Billing Representative Green Card Jobs
Billing Representative roles qualify for EB-3 green card sponsorship when employers file PERM labor certification through DOL, confirming no qualified U.S. workers are available. Some senior billing positions with advanced credentials may meet EB-2 standards. Sponsorship typically requires a full-time offer and a willing employer ready to initiate the multi-step petition process.
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JOB SUMMARY
Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases.
ESSENTIAL RESPONSIBILITIES
- Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries
- Process and maintain membership data. Manage multiple production oriented tasks and responsibilities.
- Perform various billing, accounts receivable, and reconciliation activities.
- Create and distribute membership/billing materials and communications to clients/members.
- Ensures acceptable service levels, metrics, and/or other performance guarantees are met.
- Conduct research to ensure issue resolution.
- Other duties as assigned or requested.
QUALIFICATIONS
Minimum:
- High school diploma/GED
- 0-1 years of experience
- Experience using Microsoft Office Applications
- Experience in Billing/Enrollment and/or Customer Service
Preferred
- Associates or Bachelor’s degree in business or a related field
- Prior finance related experience
- Prior healthcare industry experience
- Prior Enrollment and Billing experience
SKILLS
- Strong financial aptitude
- Solid customer service/phone skills
- Attention to detail
- Organizational skills
- 10-key data entry with both quality and speed
- Basic accounting knowledge and ability to reconcile enrollment and/or payment information
- Proven ability to analyze and resolve problems
- Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting standards.
- Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally.
- Ability to take direction and to navigate through multiple systems simultaneously.
- Ability to maintain composure under stressful and fast-paced conditions.
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$19.39
Pay Range Maximum:
$24.19
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice

JOB SUMMARY
Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases.
ESSENTIAL RESPONSIBILITIES
- Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries
- Process and maintain membership data. Manage multiple production oriented tasks and responsibilities.
- Perform various billing, accounts receivable, and reconciliation activities.
- Create and distribute membership/billing materials and communications to clients/members.
- Ensures acceptable service levels, metrics, and/or other performance guarantees are met.
- Conduct research to ensure issue resolution.
- Other duties as assigned or requested.
QUALIFICATIONS
Minimum:
- High school diploma/GED
- 0-1 years of experience
- Experience using Microsoft Office Applications
- Experience in Billing/Enrollment and/or Customer Service
Preferred
- Associates or Bachelor’s degree in business or a related field
- Prior finance related experience
- Prior healthcare industry experience
- Prior Enrollment and Billing experience
SKILLS
- Strong financial aptitude
- Solid customer service/phone skills
- Attention to detail
- Organizational skills
- 10-key data entry with both quality and speed
- Basic accounting knowledge and ability to reconcile enrollment and/or payment information
- Proven ability to analyze and resolve problems
- Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting standards.
- Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally.
- Ability to take direction and to navigate through multiple systems simultaneously.
- Ability to maintain composure under stressful and fast-paced conditions.
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$19.39
Pay Range Maximum:
$24.19
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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Get Access To All JobsTips for Finding Green Card Sponsorship in Billing Representative
Document your billing credentials before applying
Gather transcripts, certifications like CPAT or CHFP, and employment verification letters before outreach. PERM requires your employer to prove your qualifications match the job description, so gaps in your credential record can stall the labor certification filing.
Target healthcare systems and large revenue cycle departments
Hospital networks, academic medical centers, and large physician groups routinely sponsor billing staff because their revenue cycle operations demand specialized coding and claims expertise that proves difficult to fill domestically, strengthening the PERM audit position.
Verify prevailing wage before salary negotiations begin
Use the OFLC Wage Search to look up the prevailing wage for Billing Representative roles in your target metro. Your offered salary must meet or exceed this figure for DOL to certify the LCA, so knowing the floor shapes your negotiation.
Search for green card sponsoring employers on Migrate Mate
Filter by billing and revenue cycle roles on Migrate Mate to surface employers with active EB-2 and EB-3 sponsorship history. This cuts research time and connects you directly with companies already set up to file PERM petitions.
Clarify sponsorship intent before accepting an offer
Ask directly whether the employer will commit to PERM filing as a condition of employment, not just a possibility later. Some billing departments outsource sponsorship decisions to HR, so confirm who owns the process and what the expected filing timeline is.
Billing Representative jobs are hiring across the US. Find yours.
Find Billing Representative JobsBilling Representative Green Card Sponsorship: Frequently Asked Questions
Do Billing Representative roles typically qualify for EB-2 or EB-3 sponsorship?
Most Billing Representative positions qualify under EB-3 as skilled workers, since they generally require a bachelor's degree or equivalent experience rather than an advanced degree. Candidates in senior or supervisory billing roles who hold a master's degree or can demonstrate EB-2-eligible credentials may qualify under EB-2, but that requires employer documentation supporting the advanced-degree requirement.
How does green card sponsorship differ from H-1B sponsorship for billing roles?
Green card sponsorship through PERM leads to permanent residency rather than a temporary status, and EB-3 has no annual lottery. The H-1B requires specialty occupation classification and subjects you to a random selection process each year. PERM sponsorship takes longer overall, often two to four years including I-140 and adjustment of status, but the outcome is lawful permanent residency with no renewal risk.
What does the PERM labor certification process require for a billing role?
Your employer files an application with DOL certifying that no qualified U.S. worker was available for the position. They must run mandatory recruitment steps, including job postings and interviews, document the results, and submit the application through the FLAG system. DOL then reviews the filing, and if certified, the employer proceeds to I-140 with USCIS.
Where can I find employers willing to sponsor a green card for billing jobs?
Migrate Mate lets you search specifically for billing and revenue cycle roles filtered by EB-2 and EB-3 sponsorship history, so you're not cold-applying to companies that have never filed PERM petitions. Targeting employers with demonstrated sponsorship history reduces the risk of an offer falling through because a company isn't set up to run the PERM process.
Can I change jobs after my employer files the PERM application?
Changing employers generally restarts the PERM process since the certification is tied to a specific employer-employee relationship. Once your I-140 is approved and your priority date is current or close to current, portability rules under AC21 may let you move to a same or similar role without losing your place in line, but you should confirm the specifics with an immigration attorney before making that move.
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