsible for assisting physicians with patient care, administrative, and organizational tasks as they relate to patient flow and the conveyance of a positive image of the physician's practice.
Job Responsibilities
- Responsible for front-end revenue cycle processes, which may include but is not limited to, the check-in/check-out of patients and collection/reconciliation of time-of-service payments, as applicable. May also discuss patient’s responsibility for payments.
- If applicable, ensures that patients provide any pre-visit documentation, pre-certifications or authorizations for medical services as needed, and/or a referral, if required.
- Schedules, confirms, re-schedules and cancels appointments for both new and existing patients using the scheduling application. Monitors schedules for wait lists, re-schedules and cancellations.
- May assist with coordination of follow-up care including scheduling of laboratory/diagnostic tests and prescription requests.
- Maintains physicians’ administrative (research and academic) and clinical/surgical schedules.
- Prepares charges and payments for submission to the billing office.
- Identifies delinquent accounts for collection activities. Reviews status of accounts with physician to determine next steps.
- Assists with physicians’ research activities, if applicable.
- Assists in the preparation of lectures and presentations.
- If applicable, prepares travel arrangements for business purposes; prepares travel schedule and presentation documents for conferences and lectures.
- Updates physicians’ CV and credentialing documentation as needed.
- Initiates and prepares written correspondence as needed and based on functional needs.
- May be responsible for chaperone duties during patient exams as needed.
Education
- High School Diploma
Experience
Approximately 2 or more years of prior related experience.
Knowledge, Skills and Abilities
- Previous experience using computerized appointment scheduling systems (EPIC preferred) and/or electronic Medical Record (eMR) system (ideally EPIC-Care).
- Knowledge of CPT, ICD-9, and ICD-10 coding.
- Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance.
Licenses and Certifications
Working Conditions/Physical Demands
Standard office work
Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.
Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA). We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.
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Get Access To All JobsTips for Finding Medical Secretary Jobs
Match your credentials to specialty occupation standards
Medical secretary roles only qualify for H-1B if the employer can document that a bachelor's degree in health information management, healthcare administration, or a closely related field is a standard requirement. Confirm this with your prospective employer before accepting an offer.
Look up prevailing wages before negotiating
Use the OFLC Wage Search to find the Level I through IV wage ranges for medical secretary roles in your target metro area. Your offer must meet the certified wage on the LCA, so knowing the floor before negotiations protects your sponsorship eligibility.
Target hospital networks with PERM filing history
Large academic medical centers and regional hospital systems run PERM labor certifications regularly for administrative clinical roles. Search Migrate Mate to identify employers with verified sponsorship history for medical secretary and health information positions in your preferred city.
Verify your employer is E-Verify enrolled before accepting STEM OPT
If you're extending OPT under a STEM-designated degree in health information management, your employer must be enrolled in E-Verify. Confirm enrollment before signing your offer letter, since an unenrolled employer disqualifies you from the 24-month extension entirely.
Prepare a clinical terminology portfolio for the LCA specialty occupation test
Employers filing an LCA for a medical secretary must demonstrate the role requires specialized knowledge. Document your proficiency in ICD-10 coding, EHR platforms like Epic or Cerner, and medical transcription. This evidence supports the specialty occupation argument USCIS scrutinizes.
File your H-1B change of status before OPT expires
If you're on OPT and your employer wins the H-1B lottery, your cap-gap protection automatically extends your work authorization through September 30. Confirm with your employer that the I-129 petition was filed before your EAD expiration so there's no gap in employment authorization.
Frequently Asked Questions
Does a medical secretary role qualify for H-1B sponsorship?
It depends on how the employer defines the position. USCIS requires the role to constitute a specialty occupation, meaning it normally requires at least a bachelor's degree in a directly related field. Medical secretary roles that involve complex clinical documentation, EHR system management, or health information oversight are more likely to qualify than general administrative support positions.
Which visa types are available for medical secretary candidates seeking sponsorship?
H-1B is the most common path for degreed candidates. Canadian and Mexican nationals may qualify under TN if their role and credentials align with the USMCA profession list, though medical secretary is not a listed TN occupation, so H-1B remains the primary route. EB-3 green card sponsorship is also possible for employers willing to run PERM labor certification.
Do I need a four-year degree to get sponsored as a medical secretary?
For H-1B sponsorship, the employer must justify a bachelor's degree requirement in a specific field. Degrees in health information management, healthcare administration, or medical office administration are most commonly accepted. Associate degrees alone are unlikely to support an H-1B petition, though equivalent work experience combinations are sometimes considered under USCIS guidance.
How do I find employers who sponsor medical secretary roles?
Migrate Mate lists employers with verified sponsorship histories for administrative healthcare roles, so you can browse by city and role type without sifting through postings from employers who've never filed. Focus your search on hospital systems, multi-specialty clinics, and academic medical centers, as these organizations file sponsorship petitions most consistently for clinical administrative staff.
Will a medical secretary employer need to run PERM for a green card?
Yes, in most cases. EB-2 and EB-3 employment-based green cards for medical secretary roles typically require the employer to complete PERM labor certification through DOL, demonstrating no qualified U.S. workers are available. The process involves a prevailing wage determination, a recruitment period, and filing an application before an I-140 immigrant petition can be submitted to USCIS.
What is the prevailing wage requirement for sponsored Medical Secretary 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.