Green Card Billing Representative 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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Get Access To All JobsDo you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!
ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.
PRIMARY FUNCTION:
Responsible for submitting all charges and follow-up on all third party balances.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Reviews registration documents to ensure accuracy.
- Assigns appropriate payer plans to facilitate billing and updates registration information when necessary.
- Reviews all encounter documents for completeness and proper CPT4/ICD10 coding as it relates to physician billing.
- Reviews Soarian worklists to ensure claims have all necessary billing information.
- Performs follow-up with insurance carriers to obtain payment status and resolve claim issues.
- Submits the appropriate documentation to third party payers to secure payment on claims.
- Reviews payment vouchers to ensure proper reimbursement.
- Resolves patient insurance discrepancies with office staff at physicians’ offices.
- Review and submit CMS1500 forms to third party insurance companies.
DIRECTION/SUPERVISION RECEIVED:
- Staff Associate and/or Billing Manager
EDUCATION AND EXPERIENCE REQUIREMENTS:
- High school graduate or equivalent.
- Associates Degree preferred. 3-5 years physician billing/coding experience preferably in a computerized physician billing department or large physician group practice.
- An equivalent combination of experience and education may be substituted.
Christianacare Offers:
- Collaborative and team focused environment
- Full Medical, Dental, Vision, Life Insurance, etc.
- 403(b)
- Generous paid time off
- Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Hourly Pay Range: $22.29 - $33.44
This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
EEO Statement: ChristianaCare Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!
ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.
PRIMARY FUNCTION:
Responsible for submitting all charges and follow-up on all third party balances.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Reviews registration documents to ensure accuracy.
- Assigns appropriate payer plans to facilitate billing and updates registration information when necessary.
- Reviews all encounter documents for completeness and proper CPT4/ICD10 coding as it relates to physician billing.
- Reviews Soarian worklists to ensure claims have all necessary billing information.
- Performs follow-up with insurance carriers to obtain payment status and resolve claim issues.
- Submits the appropriate documentation to third party payers to secure payment on claims.
- Reviews payment vouchers to ensure proper reimbursement.
- Resolves patient insurance discrepancies with office staff at physicians’ offices.
- Review and submit CMS1500 forms to third party insurance companies.
DIRECTION/SUPERVISION RECEIVED:
- Staff Associate and/or Billing Manager
EDUCATION AND EXPERIENCE REQUIREMENTS:
- High school graduate or equivalent.
- Associates Degree preferred. 3-5 years physician billing/coding experience preferably in a computerized physician billing department or large physician group practice.
- An equivalent combination of experience and education may be substituted.
Christianacare Offers:
- Collaborative and team focused environment
- Full Medical, Dental, Vision, Life Insurance, etc.
- 403(b)
- Generous paid time off
- Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Hourly Pay Range: $22.29 - $33.44
This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
EEO Statement: ChristianaCare Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
See all 178+ Green Card Billing Representative Jobs
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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.
Understand how PERM recruitment affects your start date
USCIS and DOL require the employer to run mandatory recruitment steps before certifying your PERM case. This can add months before I-140 filing even begins, so factor that into any timeline discussion with your employer during the offer stage.
Green Card Billing Representative: 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 visa 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.