Billing Manager Green Card Jobs
Billing Manager roles qualify for EB-2 and 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. Finance and healthcare billing operations teams regularly sponsor foreign professionals for permanent residency in this role.
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INTRODUCTION
Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1.
Why work for us?
- Competitive pay which matches your abilities and experience
- Health coverage for you and your family
- Generous number of vacation days per year
- A robust wellness plan and health club discounts
- Continuing education assistance to grow and further your talents
- 403(B) plan with company matching
ROLE AND RESPONSIBILITIES
We're looking for someone to join our team as a Billing Manager who:
The Manager is responsible for overseeing and leading a team to meet specific operational objectives within the Billing department or project. This role involves managing day-to-day activities, ensuring the efficient use of resources, and maintaining high performance standards. The Manager will work closely with both senior leadership and team members to drive team performance, ensure process compliance, and contribute to achieving company goals. Under the direction of the Director of Revenue Cycle Management, the Billing Manager is responsible for the overall leadership, strategic direction, and performance of the billing department, including billing, collections, payment posting, credit management, and revenue integrity. This role ensures optimization of revenue cycle operations, drives process improvements, and maintains compliance with all regulatory and payer requirements.
Essential Functions:
- Provide leadership and strategic oversight of all billing operations to ensure timely, accurate, and compliant billing and collections.
- Develop and execute departmental strategies to improve cash flow, reduce AR days, minimize denials and bad debt, and enhance overall revenue cycle performance.
- Oversee month-end close processes, reporting, and key performance metrics for billing operations.
- Lead, mentor, and manage billing staff, including hiring, onboarding, performance management, coaching, and disciplinary actions.
- Establish and monitor KPIs and productivity benchmarks, ensuring accountability across the team.
- Drive continuous process improvement initiatives, including workflow optimization and automation within Epic/work queues.
- Oversee work queue management, ensuring appropriate prioritization and staffing alignment.
- Collaborate cross-functionally with Operations, Clinical, Front Office, and Finance to ensure seamless revenue cycle workflows.
- Lead training initiatives for billing staff and provide guidance to operational teams on billing-related processes.
- Oversee system configuration and maintenance within the practice management system, including providers, contracts, fee schedules, and encounter rates.
- Monitor payer trends, reimbursement changes, and regulatory updates; implement necessary process and policy changes.
- Review and approve adjustments, write-offs, refunds, and ensure compliance with internal controls.
- Oversee monthly hospital and specialty reimbursement reconciliations.
- Support audits (internal and external) and ensure readiness for regulatory reviews.
- Maintain expertise in CPT, ICD-10, HCPCS, and payer guidelines.
- Ensure consistent communication and responsiveness across teams.
- Lead employee evaluations, professional development, and succession planning within the department.
- Perform other duties as assigned to support organizational and departmental goals.
BASIC QUALIFICATIONS
- High School diploma or equivalent required; bachelor’s degree preferred.
- Minimum 5+ years of revenue cycle/billing experience, with 2+ years in a leadership role.
- Strong knowledge of CPT, ICD-10, HCPCS, and payer requirements.
- Experience with Epic or similar practice management systems is strongly preferred.
- Strong analytical skills with ability to interpret financial and operational data.
- Proven leadership and team management skills.
- Ability to work under pressure and meet deadlines.
- Strong communication and cross-functional collaboration skills.
Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in the healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations, and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.
Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

INTRODUCTION
Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1.
Why work for us?
- Competitive pay which matches your abilities and experience
- Health coverage for you and your family
- Generous number of vacation days per year
- A robust wellness plan and health club discounts
- Continuing education assistance to grow and further your talents
- 403(B) plan with company matching
ROLE AND RESPONSIBILITIES
We're looking for someone to join our team as a Billing Manager who:
The Manager is responsible for overseeing and leading a team to meet specific operational objectives within the Billing department or project. This role involves managing day-to-day activities, ensuring the efficient use of resources, and maintaining high performance standards. The Manager will work closely with both senior leadership and team members to drive team performance, ensure process compliance, and contribute to achieving company goals. Under the direction of the Director of Revenue Cycle Management, the Billing Manager is responsible for the overall leadership, strategic direction, and performance of the billing department, including billing, collections, payment posting, credit management, and revenue integrity. This role ensures optimization of revenue cycle operations, drives process improvements, and maintains compliance with all regulatory and payer requirements.
Essential Functions:
- Provide leadership and strategic oversight of all billing operations to ensure timely, accurate, and compliant billing and collections.
- Develop and execute departmental strategies to improve cash flow, reduce AR days, minimize denials and bad debt, and enhance overall revenue cycle performance.
- Oversee month-end close processes, reporting, and key performance metrics for billing operations.
- Lead, mentor, and manage billing staff, including hiring, onboarding, performance management, coaching, and disciplinary actions.
- Establish and monitor KPIs and productivity benchmarks, ensuring accountability across the team.
- Drive continuous process improvement initiatives, including workflow optimization and automation within Epic/work queues.
- Oversee work queue management, ensuring appropriate prioritization and staffing alignment.
- Collaborate cross-functionally with Operations, Clinical, Front Office, and Finance to ensure seamless revenue cycle workflows.
- Lead training initiatives for billing staff and provide guidance to operational teams on billing-related processes.
- Oversee system configuration and maintenance within the practice management system, including providers, contracts, fee schedules, and encounter rates.
- Monitor payer trends, reimbursement changes, and regulatory updates; implement necessary process and policy changes.
- Review and approve adjustments, write-offs, refunds, and ensure compliance with internal controls.
- Oversee monthly hospital and specialty reimbursement reconciliations.
- Support audits (internal and external) and ensure readiness for regulatory reviews.
- Maintain expertise in CPT, ICD-10, HCPCS, and payer guidelines.
- Ensure consistent communication and responsiveness across teams.
- Lead employee evaluations, professional development, and succession planning within the department.
- Perform other duties as assigned to support organizational and departmental goals.
BASIC QUALIFICATIONS
- High School diploma or equivalent required; bachelor’s degree preferred.
- Minimum 5+ years of revenue cycle/billing experience, with 2+ years in a leadership role.
- Strong knowledge of CPT, ICD-10, HCPCS, and payer requirements.
- Experience with Epic or similar practice management systems is strongly preferred.
- Strong analytical skills with ability to interpret financial and operational data.
- Proven leadership and team management skills.
- Ability to work under pressure and meet deadlines.
- Strong communication and cross-functional collaboration skills.
Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in the healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations, and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.
Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Billing Manager
Match your credentials to EB-2 or EB-3
Billing Manager roles typically require a bachelor's degree in finance, accounting, or a related field. If you hold a master's degree or have specialized revenue cycle credentials, document them carefully since EB-2 eligibility depends on proving an advanced-degree requirement.
Search employers with PERM filing history
Use the OFLC Wage Search to identify companies that have filed PERM applications for Billing Manager or related finance operations titles. Past PERM activity signals an employer already has the HR and legal infrastructure to sponsor you.
Target healthcare and hospital billing departments
Hospitals, multi-specialty clinics, and large physician groups are among the most consistent green card sponsors for Billing Managers because revenue cycle compliance demands specialized expertise that can be difficult to source domestically, strengthening PERM recruitment documentation.
Understand that PERM timelines affect your job search
PERM processing at DOL currently runs 12 to 18 months before an I-140 can even be filed. When evaluating offers, ask employers whether they use premium processing for the I-140 and what their policy is for maintaining sponsorship during that window.
Use Migrate Mate to filter green card sponsoring employers
Search Migrate Mate to identify Billing Manager roles at employers with documented EB-2 and EB-3 sponsorship history, so you're not guessing which companies will commit to the PERM process after you join.
Align your prevailing wage tier before negotiating
DOL assigns a prevailing wage level to your PERM application based on job duties and location. Billing Manager roles often land at Level II or III. If your offered salary falls below the certified wage, your PERM application will be denied, so confirm the wage tier with your employer before signing.
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Find Billing Manager JobsBilling Manager Green Card Sponsorship: Frequently Asked Questions
Does a Billing Manager role qualify for EB-2 or EB-3 green card sponsorship?
Most Billing Manager positions qualify under EB-3 as skilled worker roles requiring at least a bachelor's degree. If the employer's job requirements specify a master's degree or equivalent, the role can qualify for EB-2 instead. The classification depends on the actual duties and minimum education requirements documented in the PERM labor certification, not just the job title.
How does green card sponsorship differ from H-1B sponsorship for a Billing Manager?
Green card sponsorship through PERM and I-140 leads to permanent residency, not a temporary status that expires. Unlike the H-1B, EB-3 sponsorship has no annual lottery, so your case isn't subject to random selection. The tradeoff is timeline: PERM plus I-140 processing takes 18 to 24 months before a visa number becomes available, longer than an H-1B approval for most countries.
What does the PERM process require from an employer sponsoring a Billing Manager?
The employer must conduct a formal recruitment campaign, advertise the role at the DOL-certified prevailing wage, and document that no qualified U.S. applicant was rejected without legitimate reason. For Billing Manager roles, that typically means job postings in approved venues, internal posting, and a recruitment report filed with DOL demonstrating good-faith efforts.
How can I find Billing Manager jobs where the employer will sponsor a green card?
Migrate Mate lets you search Billing Manager openings filtered by employers with employment-based green card sponsorship history, so you can focus your applications on companies that have already committed to the PERM process for similar roles rather than asking employers to sponsor for the first time.
Can I switch employers after my Billing Manager green card is in process?
Once your I-140 is approved and has been pending for 180 days, you can port to a new employer in a same or similar occupation under AC21 portability rules without losing your priority date. Billing Manager to a related finance operations or revenue cycle role generally qualifies, but confirm the occupational similarity with a qualified immigration professional before switching.
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