Green Card Director Of Revenue Jobs
Director of Revenue roles qualify for EB-2 or EB-3 green card sponsorship when the position requires a bachelor's degree or higher in business, finance, or a related field. Employers file a PERM labor certification with DOL before sponsoring you for permanent residency, making this a true long-term career path in the U.S.
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INTRODUCTION
Lexington Regional Health Center
Title: Director of Revenue Cycle
Effective Date: June 12, 2026
Supervisor: Chief Financial Officer
Department: Administration / Finance
FLSA Status: Exempt
Principle duties and responsibilities
- Provide leadership across all revenue cycle operations including patient access, billing, coding coordination, Accounts Receivable (AR), and collections.
- Develop and implement strategies to improve reimbursement, cash flow, and operational performance.
- Monitor key performance indicators such as AR days, denial rates, and net collections.
- Lead initiatives to improve revenue capture and reduce cycle time.
- Oversee registration, insurance verification, and financial clearance processes.
- Improve point-of-service collections and front-end accuracy.
- Ensure accurate capture of patient demographic and insurance data.
- Direct timely and accurate billing and claims submission.
- Oversee AR follow-up, denial management, and collections processes.
- Analyze denial trends and implement corrective actions.
- Evaluate third-party collection agency effectiveness.
- Ensure compliance with Centers for Medicare & Medicaid Services (CMS), Health Insurance Portability and Accountability Act (HIPAA), and payer regulations.
- Oversee chargemaster integrity and billing compliance.
- Coordinate audits and implement corrective actions.
- Maintain internal controls and audit readiness.
- Oversee medical records, chart completion, and release of information.
- Ensure integrity and confidentiality of patient information.
- Partner with clinical leadership to improve documentation.
- Responsible for HIPAA privacy officer duties including developing, implementing, and overseeing an organization's privacy program to protect Protected Health Information (PHI).
- Analyze revenue cycle data and identify trends and opportunities.
- Collaborate with finance on budgeting and forecasting.
- Provide reporting to executive leadership.
- Lead, coach, and develop revenue cycle staff.
- Establish departmental goals and performance expectations.
- Support staff training and professional development.
- Lead process improvement initiatives and workflow optimization.
- Collaborate with Information Technology on system improvements and reporting.
- Drive standardization and efficiency across departments.
- Ensure patients and visitors follow current infection control guidelines.
- Responsible for ensuring the environment meets appropriate governing body standards.
- Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
- Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
- Regular attendance at the assigned work location is required.
- Performs all other duties as assigned.
Minimum knowledge, skills, and abilities
- Knowledge of financial healthcare reimbursement analysis, including an understanding of diagnosis and procedure coding, billing practices, and payment methodologies; ability to use computer and office equipment and carry out duties as is typically acquired through the completion of a Bachelor’s degree in healthcare administration, business, finance, or related field.
- Minimum of five (5) years of revenue cycle leadership experience.
- Strong knowledge of billing, coding, and reimbursement methodologies.
- Experience with Electronic Health Record systems and revenue cycle technology.
- Ability to lead, coordinate, and organize tasks and projects through various complex and challenging situations to completion under time-sensitive deadlines.
- Ability to maintain attention to detail and concentration for long periods of time.
- Ability to synthesize, coordinate, and analyze data to identify opportunities to automate simple and repetitive tasks.
- Ability to maintain a work pace appropriate to given workload, to perform complex and varied tasks, and to understand and remember detailed instructions.
- Ability to make independent decisions and/or exercise judgment based on appropriate information.
- Ability to recommend operational and management decisions in response to changing conditions.
- Ability to communicate effectively both verbally and in writing.
- Ability to establish and maintain effective working relationships with all levels of personnel.
- Ability to maintain confidentiality relevant to sensitive information.
- Ability to complete reports and correspondence at a professional level.
- Ability to immediately respond to common inquiries and complaints from patients, employees, vendors, and regulatory agencies.
- Ability to effectively communicate with individuals from diverse backgrounds.
- Successful completion of required knowledge and training on standard precaution protocols and when to apply them during principle duties and responsibilities.
Working conditions
- Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
- Spends up to 75% of shift sitting whether completing desk work or in meetings. Required to ambulate up to 500 feet at one time within facility for attending meetings. Required to file paperwork, including lifting files weighing up to 20 pounds to place in storage cabinets and transporting files up to 500 feet within office and facility.
Management responsibilities
- Business Office and Health Information Management departments.
Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Director Of Revenue
Document your revenue management credentials strategically
Gather performance records, revenue targets met, and team leadership examples that directly map to the PERM job description. USCIS scrutinizes whether your credentials match the role's advertised requirements, so gaps between your background and the posted position can stall the I-140.
Target employers with PERM filing history
Search the OFLC Wage Search to identify companies that have filed PERM applications for Director of Revenue or similar revenue leadership roles. Employers already familiar with the PERM process move faster and are far less likely to abandon sponsorship mid-application.
Find green card sponsoring roles through Migrate Mate
Search Director of Revenue positions filtered by employment-based sponsorship on Migrate Mate. The platform surfaces employers actively filing PERM and I-140 petitions, so you're not guessing which companies will sponsor permanent residency for senior revenue roles.
Verify the prevailing wage tier before accepting an offer
Directors of Revenue typically fall under SOC code 11-2022 (Sales Managers) or 13-2051 (Financial Analysts). Run your specific job duties through the OFLC Wage Search before negotiating compensation, since PERM requires your offered salary to meet or exceed the certified prevailing wage.
Clarify sponsorship scope during the offer stage
Ask explicitly whether the employer will cover both PERM and the I-140 petition, not just one or the other. Some companies budget only for initial filings and expect you to fund premium processing or responses to USCIS Requests for Evidence out of pocket.
Plan for priority date backlogs if you're from India or China
EB-2 and EB-3 visa backlogs for Indian and Chinese nationals can extend wait times by years even after an approved I-140. Confirm your chargeability country with your employer early, since this directly affects when you can file for adjustment of status.
Green Card Director Of Revenue: Frequently Asked Questions
Does a Director of Revenue role qualify for EB-2 or EB-3 green card sponsorship?
Director of Revenue positions typically qualify under EB-2 when the role requires an advanced degree or the employer demonstrates a bachelor's degree is standard for entry into the occupation. EB-3 applies when a bachelor's degree alone satisfies the requirement. Your employer's PERM application must accurately reflect the minimum educational and experience requirements for the position as normally filled.
How does green card sponsorship differ from H-1B sponsorship for a Director of Revenue?
Green card sponsorship through PERM leads to permanent residency, not a temporary work authorization window. There's no annual lottery and no six-year cap. The tradeoff is timeline: PERM requires a DOL-supervised recruitment process before the employer can file your I-140 petition, which typically adds six to twelve months to the overall process compared to an H-1B visa change of status.
Which SOC code applies to Director of Revenue roles in a PERM application?
The most common classifications are SOC 11-2022 (Sales Managers) for roles focused on revenue generation and commercial strategy, or SOC 11-1021 (General and Operations Managers) for broader leadership roles. The DOL assigns the prevailing wage based on the SOC code your employer selects, so the classification directly affects your minimum certified salary. Review the O*NET profile for each code to confirm which better matches your actual duties.
How do I find Director of Revenue jobs where the employer will sponsor a green card?
Search Migrate Mate to filter Director of Revenue openings by employers with active employment-based sponsorship history. Many senior revenue roles at mid-size and enterprise companies qualify for PERM sponsorship, but employers don't always advertise it upfront. Filtering by sponsorship history removes the guesswork and lets you focus outreach on companies already familiar with the PERM and I-140 process.
Can I change employers after my PERM is approved but before I receive my green card?
Yes, under AC21 portability rules you can change to a same or similar occupational classification after your I-140 is approved and your I-485 has been pending for at least 180 days. For a Director of Revenue, a move to a comparable revenue leadership role at a new employer generally qualifies. Your new employer does not need to restart the PERM process, but you must notify USCIS of the job change.