Green Card Billing Clerk Jobs
Billing Clerk roles can qualify for EB-3 green card sponsorship through the PERM labor certification process, where employers document that no qualified U.S. worker is available before filing an I-140 immigrant petition. Sponsorship is employer-driven, so targeting companies with existing PERM filing history gives you a measurable head start.
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Get Access To All JobsNumber of Vacancies 1
Location Edinburg, Texas
Department School of Medicine/ Revenue Cycle
FTE 1.0
FLSA Non-Exempt
Scope of Job
Responsible for conducting patient registration, insurance verification, scanning, printing, and posting payments and adjustments in the Electronic Medical Records (EMR) system.
Description of Duties
* Registers new patients by obtaining patient demographics and third-party coverage(s) for encounters from our partner EMR systems and MaxRVU application.
* Obtains and verifies insurance coverage for patients received via Interfaces in accordance with health plan guidelines.
* Responsible for posting payments and adjustments received from other EMR systems, including posting all adjustment and reconciling payments daily for the CBO.
* Updates/corrects patient demographic and insurance emergency contact information received from EMR systems.
* Assists Billing Specialists in printing medical records and scanning information into EMR system.
* Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail.
* Prepares and distributes payor and patient correspondence received by the CBO.
* Responsible for contacting clinics, obtaining and entering referral information and/or prior authorizations as required for billing.
* Responds to calls and ensures caller’s needs are met and accurate information is obtained.
* Obtains and documents information required for third-party reimbursement.
* Assists in ensuring compliance with Medicare and third-party payor requirements and guidelines.
* May assist the Revenue Cycle Department with gathering data for provider audits or billing information such as: obtaining/printing medical records for provider audits, verifying claims were billed and paid, etc.
* Acts as patient point of contact and liaisons with various departments to assist with required documentation.
* Participates in educational activities and attends staff meetings as scheduled.
* Performs other duties as assigned.
Supervision Received
General supervision from assigned supervisor.
Supervision Given
Direct supervision of assigned staff.
Required Education
High School diploma or equivalent.
Preferred Education
None.
Licenses/Certifications
None.
Required Experience
* Two (2) years of general office or clerical experience or
* One (1) year of medical, hospital, or healthcare billing experience.
Preferred Experience
Bilingual (English/Spanish). Medical, hospital, or healthcare billing experience. Thorough knowledge of registration, insurance verification, prior authorizations, customer service, posting, collections, reimbursement and payment reconciliation processes.
Equipment
Use of standard office equipment. Proficient with Electronic Health Record system. Microsoft Office applications preferred such as: MS Outlook & MS Excel and Word.
Working Conditions
Location of position may be Harlingen or Edinburg. Needs to be able to successfully perform all required duties. Office Environment; some travel and weekend work is required. UTRGV is a distributed institution, which requires presence at multiple locations throughout the Rio Grande Valley. Work is performed primarily in a general office environment across the Rio Grande Valley. Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Other
Skill in data entry with minimal errors. Ability to communicate effectively in both oral and written form. Strong attention to detail. Knowledge of insurance plans and referral procedures. Organization, communication and computing skills. Comprehensive knowledge of and compliance of HIPAA rules and regulations.
Physical Capabilities
N/A
Employment Category Full-Time
Minimum Salary Commensurate with Experience
Posted Salary Commensurate with Experience
Position Available Date 08/01/2025
Grant Funded Position No
If Yes, Provide Grant Expiration Date
EEO Statement
It is the policy of The University of Texas Rio Grande Valley to promote and ensure equal employment opportunities for all individuals without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or protected veteran status. In accordance with the requirements of Title VII of the Civil Rights Act of 1964, the Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, as amended, our University is committed to comply with all government requirements and ensures non-discrimination in its education programs and activities, including employment. We encourage women, minorities and differently abled persons to apply for employment positions of interest.
Special Instructions to Applicants
Dear Applicant, Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following: Date of Birth Social Security Number Gender Ethnicity/Race Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission. If you have any questions, please do not hesitate to contact us at (956)665-8880 and/or careers@utrgv.edu.
Additional Information
UTRGV is a distributed location institution and working location is subject to change based on need.
All UTRGV employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.
Substitutions to the above requirements must have prior approval from the VP of HR & Regulatory Affairs.
Number of Vacancies 1
Location Edinburg, Texas
Department School of Medicine/ Revenue Cycle
FTE 1.0
FLSA Non-Exempt
Scope of Job
Responsible for conducting patient registration, insurance verification, scanning, printing, and posting payments and adjustments in the Electronic Medical Records (EMR) system.
Description of Duties
* Registers new patients by obtaining patient demographics and third-party coverage(s) for encounters from our partner EMR systems and MaxRVU application.
* Obtains and verifies insurance coverage for patients received via Interfaces in accordance with health plan guidelines.
* Responsible for posting payments and adjustments received from other EMR systems, including posting all adjustment and reconciling payments daily for the CBO.
* Updates/corrects patient demographic and insurance emergency contact information received from EMR systems.
* Assists Billing Specialists in printing medical records and scanning information into EMR system.
* Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail.
* Prepares and distributes payor and patient correspondence received by the CBO.
* Responsible for contacting clinics, obtaining and entering referral information and/or prior authorizations as required for billing.
* Responds to calls and ensures caller’s needs are met and accurate information is obtained.
* Obtains and documents information required for third-party reimbursement.
* Assists in ensuring compliance with Medicare and third-party payor requirements and guidelines.
* May assist the Revenue Cycle Department with gathering data for provider audits or billing information such as: obtaining/printing medical records for provider audits, verifying claims were billed and paid, etc.
* Acts as patient point of contact and liaisons with various departments to assist with required documentation.
* Participates in educational activities and attends staff meetings as scheduled.
* Performs other duties as assigned.
Supervision Received
General supervision from assigned supervisor.
Supervision Given
Direct supervision of assigned staff.
Required Education
High School diploma or equivalent.
Preferred Education
None.
Licenses/Certifications
None.
Required Experience
* Two (2) years of general office or clerical experience or
* One (1) year of medical, hospital, or healthcare billing experience.
Preferred Experience
Bilingual (English/Spanish). Medical, hospital, or healthcare billing experience. Thorough knowledge of registration, insurance verification, prior authorizations, customer service, posting, collections, reimbursement and payment reconciliation processes.
Equipment
Use of standard office equipment. Proficient with Electronic Health Record system. Microsoft Office applications preferred such as: MS Outlook & MS Excel and Word.
Working Conditions
Location of position may be Harlingen or Edinburg. Needs to be able to successfully perform all required duties. Office Environment; some travel and weekend work is required. UTRGV is a distributed institution, which requires presence at multiple locations throughout the Rio Grande Valley. Work is performed primarily in a general office environment across the Rio Grande Valley. Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Other
Skill in data entry with minimal errors. Ability to communicate effectively in both oral and written form. Strong attention to detail. Knowledge of insurance plans and referral procedures. Organization, communication and computing skills. Comprehensive knowledge of and compliance of HIPAA rules and regulations.
Physical Capabilities
N/A
Employment Category Full-Time
Minimum Salary Commensurate with Experience
Posted Salary Commensurate with Experience
Position Available Date 08/01/2025
Grant Funded Position No
If Yes, Provide Grant Expiration Date
EEO Statement
It is the policy of The University of Texas Rio Grande Valley to promote and ensure equal employment opportunities for all individuals without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or protected veteran status. In accordance with the requirements of Title VII of the Civil Rights Act of 1964, the Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, as amended, our University is committed to comply with all government requirements and ensures non-discrimination in its education programs and activities, including employment. We encourage women, minorities and differently abled persons to apply for employment positions of interest.
Special Instructions to Applicants
Dear Applicant, Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following: Date of Birth Social Security Number Gender Ethnicity/Race Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission. If you have any questions, please do not hesitate to contact us at (956)665-8880 and/or careers@utrgv.edu.
Additional Information
UTRGV is a distributed location institution and working location is subject to change based on need.
All UTRGV employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.
Substitutions to the above requirements must have prior approval from the VP of HR & Regulatory Affairs.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Billing Clerk
Align your credentials with PERM requirements
Billing Clerk roles typically require a high school diploma or associate degree under PERM job descriptions. Gather transcripts and any accounts receivable or billing software certifications early, since DOL scrutinizes whether your qualifications exactly match the posted job requirements.
Search employers with active PERM filing history
Use Migrate Mate to filter billing and finance roles by employers who have previously sponsored workers through PERM. A company that has filed before understands the process and is far less likely to withdraw sponsorship mid-application over administrative uncertainty.
Verify prevailing wage levels before accepting offers
Your offered salary must meet the DOL-certified prevailing wage for the billing clerk SOC code in the employer's specific metro area. Run the OFLC Wage Search before negotiating so you know whether an offer is compliant and won't stall at the wage determination stage.
Target mid-size companies in healthcare and logistics
Healthcare networks, logistics firms, and regional utilities employ billing clerks at volume and have established HR processes for PERM sponsorship. Mid-size employers in these sectors are less likely than small businesses to drop sponsorship when legal costs and processing delays stack up.
Understand the EB-3 timeline before you negotiate your start date
PERM certification alone takes six to twelve months on average, followed by I-140 adjudication and adjustment of status. Build this multi-year timeline into your conversation with prospective employers so both sides have realistic expectations before an offer is extended.
Confirm E-Verify enrollment during your offer stage
PERM sponsors must be authorized to employ foreign nationals, and E-Verify enrollment signals that an employer's HR infrastructure can handle the compliance requirements of green card sponsorship. Ask your HR contact directly during the offer stage rather than discovering gaps after you've accepted.
Green Card Billing Clerk: Frequently Asked Questions
Does a Billing Clerk role qualify for EB-2 or EB-3 green card sponsorship?
Billing Clerk positions almost always fall under EB-3, which covers skilled workers and professionals. EB-2 requires an advanced degree or equivalently strong credentials, and billing clerk job descriptions typically require only a high school diploma or associate degree. Your employer files a PERM labor certification with DOL first, then an I-140 petition with USCIS, before adjustment of status can begin.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
H-1B visas require a specialty occupation typically demanding a bachelor's degree, and most workers enter through an annual lottery. Billing Clerk roles often don't meet the H-1B specialty occupation standard. PERM-based EB-3 sponsorship has no lottery, leads to permanent residency rather than a temporary status, and is available year-round, though the total timeline from PERM filing to green card approval typically spans two to four years.
What does the PERM labor certification process require from my employer?
Under PERM, your employer must conduct a supervised DOL-prescribed recruitment campaign, document that no qualified U.S. worker applied, and certify the offered wage meets the prevailing wage for your role and location. The employer submits the ETA Form 9089 to DOL. Audit rates for clerical roles can be elevated, so precise documentation of the recruitment steps matters significantly.
How do I find Billing Clerk jobs where the employer already sponsors green cards?
Migrate Mate lets you search billing and accounting roles filtered by employers with documented PERM sponsorship history, so you're not cold-applying and hoping the employer is open to the process. Targeting companies that have already navigated PERM sponsorship saves you months of conversations with employers who are unfamiliar with the requirements or unwilling to absorb the legal costs.
Can I switch employers after my I-140 is approved but before I get my green card?
Once your I-140 has been approved for 180 days and your adjustment of status application has been pending for at least 180 days, portability rules under AC21 allow you to move to a same or similar occupational role with a new employer without losing your priority date. Billing and accounts receivable roles generally qualify as similar under the same SOC code group, but confirm the match with a qualified immigration attorney before switching.