Billing Specialist Green Card 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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Get Access To All JobsFacility:
Bone and Joint Center: 3555 S National Ave, Springfield, Missouri, United States of America, 65807
Department:
1688 Patient Financial Services
Scheduled Weekly Hours:
40
Hours:
8:00 AM - 4:30 PM
Work Shift:
Day Shift (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
- Named one of Modern Healthcare’s Best Places to work five times.
- Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
- Acknowledged by Forbes as one of the Best Employers for New Grads.
- Healthcare Innovation's Top Companies to Work for in Healthcare (2025).
Benefits
- Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
- For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description:
The Billing Specialist is responsible for ensuring accuracy in billing claims to insurance companies. The position is responsible for attaining and maintaining comprehensive knowledge of billing regulations and guidelines set by the insurance companies. Reviews to efficiently bill compliant claims and resolve billing issues. Strives to complete assigned work daily and accurately in order to meet or exceed departmental goals such as cash collection, productivity and days in A/R.
Education
- Required: High School diploma or equivalent
Experience
- Preferred: 1 year business office experience
Skills
- Strong analytical skills to recognize problems
- Excellent computer skills and strong aptitude to learn and maximize use of applications
- Ability to multitask and shift priorities in a fast paced environment
- Billing knowledge or experience preferred
- Medical terminology preferred
Licensure/Certification/Registration
- N/A
Facility:
Bone and Joint Center: 3555 S National Ave, Springfield, Missouri, United States of America, 65807
Department:
1688 Patient Financial Services
Scheduled Weekly Hours:
40
Hours:
8:00 AM - 4:30 PM
Work Shift:
Day Shift (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
- Named one of Modern Healthcare’s Best Places to work five times.
- Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
- Acknowledged by Forbes as one of the Best Employers for New Grads.
- Healthcare Innovation's Top Companies to Work for in Healthcare (2025).
Benefits
- Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
- For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description:
The Billing Specialist is responsible for ensuring accuracy in billing claims to insurance companies. The position is responsible for attaining and maintaining comprehensive knowledge of billing regulations and guidelines set by the insurance companies. Reviews to efficiently bill compliant claims and resolve billing issues. Strives to complete assigned work daily and accurately in order to meet or exceed departmental goals such as cash collection, productivity and days in A/R.
Education
- Required: High School diploma or equivalent
Experience
- Preferred: 1 year business office experience
Skills
- Strong analytical skills to recognize problems
- Excellent computer skills and strong aptitude to learn and maximize use of applications
- Ability to multitask and shift priorities in a fast paced environment
- Billing knowledge or experience preferred
- Medical terminology preferred
Licensure/Certification/Registration
- N/A
See all 407+ Billing Specialist jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Billing Specialist roles.
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.
Billing Specialist jobs are hiring across the US. Find yours.
Find Billing Specialist JobsBilling Specialist Green Card Sponsorship: 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 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.
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