Green Card Billing Specialist Jobs
Billing Specialist roles qualify for EB-3 sponsorship when employers can demonstrate no qualified U.S. worker is available through the PERM labor certification process. Many healthcare systems, revenue cycle management firms, and large corporate finance departments actively file I-140 petitions for billing professionals, making direct employer sponsorship a realistic path to permanent residency.
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Position Summary
The Billing Coordinator is responsible for managing the Firm's billing operations and supporting the complete revenue cycle from work-in-process (WIP) management through invoicing and collections. This position works closely with Partners, Managers, and engagement teams to ensure timely, accurate billing while maintaining exceptional client service and adherence to Firm policies. This is a systems-driven role. The Firm operates on a cloud-based practice management and billing platform, and the Billing Coordinator is expected to work in that system daily, understand how the billing module functions, run and interpret the reports it produces, and troubleshoot issues independently. The ideal candidate is highly detail-oriented, organized, and proactive. This individual is adaptable with software, works fluently in Excel, asks questions when clarification is needed, follows established procedures, identifies discrepancies before they become issues, and effectively manages multiple billing cycles and deadlines simultaneously. Success in this role requires a strong understanding of WIP, accounts receivable, accounts payable, collections, time and expense reporting, and professional services billing practices.
Salary Range - $65,000 - $70,000 (depending on experience)
Job Responsibilities
Billing & Revenue Cycle Management
- Manage monthly, quarterly, annual, and project-based billing cycles across multiple service lines.
- Prepare, review, and process client invoices for hourly, fixed-fee, recurring, and special project engagements.
- Review and analyze WIP reports to identify billable activity, aged WIP, and billing delays.
- Coordinate with Partners and engagement teams to ensure timely billing and resolution of billing questions.
- Generate draft invoices and billing reports for Partner review and approval.
- Process approved invoices and distribute client billing through designated delivery methods.
- Maintain billing schedules and monitor deadlines to ensure invoices are issued timely and accurately.
- Research and resolve billing discrepancies, client inquiries, and invoice adjustments.
- Track client advance payments, progress billings, and fixed-fee installments, and apply them against billed amounts.
- Monitor unbilled time and expenses to ensure complete and accurate invoicing.
Accounts Receivable & Collections
- Process daily receipts.
- Monitor accounts receivable aging reports.
- Maintain collection notes and communicate collection status to Partners and Firm leadership.
- Research and resolve payment discrepancies and unapplied cash.
- Prepare AR reports and analyses for management review.
- Assist with collection efforts while maintaining positive client relationships.
- Escalate delinquent accounts and collection concerns as appropriate.
Practice Management & System Administration
- Create and maintain client records, engagement information, project codes, and billing setups.
- Maintain client-level billing details, including billing addresses, billing contacts, invoice delivery method, and standing billing instructions.
- Ensure accuracy of client contact information and billing instructions.
- Assist with onboarding new clients in the Firm’s practice management system.
- Support system testing, process improvements, and billing-related software enhancements.
Reporting & Analysis
- Run standard system billing, WIP, realization and collection reports, understand what the data represents, and use it to answer billing and WIP questions.
- Use Excel at an intermediate to advanced level for reconciliations, billing analyses, and large data sets, including pivot tables, filtering, text-to-columns, and data cleanup.
- Identify process improvement opportunities and recommend solutions.
Administrative & Team Support
- Provide support to Partners and engagement teams regarding billing procedures and questions.
- Assist with special projects related to operations, accounting, and client service.
- Cross-train with accounting and administrative staff to ensure business continuity.
- Maintain confidentiality of all Firm and client information.
COMPETENCIES
- Strong attention to detail and accuracy
- Ability to follow established processes and procedures
- Critical thinking and problem-solving skills
- Ability to ask questions and seek clarification proactively
- Excellent organizational and time management skills
- Ability to manage multiple deadlines simultaneously
- Sense of urgency and accountability
- Strong customer service skills
- Excellent written and verbal communication skills
- Professional judgment and discretion
- Team-oriented attitude with a collaborative approach
- Intermediate to advanced Microsoft Excel skills
Required Education & Experience
- Associate's degree in Accounting, Finance, Business Administration, or related field; equivalent experience may be substituted.
- 3-5 years of billing, accounting, accounts receivable, or professional services administrative experience.
- Experience with hourly billing, fixed-fee billing, and recurring billing processes.
- Working knowledge of:
- Work-in-Process (WIP)
- Accounts Receivable (AR)
- Accounts Payable (AP)
- Revenue cycle processes
- Collections and aging reports
- Experience working with practice management, time and billing, or accounting software.
- Strong proficiency with Microsoft Office, particularly Excel.
Preferred Experience
- Experience in a CPA firm, law firm, consulting firm, or other professional services environment.
- Experience with project-based billing and realization reporting.
- Experience supporting multiple partners or departments.
- Knowledge of engagement management and time-entry systems.
POSITION TYPE
- Full-Time, Permanent
EEO: Calibre is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under federal, state, or local law.
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Billing Specialist
Match your credentials to PERM requirements
PERM requires your education and experience to align exactly with the job description filed with DOL. Gather transcripts, employer letters, and billing certifications like CPC or CBCS before approaching employers, so documentation gaps don't stall your labor certification later.
Target revenue cycle management employers specifically
Healthcare systems and third-party revenue cycle management firms file PERM applications for Billing Specialists far more than general corporate employers do. Focus your search on organizations with dedicated billing departments where sponsorship is an established HR practice, not a one-off exception.
Search for green card sponsors on Migrate Mate
Use Migrate Mate to filter Billing Specialist roles by employers with active EB-2 and EB-3 sponsorship history. This cuts the research time of identifying which employers have actually completed the PERM process for this occupation before.
Clarify specialty coding skills during interviews
Billing Specialists with proficiency in ICD-10, CPT coding, or specific practice management software like Epic or Athenahealth are more likely to satisfy the specialty occupation framing that supports an EB-2 or EB-3 petition, so highlight these skills explicitly when discussing sponsorship with hiring managers.
Understand the PERM recruitment timeline upfront
PERM labor certification requires DOL to certify that no qualified U.S. worker is available, a process that typically takes six to twelve months before your employer can even file the I-140. Ask employers whether they have existing PERM infrastructure or are initiating this process for the first time.
Verify prevailing wage before accepting an offer
Your offered salary must meet or exceed the DOL prevailing wage for your billing role and location, which PERM locks in at filing. Use the OFLC Wage Search to check the wage level for your specific O*NET occupation code and metropolitan area before committing to an offer.
Green Card Billing Specialist: Frequently Asked Questions
Do Billing Specialist roles actually qualify for employment-based green card sponsorship?
Yes. Billing Specialist positions are routinely sponsored under EB-3 as skilled worker or professional roles when the job requires at least a bachelor's degree or two years of specialized training. Healthcare billing roles tied to specific coding systems or practice management platforms often satisfy PERM's specialty requirements. Employers in hospital networks, physician practices, and revenue cycle firms file I-140 petitions for this occupation regularly.
How is green card sponsorship different from H-1B sponsorship for a Billing Specialist?
H-1B visa sponsorship is temporary, subject to an annual lottery cap, and must be renewed every three years. EB-3 green card sponsorship through PERM is permanent and has no annual lottery. While the PERM and I-140 process takes longer, often two to four years for most countries, the outcome is lawful permanent residency rather than a renewable temporary status with no guaranteed path forward.
What does the PERM labor certification process require from my employer?
Your employer must conduct a supervised recruitment process to prove no minimally qualified U.S. worker applied for the role. DOL sets specific advertising steps, timelines, and documentation requirements. The job description filed with PERM must match your actual duties and qualifications exactly. If DOL certifies the application, your employer can then file the I-140 immigrant petition with USCIS on your behalf.
How do I find Billing Specialist employers who will actually sponsor a green card?
Migrate Mate lets you search Billing Specialist roles specifically filtered by employers with EB-2 and EB-3 sponsorship history, so you're not cold-applying to companies that have never run a PERM case. This is especially useful given that green card sponsorship requires employer commitment across a multi-year process, making employer selection as important as the role itself.
Can I switch employers while my green card application is in progress?
Portability provisions under AC21 allow you to change employers after your I-485 adjustment of status application has been pending for 180 days or more, provided the new role is in the same or similar occupational classification. For Billing Specialist roles, this generally means moving to another billing or revenue cycle position. A new PERM filing is not required if these conditions are met.