Green Card Patient Registrar Jobs
Patient Registrar roles at hospitals and health systems can qualify for EB-3 green card sponsorship through the PERM labor certification process, which permanently ties your status to the employer rather than a temporary visa. Sponsorship requires your employer to document recruitment efforts and certify that no qualified U.S. worker was displaced before filing your I-140 petition.
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PRIMARY LOCATION:
JHHS - Med Center East - UMC
ADDRESS:
3920 Dutchman Lane
Louisville, KY 40207
SHIFT:
First Shift (United States of America)
JOB DESCRIPTION SUMMARY:
About UofL Health:
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.
With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.
JOB DESCRIPTION:
The Patient Access Registrar presents a pleasing, helpful, and courteous manner to patients, physicians, visitors, co-workers, and all other internal and external customers of the hospital. The registrar interviews patients in a professional manner and obtains all personal, medical, and financial information necessary for admissions and billing properly for services rendered. Obtains accurate insurance information and signatures when applicable and explains payment options available and refers to Patient Financial Counselor if necessary. The registrar adheres to established policies and procedures for the department and the hospital when providing service to adults (ages 18-65), geriatric patients (age over 65), adolescents (ages 12-17) and pediatric/neonate patients (age under 12).
ESSENTIAL FUNCTIONS:
- Receives and interviews patients in a courteous, empathetic, and professional manner.
- Obtains and enters complete and accurate patient demographic, guarantor, and insurance information.
- Assures completion of forms for signatures, authorization and consents.
- Reviews patient insurance information and assigns appropriate insurance payor plan codes including policy, group and authorization numbers to ensure proper billing.
- Assigns appropriate patient types and beds according to the type of registration (ER, Inpatient Admits, Observations, Outpatient Surgery (ODSU), Lab, Radiology, T-accounts, etc.). Works with physicians and nurses to ensure accurate patient placement. Corrects all changes to accounts prior to billing (inpatient to observation, observation to inpatient, inpatient to ODSU, etc.).
- Ensures that the ordering, attending, referring and primary care physicians are documented in the hospital computer system (SMS) correctly when registering patients.
- Maintains confidentiality of all patient information and maintains awareness of individual patient needs and wait times for registration. Monitors waiting and treatment areas for patients that have not been registered.
- Maintains an efficient and effective patient flow.
- Complies with all department and hospital policies and procedures.
- Complies with local, state, and federal rules and regulations, and the requirements of accrediting bodies.
- Performs other duties as assigned such as representing the group to management internally & externally as needed; responding to management inquiries and requests, etc.
- Attends and participates in department and hospital meetings, in-services, and quality improvement teams.
- Participates in the on-call weekend coverage rotation.
- Contributes to the accomplishment of department and hospital objectives.
- Projects a positive personal and professional image of the Patient Access Representative, department, and hospital at all times, under all circumstances.
- Maintains a clean and orderly work area.
SHIFT REQUIREMENTS:
Overtime Required:
Infrequently Sometimes Often n/a (exempt position)
OTHER FUNCTIONS:
- Maintains compliance with all company policies, procedures and standards of conduct.
- Complies with HIPAA privacy and security requirements to maintain confidentiality at all times.
- Performs other duties as assigned.
ADDITIONAL JOB DESCRIPTION:
Education:
- High School Diploma or equivalent (required)
Experience:
- At least one year of registration experience (preferred)
JOB COMPETENCY:
KNOWLEDGE, SKILLS, AND ABILITIES critical to this role:
- Must be dependable, professional and a team player.
- Critical thinking skills.
- Solid oral and written communication skills.
- Ability to multi-task and be flexible with job demands.
- Energetic, motivated individual that connects well with people.
ADDITIONAL RESPONSIBILITIES:
- Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
- Maintains confidentiality and protects sensitive data at all times.
- Adheres to organizational and department specific safety standards and guidelines.
- Works collaboratively and supports efforts of team members.
- Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Patient Registrar
Verify your credentials meet EB-3 requirements
EB-3 skilled worker classification requires at least two years of training or experience. Gather documentation of any healthcare administration coursework, medical terminology certifications, or prior registration work before approaching employers about sponsorship.
Target health systems with PERM filing history
Large hospital networks and academic medical centers file PERM applications far more regularly than independent clinics. Search the DOL's OFLC disclosure data by occupation to identify employers who have previously sponsored Patient Registrar or healthcare support roles.
Search verified sponsoring employers on Migrate Mate
Filter by Patient Registrar roles and green card sponsorship status on Migrate Mate to find employers actively filing I-140 petitions. This cuts out the guesswork of cold-applying to employers who have no PERM infrastructure in place.
Clarify sponsorship timing during the offer stage
PERM requires the employer to pay the prevailing wage at the time your green card is approved, not just when you were hired. Ask HR whether the offer letter reflects the DOL wage level documented in the Labor Condition Application to avoid a wage gap at approval.
Check the prevailing wage before negotiating your offer
Use the OFLC Wage Search to look up the DOL prevailing wage for Patient Registrar roles in the specific metropolitan area where the job is located. Your offered wage must meet or exceed this figure for PERM certification to proceed without a DOL audit.
Understand how EB-3 priority dates affect your timeline
For most countries outside India and China, EB-3 priority dates are current or close to current, meaning your wait from I-140 approval to adjustment of status can be under two years. Check the USCIS Visa Bulletin monthly once your I-140 is approved.
Green Card Patient Registrar: Frequently Asked Questions
Can a Patient Registrar role qualify for an employment-based green card?
Yes. Patient Registrar positions typically qualify under the EB-3 skilled worker category, which covers roles requiring at least two years of training or experience. Employers must complete PERM labor certification through the DOL before filing the I-140 petition with USCIS, demonstrating that no qualified U.S. worker was available for the position.
How does EB-3 green card sponsorship differ from H-1B sponsorship for this role?
H-1B visa requires the role to qualify as a specialty occupation with a direct degree requirement, which can be difficult to establish for Patient Registrar positions. EB-3 has no annual lottery, no cap pressure at most nationalities, and leads to permanent residency rather than a renewable temporary status. The tradeoff is a longer overall timeline, typically two to four years from PERM filing to a green card for most countries.
What documentation should I gather before asking an employer to sponsor my green card?
Collect proof of any relevant education, healthcare administration or medical terminology certifications, and prior employment records showing at least two years of related experience. If you hold a foreign credential, consider getting it evaluated by a NACES-approved agency so your employer's immigration counsel can confirm EB-3 eligibility before initiating the PERM process.
How do I find Patient Registrar jobs where the employer already sponsors green cards?
Most job postings don't specify green card sponsorship availability, so searching by job title alone misses the relevant employers. Migrate Mate aggregates employer green card filing history alongside job listings, letting you filter directly for Patient Registrar roles at employers with active EB-3 sponsorship programs rather than asking about sponsorship after interviews.
Does my employer have to keep paying me through the entire PERM and I-140 process?
Yes. You must remain continuously employed with the sponsoring employer in the same or a comparable role throughout the PERM and I-140 stages. If you leave before your I-485 adjustment of status application has been pending for 180 days, you generally cannot port the petition to a new employer under AC21 portability rules and would need to restart the process.