Green Card Medical Billing Specialist Jobs
Medical Billing Specialist jobs with green card sponsorship require employers to complete PERM labor certification with the Department of Labor before filing an I-140 petition with USCIS. EB-2 and EB-3 pathways both apply depending on your degree and experience, leading to lawful permanent residency rather than a temporary work status.
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Who We Are
Access TeleCare is the nation's largest provider of acute specialty telemedicine, with more than 2,600 telemedicine programs launched and partnerships with 1 in 5 U.S. hospitals across all 50 states. For more than 20 years, we've pioneered tech-enabled virtual care, now delivering more than 1 million patient encounters annually across specialties including behavioral health, neurology, hospitalist medicine, pulmonary and critical care, maternal-fetal medicine, infectious disease, cardiology, and nephrology. Our care reaches communities representing more than 65% of the U.S. population, many of them rural, underserved, or vulnerable. Our Telemed IQ platform enables life-saving care across multiple specialties, and we're proud to be the first acute telemedicine provider to earn and continuously maintain The Joint Commission's Gold Seal of Approval.
Learn more about our vision, mission, and values at accesstelecare.com.
The Opportunity
We are seeking an experienced and detail-oriented AR Medical Billing Specialist. The AR Billing Specialist position will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical Biller, your daily duties will include maintaining billing EMR, entering bills, appealing denied claims, working rejections and holds. To succeed in this role, you must possess in-depth knowledge of physician billing best practices, experience in various EMRs, eligibility verification, rejection/denials research and validation, insurance policies, and payment posting. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communication with Insurance companies, Doctors, Hospitals, and Upper management will form a large part of the job.
- Prepare and submit billing data and medical claims to insurance companies
- Ensure the patient’s medical information is accurate and up to date
- Review patient statements
- Collect and review referrals and pre-authorizations
- Access EMRs to locate patient demographics and insurance information
- Call payers to obtain information regarding patient eligibility, authorization, and/or denials
- Monitor and record patient payments
- Investigate and appeal denied claims
- Work front end rejections and back-end denials
- Help patients develop payment plans
- Other duties as assigned
What You'll Bring
- High school diploma required
- A minimum of 2 years’ experience as a Medical Biller or similar role
- Solid understanding of Billing, Coding, and EMR
- Must have the ability to multitask and manage time effectively
- Excellent written and verbal communication skills
- Outstanding problem-solving and organizational abilities
- Knowledge of medical terminology, anatomy, and physiology
- Must also have a focus on regulatory and billing requirements
- Ability to maintain confidentiality
- Strong communications skills (written and oral) as well as demonstrate the ability to work effectively across departments
- Demonstrated proficiency with Microsoft Office programs, communication, and collaboration tools in various operating systems
- Ability to work effectively under deadlines and self-manage multiple projects simultaneously
- Strong analytical, organizational, and time management skills
- Flexibility and adaptability in a fast-paced environment
- Must be able to remain in a stationary position 50% of the time
Why Join Access TeleCare
- 100% Remote Work
- Health Insurance (Medical, Dental, Vision)
- Comprehensive benefits including health, dental, vision, life, and 401(k)
- Paid Time Off, Sick Leave, and wellness days — because we value both performance and balance
- Culture of ownership, transparency, and results where the best ideas rise
- Opportunity to directly impact patient access nationwide
About our recruitment process:
We don’t expect a perfect fit for every requirement we’ve outlined. If you can see yourself contributing to the team, we would like to speak with you. You can expect up to 3 interviews via Zoom.
Access TeleCare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, marital status, national origin, disability, protected veteran status, race, religion, sex, or any other characteristic protected by applicable laws, regulations, and ordinances. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Medical Billing Specialist
Match your credentials to the right EB category
EB-2 requires an advanced degree or a bachelor's plus five years of progressive experience in medical billing. EB-3 covers a bachelor's degree or two years of relevant experience. Confirm which category fits before targeting employers, since mismatches delay PERM filings.
Verify the prevailing wage for your target market
Use the OFLC Wage Search to look up prevailing wages for Medical Billing Specialist roles by state and metro area. Employers filing PERM must meet or exceed this figure, so roles offering below prevailing wage won't qualify for sponsorship regardless of employer intent.
Find employers with active green card filing history on Migrate Mate
Search Medical Billing Specialist roles on Migrate Mate to identify employers with verified employment-based green card sponsorship history. Targeting companies that have completed PERM filings before cuts your timeline significantly compared to approaching employers new to the process.
Ask employers about their PERM recruitment timeline upfront
PERM requires a mandatory recruitment test before DOL will certify the application. Ask hiring managers during interviews whether they've completed PERM filings previously and whether legal counsel is already in place, since first-time sponsors often underestimate the documentation workload.
Get your credentials evaluation done before interviews
Foreign degrees in health informatics, healthcare administration, or related fields must be evaluated for U.S. equivalency before USCIS will accept them in an I-140 petition. Having an approved evaluation from a NACES member organization ready signals readiness to sponsoring employers.
Understand AC21 portability before you accept an offer
Once your I-485 has been pending 180 days or more, AC21 portability lets you change employers without losing your place in the queue, provided the new role is in the same or a similar occupation. Negotiate this understanding into your employment terms before filing begins.
Green Card Medical Billing Specialist: Frequently Asked Questions
Which green card category covers Medical Billing Specialist roles?
Most Medical Billing Specialist positions qualify under EB-3 for professionals with a bachelor's degree, or as skilled workers with at least two years of experience. Candidates with an advanced degree in health information management or a related field may qualify under EB-2. The employer's PERM filing specifies the minimum requirements, which USCIS uses to evaluate the I-140 petition.
How does green card sponsorship differ from H-1B sponsorship for this role?
Green card sponsorship leads to lawful permanent residency rather than temporary status. The process starts with PERM labor certification filed with the Department of Labor, followed by an I-140 petition with USCIS, then adjustment of status or consular processing. Unlike H-1B visa, there is no lottery, but per-country annual limits mean nationals of high-demand countries can face priority-date backlogs before they can file the final adjustment step.
What does the PERM process involve for a Medical Billing Specialist position?
PERM requires the employer to obtain a prevailing wage determination from DOL and conduct a formal recruitment test to show no qualified U.S. workers are available for the role. Recruitment steps typically include job postings, newspaper ads, and internal notices. DOL must certify the application before the employer can file the I-140 petition with USCIS. The entire PERM stage can take several months to complete.
How do I find employers who sponsor green cards for Medical Billing Specialist roles?
Migrate Mate lists employers with verified employment-based green card sponsorship history, searchable by role and location. This lets you focus your applications on companies that have already completed PERM filings for similar positions, rather than approaching employers who have never navigated the process. First-time sponsors face a steeper learning curve that often extends timelines.
Can I change jobs after my green card sponsorship process has started?
Once your I-485 adjustment of status application has been pending for 180 days or more, AC21 job portability allows you to move to a new employer in the same or a similar occupation without losing your priority date or place in the queue. If you change employers before that threshold, the original petition is typically abandoned and the process restarts. A previously approved I-140 may allow you to retain your priority date with a new employer's filing.