Green Card Managed Care Coordinator Jobs
Managed Care Coordinator roles qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process, which requires employers to document recruitment efforts before filing an I-140 immigrant petition. Health systems and managed care organizations regularly sponsor foreign professionals in care coordination, utilization review, and case management functions.
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Get Access To All JobsINTRODUCTION
UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.
As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.
Position Summary
The Commercial/Managed Care Collections/Denials Manager reports to the Assistant Director-Patient Financial Services and is responsible for managing hospital accounts receivables (A/R) and the collections, denial, and workflow activities for Commercial/Managed Care payers – Commercial, Managed Care, Workers Compensation, TriWest/VA and all other third-party payers. The incumbent manages daily operations certifying timely accurate account evaluation, escalation, and resolution ensuring compliance with procedures, standards, and policies as well as regulatory requirements. This role is responsible for training, managing work performance, A/R analysis, resolution of operational and personnel issues, evaluations, hiring, and corrective actions as needed. Presents as a key liaison between PFS and various departments leaders within the organization to identify and resolve issues relating to charges, coding, appropriate modifiers, and claim adjudication to yield first pass clean billing and enhanced revenue recoveries. Also responsible for performing routine analysis of various key performance indicators, dashboards, and reports to optimize performance and maintain positive A/R disposition.
Responsibilities
- Manage hospital accounts receivables (A/R) and the collections, denial, and workflow activities for Commercial/Managed Care payers.
- Certify timely accurate account evaluation, escalation, and resolution ensuring compliance with procedures, standards, and policies as well as regulatory requirements.
- Train and manage work performance, A/R analysis, resolution of operational and personnel issues, evaluations, hiring, and corrective actions as needed.
- Act as a key liaison between PFS and various departments leaders to identify and resolve issues relating to charges, coding, appropriate modifiers, and claim adjudication.
- Perform routine analysis of various key performance indicators, dashboards, and reports to optimize performance and maintain positive A/R disposition.
BASIC QUALIFICATIONS
- Thorough knowledge of medical and insurance terminology, and of billing and/or collections internal procedures and external regulations.
- Strong time management and organization skills.
- Strong technical knowledge of CPT, HCPS and ICD-10 coding, LCD, NCD, MUE, CCI, Modifiers, authorization requirements and related documentation.
- Strong interpersonal and communication skills to collaborate and effectively manage conflict with all constituent groups.
- Strong analytical and report writing skills to effectively comprehend multiple reports and analyze array into actionable form.
- Strong ability to facilitate accurate and timely billing and collections.
- Solid, demonstrated leadership skills to coach, mentor, and strengthen the team’s performance.
- Solid knowledge of human resources management policies, with the ability to evaluate and document human resources matters and performance.
- Solid critical thinking and decision-making skills, with the ability to analyze and evaluate complex and/or difficult problems, determine appropriate level of intervention, and develop and apply viable solutions.
- Proficient in Microsoft Office and related programs (i.e. Microsoft, Excel, Outlook, PowerPoint, etc.).
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties.
- Must have the ability to maintain a pace appropriate to the workload.
- Minimum of three (3) years of experience in billing and collections of Commercial, Managed Care, Medicare, Medicare Advantage, Medi-Cal, CalOptima, FQHC, and CCS and other programs that fall under the scope of Government programs and commercial billing.
- Minimum of five (5) years of related relevant experience in business office operations, consulting, or auditing.
- Excellent verbal and written English communication skills including the ability to convey complex information in a clear, concise manner.
- Demonstrated lead/supervisory skills to effectively oversee and prioritize staff activities and manage complex workflow and multiple priorities associated with billing and/or collections operations.
- Demonstrated ability to use sound judgment.
- Bachelor's Degree in related area and/or equivalent education/experience.
- Ability to function independently and as a member of a team.
PREFERRED QUALIFICATIONS
- Prior experience with and working knowledge of EPIC electronic health record.
TOTAL REWARDS
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
CONDITIONS OF EMPLOYMENT
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
- Background Check and Live Scan.
- Employment Misconduct*.
- Legal Right to Work in the United States.
- Vaccination Policies.
- Smoking and Tobacco Policy.
- Drug Free Environment.
Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.
Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
- California Child Abuse and Neglect Reporting Act.
- E-Verify.
- Pre-Placement Health Evaluation.
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php
CLOSING STATEMENT
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
INTRODUCTION
UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.
As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.
Position Summary
The Commercial/Managed Care Collections/Denials Manager reports to the Assistant Director-Patient Financial Services and is responsible for managing hospital accounts receivables (A/R) and the collections, denial, and workflow activities for Commercial/Managed Care payers – Commercial, Managed Care, Workers Compensation, TriWest/VA and all other third-party payers. The incumbent manages daily operations certifying timely accurate account evaluation, escalation, and resolution ensuring compliance with procedures, standards, and policies as well as regulatory requirements. This role is responsible for training, managing work performance, A/R analysis, resolution of operational and personnel issues, evaluations, hiring, and corrective actions as needed. Presents as a key liaison between PFS and various departments leaders within the organization to identify and resolve issues relating to charges, coding, appropriate modifiers, and claim adjudication to yield first pass clean billing and enhanced revenue recoveries. Also responsible for performing routine analysis of various key performance indicators, dashboards, and reports to optimize performance and maintain positive A/R disposition.
Responsibilities
- Manage hospital accounts receivables (A/R) and the collections, denial, and workflow activities for Commercial/Managed Care payers.
- Certify timely accurate account evaluation, escalation, and resolution ensuring compliance with procedures, standards, and policies as well as regulatory requirements.
- Train and manage work performance, A/R analysis, resolution of operational and personnel issues, evaluations, hiring, and corrective actions as needed.
- Act as a key liaison between PFS and various departments leaders to identify and resolve issues relating to charges, coding, appropriate modifiers, and claim adjudication.
- Perform routine analysis of various key performance indicators, dashboards, and reports to optimize performance and maintain positive A/R disposition.
BASIC QUALIFICATIONS
- Thorough knowledge of medical and insurance terminology, and of billing and/or collections internal procedures and external regulations.
- Strong time management and organization skills.
- Strong technical knowledge of CPT, HCPS and ICD-10 coding, LCD, NCD, MUE, CCI, Modifiers, authorization requirements and related documentation.
- Strong interpersonal and communication skills to collaborate and effectively manage conflict with all constituent groups.
- Strong analytical and report writing skills to effectively comprehend multiple reports and analyze array into actionable form.
- Strong ability to facilitate accurate and timely billing and collections.
- Solid, demonstrated leadership skills to coach, mentor, and strengthen the team’s performance.
- Solid knowledge of human resources management policies, with the ability to evaluate and document human resources matters and performance.
- Solid critical thinking and decision-making skills, with the ability to analyze and evaluate complex and/or difficult problems, determine appropriate level of intervention, and develop and apply viable solutions.
- Proficient in Microsoft Office and related programs (i.e. Microsoft, Excel, Outlook, PowerPoint, etc.).
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties.
- Must have the ability to maintain a pace appropriate to the workload.
- Minimum of three (3) years of experience in billing and collections of Commercial, Managed Care, Medicare, Medicare Advantage, Medi-Cal, CalOptima, FQHC, and CCS and other programs that fall under the scope of Government programs and commercial billing.
- Minimum of five (5) years of related relevant experience in business office operations, consulting, or auditing.
- Excellent verbal and written English communication skills including the ability to convey complex information in a clear, concise manner.
- Demonstrated lead/supervisory skills to effectively oversee and prioritize staff activities and manage complex workflow and multiple priorities associated with billing and/or collections operations.
- Demonstrated ability to use sound judgment.
- Bachelor's Degree in related area and/or equivalent education/experience.
- Ability to function independently and as a member of a team.
PREFERRED QUALIFICATIONS
- Prior experience with and working knowledge of EPIC electronic health record.
TOTAL REWARDS
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
CONDITIONS OF EMPLOYMENT
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
- Background Check and Live Scan.
- Employment Misconduct*.
- Legal Right to Work in the United States.
- Vaccination Policies.
- Smoking and Tobacco Policy.
- Drug Free Environment.
Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.
Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
- California Child Abuse and Neglect Reporting Act.
- E-Verify.
- Pre-Placement Health Evaluation.
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php
CLOSING STATEMENT
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
See all 95+ Green Card Managed Care Coordinator Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Managed Care Coordinator
Translate your credentials for PERM documentation
If your nursing license, social work degree, or health administration credential was issued outside the U.S., get a formal credential evaluation completed before PERM starts. Employers need documentation that your foreign degree meets the role's minimum requirements as defined in the labor certification.
Target health systems with active EB-3 filing history
Large integrated health systems and Medicaid managed care organizations file PERM for care coordination roles far more regularly than smaller practices. Search for employers by job title in the DOL's OFLC disclosure data to identify which organizations have certified PERM applications for Managed Care Coordinator positions specifically.
Understand how your SOC code affects prevailing wage
Managed Care Coordinator roles can fall under multiple Standard Occupational Classification codes depending on duties, and the SOC code your employer selects directly determines your prevailing wage level. Use the OFLC Wage Search to check what wage Level II or III looks like for your likely SOC code in your target metro.
Clarify EB-2 versus EB-3 eligibility before your employer files
If you hold a master's degree in health administration, nursing, or public health, ask your employer to evaluate EB-2 filing alongside EB-3. EB-2 skips PERM for National Interest Waiver self-petitions, which can matter significantly if your priority date would face a long backlog under EB-3.
Use Migrate Mate to filter sponsoring employers by role
Searching broadly for managed care jobs buries green card sponsorship details in fine print. Migrate Mate lets you filter specifically for employers with EB-2 and EB-3 sponsorship history in care coordination, so your applications go to employers already set up for the PERM process.
Negotiate the PERM timeline before accepting an offer
Ask the hiring manager directly whether the employer uses outside immigration counsel and what their typical timeline is from offer acceptance to PERM filing. Employers new to sponsoring Managed Care Coordinators may underestimate DOL processing time, which currently runs several months for standard PERM applications.
Green Card Managed Care Coordinator: Frequently Asked Questions
Does a Managed Care Coordinator role qualify for EB-2 or EB-3 green card sponsorship?
Both categories can apply depending on your credentials and the employer's job requirements. EB-3 covers skilled workers and professionals with a bachelor's degree, making it the more common path for care coordinators. EB-2 applies if the role genuinely requires an advanced degree or if you qualify for a National Interest Waiver based on your work in healthcare access or population health management.
How does green card sponsorship differ from H-1B sponsorship for this role?
Green card sponsorship through PERM is permanent and has no annual lottery. The employer files a PERM labor certification with DOL, then an I-140 immigrant petition with USCIS, and you eventually file for adjustment of status. H-1B visa is a temporary status capped annually at 85,000 slots and subject to the lottery. EB-3 for most countries outside India and China has no meaningful backlog, so the path to a green card can be faster than years of H-1B renewals.
What does the PERM process look like for a Managed Care Coordinator position?
Your employer recruits through DOL-required channels, documents that no qualified U.S. worker was displaced, and submits a PERM application. DOL currently processes standard applications over several months. Once certified, the employer files an I-140 with USCIS. If your priority date is current, you can file for adjustment of status concurrently or after the I-140 is approved, depending on visa availability.
How do I find employers who will sponsor a green card for a Managed Care Coordinator role?
Most job postings don't advertise green card sponsorship clearly, which makes it hard to know before applying. Migrate Mate surfaces employers with documented EB-2 and EB-3 filing history in care coordination and related roles, so you can focus your search on organizations that have already run the PERM process rather than hoping sponsorship comes up in the interview.
Can my clinical background outside the U.S. count toward PERM qualification for this role?
Yes, if your employer's PERM job requirements allow experience substitution. Many Managed Care Coordinator postings accept a combination of education and related experience. You'll need a credential evaluation from a NACES-recognized organization if your degree is foreign. Your employer's immigration counsel will specify the exact documentation needed to establish that your background meets the minimum requirements stated in the labor certification.