Green Card Healthcare Revenue Cycle Jobs
Healthcare Revenue Cycle roles in medical billing, coding, and collections qualify for EB-2 or EB-3 green card sponsorship through PERM labor certification. Employers filing I-140 petitions for these positions must document prevailing wage compliance with DOL before your priority date is set.
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Get Access To All JobsSenior Revenue Cycle Specialist
This is NOT A REMOTE ROLE, it will be in person.
ALG Senior is seeking a Senior Revenue Cycle Specialist to join our Central Billing Office, based in Hickory, NC, supporting multiple senior living communities across a multi-state portfolio.
This role is responsible for managing the full accounts receivable cycle across Independent Living, Assisted Living, Memory Care, and Skilled Nursing—ensuring accurate billing, timely reimbursement, and strong collections practices across Medicare, Medicaid, Managed Care, and Private Pay.
This position plays a key role in protecting revenue integrity, reducing Days in AR, and maintaining financial compliance.
Key Responsibilities
Accounts Receivable Management
- Manage a portfolio of resident accounts across multiple communities
- Monitor aging reports and proactively reduce Days in AR
- Identify trends in denials, underpayments, and discrepancies
- Complete month-end close and AR reporting accurately and on time
- Generate resident statements and respond to account inquiries
- Post payments within established timelines
Charge Capture & Billing Accuracy
- Create and validate charges across all payer types
- Ensure timely and accurate charge entry
- Partner with community and clinical teams on census and care level changes
- Audit charges prior to billing and month-end close
Medicare, Medicaid & Managed Care Oversight
- Ensure clean claim submission and accurate account setup
- Track claim status and manage follow-ups/resubmissions
- Interpret payer contracts, authorizations, and fee schedules
- Stay current on CMS and state Medicaid updates
Payment Posting & Reconciliation
- Post EFTs, checks, and resident payments
- Reconcile ERA/EOBs and identify variances
- Resolve denials, short-pays, and discrepancies
- Reconcile resident trust accounts and statements
Collections & Follow-Up
- Conduct consistent follow-up on outstanding balances
- Communicate professionally with residents and families
- Coordinate with Social Security and other agencies as needed
- Document all collection activity thoroughly
Reporting & Financial Support
- Perform account reconciliations
- Prepare monthly AR summaries and explain variances
- Support audits (Medicaid, CMS, financial)
- Partner with accounting on discrepancies
Qualifications
Required
- 3–5+ years of healthcare AR experience (senior living, LTC, or post-acute preferred)
- Experience with Medicare & Medicaid billing
- Knowledge of Managed Care processes
- Experience with billing systems (Yardi, PointClickCare, MatrixCare, etc.)
- Understanding of UB-04 and CMS-1500 forms
- Strong Excel and systems skills
- Ability to manage high-volume accounts independently
Preferred
- Multi-state billing experience
- SNF billing (PPS/MDS knowledge)
- Centralized billing office experience
- Medicaid waiver/level-of-care billing knowledge
- CRCP, CPB, or similar certification
What You Bring
- Strong attention to detail and accuracy
- Analytical, problem-solving mindset
- Ability to prioritize in a fast-paced environment
- Ownership of your AR portfolio
- Professional communication skills
- High integrity and confidentiality
Senior Revenue Cycle Specialist
This is NOT A REMOTE ROLE, it will be in person.
ALG Senior is seeking a Senior Revenue Cycle Specialist to join our Central Billing Office, based in Hickory, NC, supporting multiple senior living communities across a multi-state portfolio.
This role is responsible for managing the full accounts receivable cycle across Independent Living, Assisted Living, Memory Care, and Skilled Nursing—ensuring accurate billing, timely reimbursement, and strong collections practices across Medicare, Medicaid, Managed Care, and Private Pay.
This position plays a key role in protecting revenue integrity, reducing Days in AR, and maintaining financial compliance.
Key Responsibilities
Accounts Receivable Management
- Manage a portfolio of resident accounts across multiple communities
- Monitor aging reports and proactively reduce Days in AR
- Identify trends in denials, underpayments, and discrepancies
- Complete month-end close and AR reporting accurately and on time
- Generate resident statements and respond to account inquiries
- Post payments within established timelines
Charge Capture & Billing Accuracy
- Create and validate charges across all payer types
- Ensure timely and accurate charge entry
- Partner with community and clinical teams on census and care level changes
- Audit charges prior to billing and month-end close
Medicare, Medicaid & Managed Care Oversight
- Ensure clean claim submission and accurate account setup
- Track claim status and manage follow-ups/resubmissions
- Interpret payer contracts, authorizations, and fee schedules
- Stay current on CMS and state Medicaid updates
Payment Posting & Reconciliation
- Post EFTs, checks, and resident payments
- Reconcile ERA/EOBs and identify variances
- Resolve denials, short-pays, and discrepancies
- Reconcile resident trust accounts and statements
Collections & Follow-Up
- Conduct consistent follow-up on outstanding balances
- Communicate professionally with residents and families
- Coordinate with Social Security and other agencies as needed
- Document all collection activity thoroughly
Reporting & Financial Support
- Perform account reconciliations
- Prepare monthly AR summaries and explain variances
- Support audits (Medicaid, CMS, financial)
- Partner with accounting on discrepancies
Qualifications
Required
- 3–5+ years of healthcare AR experience (senior living, LTC, or post-acute preferred)
- Experience with Medicare & Medicaid billing
- Knowledge of Managed Care processes
- Experience with billing systems (Yardi, PointClickCare, MatrixCare, etc.)
- Understanding of UB-04 and CMS-1500 forms
- Strong Excel and systems skills
- Ability to manage high-volume accounts independently
Preferred
- Multi-state billing experience
- SNF billing (PPS/MDS knowledge)
- Centralized billing office experience
- Medicaid waiver/level-of-care billing knowledge
- CRCP, CPB, or similar certification
What You Bring
- Strong attention to detail and accuracy
- Analytical, problem-solving mindset
- Ability to prioritize in a fast-paced environment
- Ownership of your AR portfolio
- Professional communication skills
- High integrity and confidentiality
See all 96+ Green Card Healthcare Revenue Cycle Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Healthcare Revenue Cycle
Verify your credentials match PERM requirements
PERM requires your degree and work experience to align precisely with the job description. For revenue cycle roles, a healthcare administration or health information management degree strengthens your case more than a general business credential.
Target employers with active PERM filing history
Hospital systems, large physician groups, and revenue cycle management companies file PERM applications regularly. Use Migrate Mate to filter for employers who have sponsored green cards for billing, coding, or collections roles before.
Understand the prevailing wage before negotiating
Your employer must pay at least the DOL-certified prevailing wage for your role and location. Look up the wage level for your specific SOC code using the OFLC Wage Search before salary discussions so you know what the floor is.
Ask employers about their PERM recruitment timeline
PERM requires employers to run a 60-day supervised recruitment process before filing. Ask hiring managers whether they've already completed that recruitment or plan to sponsor a new hire, since these are two different timelines.
Distinguish EB-2 and EB-3 eligibility for your background
EB-3 covers roles requiring a bachelor's degree, while EB-2 applies if the position requires an advanced degree or you have an advanced degree and specialized credentials in health information or revenue cycle compliance.
Check your priority date before accepting an offer
For candidates from countries with EB-3 backlogs, your priority date determines how long you wait after I-140 approval. Review the USCIS Visa Bulletin before accepting a role to understand the realistic timeline to lawful permanent residency.
Green Card Healthcare Revenue Cycle: Frequently Asked Questions
Which green card category applies to Healthcare Revenue Cycle roles?
Most Healthcare Revenue Cycle positions qualify under EB-3 for skilled workers, since they typically require a bachelor's degree in health information management, business, or a related field. Roles requiring a master's degree or specialized credentials in healthcare compliance may qualify under EB-2. Your employer's immigration attorney determines the category based on the actual job requirements, not just your credentials.
How does the PERM green card process differ from H-1B sponsorship for this role?
H-1B visa is a temporary status that runs up to six years and is subject to an annual lottery cap. PERM-based green card sponsorship has no lottery, no annual cap at the petition level, and results in permanent residency rather than a temporary status. The tradeoff is timeline: PERM labor certification alone takes several months, and the full process from PERM filing to green card approval typically runs one to three years or longer depending on your country of birth.
What documentation should I prepare before pursuing green card sponsorship?
Gather your degree transcripts with certified translations if they're not in English, any professional certifications such as CPC or CCS, and documentation of your work history in revenue cycle functions like billing, coding, or denial management. Your employer will use your credentials to build the PERM job description, and gaps between your background and the stated requirements can trigger a DOL audit.
How do I find Healthcare Revenue Cycle employers willing to sponsor a green card?
Many healthcare employers sponsor H-1B visas but are less experienced with PERM filings. Migrate Mate surfaces employers who have actively filed PERM applications for revenue cycle roles, so you're targeting companies already familiar with the process rather than educating a new sponsor from scratch. Focusing on hospital networks, large physician management groups, and dedicated revenue cycle management firms improves your odds.
Does my country of birth affect my green card timeline for EB-3 revenue cycle roles?
Yes. Nationals of India and China face significant EB-3 priority date backlogs because demand for those categories far exceeds the annual per-country limits. Nationals from most other countries face little to no wait at the EB-3 level after I-140 approval. Review the USCIS Visa Bulletin monthly to track your priority date category, since backlogs shift and can affect when you can file for adjustment of status.