Green Card Patient Account Specialist Jobs
Patient Account Specialist jobs with green card sponsorship require employers to complete PERM labor certification with the Department of Labor before filing an I-140 immigrant petition. EB-3 is the most common pathway for this role, though advanced-degree candidates may qualify under EB-2. Per-country backlogs mean priority dates matter from day one.
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Get Access To All JobsDescription
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
- Documents and updates patient account information in TLRA’s collection software system timely and accurately to include appropriate account status.
- Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.
- Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
- Performs research and analysis of account issues and strives to resolve problems timely and accurately.
- Ensures daily productivity standards are met.
- Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
- Must have solid knowledge and utilization of desktop applications to include Word and Excel.
- General hospital A/R accounts knowledge is required.
- Performs other special projects as required when assigned.
Collections – Insurance
- Maintains active knowledge of all collection requirements by payors.
- Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
- Ensures quality standards are met and proper documentation regarding patient accounting records.
- Contacts other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.
Collections – Self Pay
- Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.
- Responsible for assisting patients in identifying eligible means of financial assistance or if none apply, working with the patient to make acceptable payment arrangements.
- Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions.
Physician Billing/Collections
- Ensures proper reimbursement for all services and to ensure all appeals are filed timely.
- Reviews accounts and determines appropriate follow-up activities utilizing Six Sigma Practices.
- Identifies under and overpayments and takes appropriate actions to resolve accounts.
- Validates commercial insurance claims to ensure the claims are paid according to the contract.
- Direct knowledge using Meditech and CollectLogix software.
- Monitors and communicates errors generated by other groups and evaluates for trends.
Job Requirements:
Education/Skills
- High School diploma or equivalent years of experience required.
Experience
- 3-5 years of experience preferred.
- Experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
- College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
Licenses, Registrations, or Certifications
- None required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Description
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
- Documents and updates patient account information in TLRA’s collection software system timely and accurately to include appropriate account status.
- Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.
- Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
- Performs research and analysis of account issues and strives to resolve problems timely and accurately.
- Ensures daily productivity standards are met.
- Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
- Must have solid knowledge and utilization of desktop applications to include Word and Excel.
- General hospital A/R accounts knowledge is required.
- Performs other special projects as required when assigned.
Collections – Insurance
- Maintains active knowledge of all collection requirements by payors.
- Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
- Ensures quality standards are met and proper documentation regarding patient accounting records.
- Contacts other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.
Collections – Self Pay
- Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.
- Responsible for assisting patients in identifying eligible means of financial assistance or if none apply, working with the patient to make acceptable payment arrangements.
- Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions.
Physician Billing/Collections
- Ensures proper reimbursement for all services and to ensure all appeals are filed timely.
- Reviews accounts and determines appropriate follow-up activities utilizing Six Sigma Practices.
- Identifies under and overpayments and takes appropriate actions to resolve accounts.
- Validates commercial insurance claims to ensure the claims are paid according to the contract.
- Direct knowledge using Meditech and CollectLogix software.
- Monitors and communicates errors generated by other groups and evaluates for trends.
Job Requirements:
Education/Skills
- High School diploma or equivalent years of experience required.
Experience
- 3-5 years of experience preferred.
- Experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
- College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
Licenses, Registrations, or Certifications
- None required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
See all Green Card Patient Account Specialist Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Patient Account Specialist
Match your credentials to the right EB category
EB-3 covers Patient Account Specialists with a bachelor's degree or at least two years of directly related experience. If you hold a master's or a bachelor's plus five years of progressive billing or coding experience, ask prospective employers to evaluate you under EB-2 instead.
Look up prevailing wages before salary talks
Your employer's PERM filing must certify they'll pay at least the DOL prevailing wage for your SOC code and work location. Use the OFLC Wage Search to find the Level I through Level IV wage tiers for Patient Account Specialists in your target city before you negotiate.
Find sponsors through Migrate Mate
Identifying which healthcare systems and revenue cycle management firms have a documented track record of green card sponsorship for billing roles takes real research. Migrate Mate lists employers with verified PERM and I-140 filing history, so you can focus applications on organizations already committed to the process.
Track your priority date from the start
Your priority date is set when PERM is filed with DOL, not when USCIS approves the I-140. Nationals of high-demand countries such as India face per-country backlogs that can extend wait times significantly. Check the USCIS Visa Bulletin monthly so you know when your I-485 can be submitted.
Prepare your employment documentation early
PERM requires your employer to document that no qualified U.S. worker applied for the role, which means your own foreign credentials must be clearly on file. Gather degree equivalency evaluations, certified translations, and any coding or billing certifications before the recruitment test period begins.
Understand AC21 portability before you change jobs
If you switch employers while your I-485 adjustment of status has been pending for at least 180 days, AC21 portability lets you move to a same or similar Patient Account Specialist role without restarting the green card process, provided your new employer supports the transfer.
Green Card Patient Account Specialist: Frequently Asked Questions
Can a Patient Account Specialist role qualify for an EB-3 green card?
Yes. Patient Account Specialists typically qualify under EB-3 as either professionals with a bachelor's degree or skilled workers with at least two years of experience in medical billing, coding, or healthcare revenue cycle management. Your employer must file a PERM labor certification with the Department of Labor confirming the offered wage meets the DOL prevailing wage and that recruitment found no qualified U.S. applicants.
How is green card sponsorship different from H-1B sponsorship for this role?
Green card sponsorship leads to lawful permanent residence, while H-1B visa is a temporary status requiring renewal. For Patient Account Specialists, the green card path runs through PERM labor certification and an I-140 immigrant petition filed with USCIS, with no lottery involved. H-1B has an annual lottery; EB-3 green cards have per-country numerical limits that create priority-date backlogs, particularly for nationals of India and China.
How do I find employers who actively sponsor green cards for Patient Account Specialists?
Many healthcare systems, hospital networks, and revenue cycle management firms sponsor green cards for this role, but not all publish that information openly. Migrate Mate aggregates employer-level PERM and I-140 filing data so you can identify which organizations have a verifiable history of sponsoring Patient Account Specialists and target your applications accordingly, saving time you'd otherwise spend researching each employer individually.
What happens to my green card case if I change employers mid-process?
If your I-485 adjustment of status application has been pending for at least 180 days and your I-140 was already approved, AC21 portability allows you to move to a new employer in the same or a substantially similar occupation without restarting the green card process. Separately, an approved I-140's priority date can often be carried over to a new employer's petition, protecting the date you established when PERM was first filed.
Does my employer need to prove my credentials during PERM for a Patient Account Specialist position?
Yes. The PERM labor certification requires your employer to document that the minimum requirements listed for the role are legitimate business necessities and that your qualifications meet them. If the position requires coding certifications such as CPC or CCS, or specific software experience, those must be documented before filing. Preparing degree equivalency evaluations and certified translations of foreign credentials in advance prevents delays during DOL review.