Reconciliation Analyst Jobs in USA with Visa Sponsorship
Reconciliation analysts are strong H-1B and E-3 candidates because the role maps cleanly to a specialty occupation in accounting or finance. Employers in banking, fintech, and corporate finance sponsor regularly, and USCIS approval rates for accounting-related petitions are consistently high. For detailed occupation requirements, see the O*NET profile.
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IT’S MORE THAN A JOB. IT’S A CALLING. At Family Care Center, we are on a mission to transform lives by elevating behavioral health care. Our journey began in 2016 when two U.S. Army Veterans founded Family Care Center to help service members, Veterans and their families. We continue that tradition today, caring for people of all ages across a broad range of conditions with nearly 30 outpatient clinics in communities across Arizona, Colorado, Florida, Tennessee and Texas. If you'd like to work for one of the nation's fastest-growing behavioral health providers, collaborating with other committed team members and making a positive impact on your community, we look forward to hearing from you. Transforming lives is our life’s work.
- CARING & SUPPORTIVE CULTURE: We support you so you can support our patients. Our positive environment is complemented by an engaging wellness program, volunteer events, team activities and more.
- UNPARALLELED GROWTH OPPORTUNITIES: We offer clear paths for career advancement at every level, fostering your professional development and personal growth.
- BALANCED LIFESTYLE: Achieve professional fulfillment while nurturing a healthy work-life balance, free from weekend or evening hours. We understand the importance of both professional fulfillment and personal well-being.
- COLLABORATIVE TEAM: Join forces with a diverse team of top-notch behavioral health professionals, support staff and empowering leadership. Together, we work towards transforming the lives of our patients.
- IMPRESSIVE RETENTION RATES: Our compassionate, welcoming approach has helped us earn a higher-than-average provider retention rate of 88%.
- COMPREHENSIVE BENEFITS: We prioritize your overall well-being and financial security. Enjoy a full suite of competitive benefits, including medical, dental, fertility, retirement, wellness, profit sharing and more.
Hourly Compensation: $29.00 - $32.00 Depending on Experience
Position Summary:
The Cash Reconciliation Analyst is responsible for the accurate and timely reconciliation of all incoming payments, payer remittances, patient payments, and electronic transactions across multiple systems. This role ensures financial accuracy, supports revenue integrity, and researches and resolves discrepancies that impact downstream billing, AR follow-up, and overall reporting. This Analyst is the primary resource for research, remittance retrieval, data validation, and special revenue cycle projects involving payment workflows.
Essential Responsibilities
- Perform daily reconciliation of all deposits across practice management systems, clearinghouses, payment portals, and merchant processors, ensuring alignment with bank activity and the general ledger.
- Investigate and resolve cash variances, timing differences, unposted funds, and reconciliation discrepancies to maintain accurate financial records.
- Retrieve, manage, and process payer remittances (ERAs, EOBs), including converting paper remittances to electronic formats when feasible to support automated posting.
- Post patient and insurance payments as needed, including complex or non-standard remittances, and resolve unapplied cash, suspense accounts, and system exceptions.
- Conduct detailed research on missing, misapplied, reversed, or disputed payments, collaborating with Billing, AR, Patient Access, and Finance teams to drive resolution.
- Identify, document, and escalate recurring payer issues, reimbursement anomalies, and trends impacting payment accuracy or timeliness.
- Maintain reconciliation documentation and prepare daily and weekly reports to support internal controls, audits, and month-end close activities.
- Provide reconciliation data, variance explanations, and supporting documentation to Finance leadership and external auditors as required.
- Participate in process improvement initiatives, including workflow optimization, automation enhancements, SOP development, and implementation of new payment or clearinghouse tools.
Other Duties
Performs other related duties as assigned by management.
Supervisory Or Managerial Responsibility
None
Travel
Travel to a local clinic 1–2 times per month to support printing and mailing of payer remittances required until transitioned to an electronic process.
Minimum Qualifications
- High school diploma or general education degree (GED) required. Associate degree preferred.
- Five years of payment reconciliation or posting, data analytics or medical billing, required. Two years of healthcare clerical experience preferred.
- Intermediate to advanced Excel skills required, including VLOOKUP/XLOOKUP, pivot tables, and reconciliation formulas, along with proficiency in the Microsoft Office Suite. Demonstrated knowledge of ERAs, EOBs, payer remittance logic, and posting workflows.
- Continually required to sit; continually required to utilize hand and finger dexterity; continually required to talk or hear. Noise level in the work environment is usually moderate to loud.
- Occasionally lift and/or move more than 15 pounds. Specific vision abilities required: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust or focus.
Location: Remote
Family Care Center is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
Description
IT’S MORE THAN A JOB. IT’S A CALLING. At Family Care Center, we are on a mission to transform lives by elevating behavioral health care. Our journey began in 2016 when two U.S. Army Veterans founded Family Care Center to help service members, Veterans and their families. We continue that tradition today, caring for people of all ages across a broad range of conditions with nearly 30 outpatient clinics in communities across Arizona, Colorado, Florida, Tennessee and Texas. If you'd like to work for one of the nation's fastest-growing behavioral health providers, collaborating with other committed team members and making a positive impact on your community, we look forward to hearing from you. Transforming lives is our life’s work.
- CARING & SUPPORTIVE CULTURE: We support you so you can support our patients. Our positive environment is complemented by an engaging wellness program, volunteer events, team activities and more.
- UNPARALLELED GROWTH OPPORTUNITIES: We offer clear paths for career advancement at every level, fostering your professional development and personal growth.
- BALANCED LIFESTYLE: Achieve professional fulfillment while nurturing a healthy work-life balance, free from weekend or evening hours. We understand the importance of both professional fulfillment and personal well-being.
- COLLABORATIVE TEAM: Join forces with a diverse team of top-notch behavioral health professionals, support staff and empowering leadership. Together, we work towards transforming the lives of our patients.
- IMPRESSIVE RETENTION RATES: Our compassionate, welcoming approach has helped us earn a higher-than-average provider retention rate of 88%.
- COMPREHENSIVE BENEFITS: We prioritize your overall well-being and financial security. Enjoy a full suite of competitive benefits, including medical, dental, fertility, retirement, wellness, profit sharing and more.
Hourly Compensation: $29.00 - $32.00 Depending on Experience
Position Summary:
The Cash Reconciliation Analyst is responsible for the accurate and timely reconciliation of all incoming payments, payer remittances, patient payments, and electronic transactions across multiple systems. This role ensures financial accuracy, supports revenue integrity, and researches and resolves discrepancies that impact downstream billing, AR follow-up, and overall reporting. This Analyst is the primary resource for research, remittance retrieval, data validation, and special revenue cycle projects involving payment workflows.
Essential Responsibilities
- Perform daily reconciliation of all deposits across practice management systems, clearinghouses, payment portals, and merchant processors, ensuring alignment with bank activity and the general ledger.
- Investigate and resolve cash variances, timing differences, unposted funds, and reconciliation discrepancies to maintain accurate financial records.
- Retrieve, manage, and process payer remittances (ERAs, EOBs), including converting paper remittances to electronic formats when feasible to support automated posting.
- Post patient and insurance payments as needed, including complex or non-standard remittances, and resolve unapplied cash, suspense accounts, and system exceptions.
- Conduct detailed research on missing, misapplied, reversed, or disputed payments, collaborating with Billing, AR, Patient Access, and Finance teams to drive resolution.
- Identify, document, and escalate recurring payer issues, reimbursement anomalies, and trends impacting payment accuracy or timeliness.
- Maintain reconciliation documentation and prepare daily and weekly reports to support internal controls, audits, and month-end close activities.
- Provide reconciliation data, variance explanations, and supporting documentation to Finance leadership and external auditors as required.
- Participate in process improvement initiatives, including workflow optimization, automation enhancements, SOP development, and implementation of new payment or clearinghouse tools.
Other Duties
Performs other related duties as assigned by management.
Supervisory Or Managerial Responsibility
None
Travel
Travel to a local clinic 1–2 times per month to support printing and mailing of payer remittances required until transitioned to an electronic process.
Minimum Qualifications
- High school diploma or general education degree (GED) required. Associate degree preferred.
- Five years of payment reconciliation or posting, data analytics or medical billing, required. Two years of healthcare clerical experience preferred.
- Intermediate to advanced Excel skills required, including VLOOKUP/XLOOKUP, pivot tables, and reconciliation formulas, along with proficiency in the Microsoft Office Suite. Demonstrated knowledge of ERAs, EOBs, payer remittance logic, and posting workflows.
- Continually required to sit; continually required to utilize hand and finger dexterity; continually required to talk or hear. Noise level in the work environment is usually moderate to loud.
- Occasionally lift and/or move more than 15 pounds. Specific vision abilities required: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust or focus.
Location: Remote
Family Care Center is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
How to Get Visa Sponsorship as a Reconciliation Analyst
Target industries with high sponsorship volume
Banking, asset management, fintech, and insurance firms file the most reconciliation analyst petitions. These employers have established immigration infrastructure and are far more likely to sponsor than smaller companies encountering the process for the first time.
Highlight systems proficiency in your application
Experience with Bloomberg, FIS, or enterprise reconciliation platforms signals seniority and reduces employer hesitation around sponsorship cost. Employers weigh ROI carefully; demonstrable technical skills make the business case for sponsorship much more straightforward.
Understand the LCA wage requirement before negotiating
Your employer must file a Labor Condition Application certifying your wage meets the prevailing rate for your location and role. Knowing the DOL wage levels for reconciliation analysts in your target city helps you negotiate informed and avoid surprises during petitioning.
Australians should ask about the E-3 specifically
The E-3 visa is available only to Australian citizens and has no lottery. Reconciliation analyst roles qualify as specialty occupations, processing takes as little as a few weeks at consulate, and the annual cap has never been reached.
Get CPA progress on your resume if you can
Even partial CPA completion signals long-term commitment to the finance profession. Employers sponsoring reconciliation analysts want assurance you're building a career, not just filling a short-term gap. CPA candidacy strengthens both your application and the sponsorship business case.
Reconciliation Analyst jobs are hiring across the US. Find yours.
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Get Access To All JobsFrequently Asked Questions
Does a reconciliation analyst role qualify as a specialty occupation for H-1B purposes?
Yes, reconciliation analyst roles consistently qualify as specialty occupations when the position requires a bachelor's degree in accounting, finance, or a closely related field. USCIS evaluates the degree requirement against the specific duties involved. Petitions that demonstrate the role requires theoretical and practical application of accounting principles, financial controls, and data reconciliation methodology have strong approval track records. Generic job descriptions that omit the degree requirement are the most common cause of RFEs.
Which visa types are realistic for reconciliation analysts seeking sponsorship?
The H-1B is the most common path, though it involves a lottery with roughly a one-in-four selection rate for most applicants. Australian citizens have a strong alternative in the E-3, which has no lottery, no annual cap issues, and typically processes within a few weeks at consulate. Candidates already in the U.S. on F-1 OPT have up to 12 months of work authorization to secure sponsorship, with a possible 24-month STEM extension if their degree qualifies.
What degree does a reconciliation analyst typically need to qualify for visa sponsorship?
A bachelor's degree in accounting, finance, economics, or business with a concentration in accounting is standard. USCIS looks for a direct connection between the degree field and the job duties. A general business degree without accounting coursework may still qualify but often invites additional scrutiny. Foreign degrees are accepted when a credential evaluation confirms U.S. equivalency, and Australian three-year bachelor's degrees are generally treated as equivalent to a U.S. four-year degree for E-3 purposes.
How do I find reconciliation analyst jobs where employers are open to sponsorship?
Migrate Mate is built specifically for this search. It filters roles by visa sponsorship willingness, so you're not wasting applications on employers who won't sponsor. Reconciliation analyst openings at banks, asset managers, and fintech companies are listed regularly. Searching Migrate Mate by role and filtering for your visa type gives you a shortlist of employers already positioned to move forward with sponsorship.
Do smaller companies sponsor reconciliation analysts, or is it mainly large financial firms?
Large financial institutions, banks, and established fintech companies sponsor most frequently because they have in-house immigration counsel and predictable hiring pipelines. Smaller firms can and do sponsor, but the process is often new to them, which adds time and uncertainty. If you're targeting a smaller employer, it helps to come prepared with a basic overview of the process and realistic cost expectations. Framing sponsorship as a straightforward administrative process rather than an unusual request improves outcomes significantly.
What is the prevailing wage requirement for sponsored Reconciliation Analyst 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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