Green Card Patient Service Representative Jobs
Patient Service Representative roles at hospitals, clinics, and health systems can qualify for employment-based green card sponsorship under EB-3 for skilled workers or EB-2 for advanced-degree professionals in healthcare administration. Employers initiate the PERM labor certification through DOL before filing an I-140 immigrant petition, putting you on the path to permanent residency.
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Department:
70000 WFBMG University Group Practice: WFBMC Main - Administration: Ambulatory Services
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday-Friday 8:00 am-5:00 pm. Check-in/check-out of all patients. Reminder phone calls, Estimates, collection of copays, Insurance verification.
Pay Range:
$20.80 - $31.20
EDUCATION/EXPERIENCE:
High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.
REPORTS TO:
Supervisor or Manager
LICENSURE, CERTIFICATION, and/or REGISTRATION:
N/A
ESSENTIAL FUNCTIONS:
- Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
- Ensures all patient demographic and insurance information is complete and accurate
- Completes the registration process on walk-in patients, verifies and/or updates patient demographic and insurance information if changes or additions have occurred
- Verifies insurance benefits. Obtains, calculates and collects the patient’s out of pocket financial liability. Requests and collects past due and present balances or estimates due
- Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate
- Identifies patients in need of financial assistance and refers patients to Financial Counselor
- Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collecting additional patient responsibility (when applicable) and providing patient with appropriate documents.
- Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
- Proactively communicates issues involving customer service and process improvement opportunities to management
- Meets productivity requirements to ensure excellent service is provided to customers
- Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
- Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information
SKILLS & QUALIFICATIONS:
- Ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available
- Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations and comply with updates on insurance pre-certification requirements
- Mathematical aptitude, effective oral and written communication skills and critical thinking skills
- Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral, pre-certification and authorization processes.
- Ability to speak effectively to customers or employees of the organization; presents a pleasant, professional demeanor and image during telephone conversation
- Ability to handle sensitive and confidential information according to internal policies
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
- Experience with Microsoft Outlook, Word and Excel and ADT software
- Ability to write routine correspondence, calculate figures and amounts such as discounts and percentages
- Must be able to work with minimal supervision, to problem solve in a high profile and high stress area and interact positively with all internal and external customers while possessing the ability to determine priority of work
WORK ENVIRONMENT:
Exposed to a normal office environment. Must be able to sit the majority of the workday. Occasionally lifts up to 10 lbs. Operates all equipment necessary to perform the job
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
The Patient Services Representative (PSR) is responsible for completing patient registration duties including but not limited to collecting and validating accurate patient demographic and insurance information, obtaining pre-certification or authorization as required, and entering all necessary information into Wake Forest Baptist Medical Center (WFBMC) ADT system. The PSR is responsible for informing the patient of their estimated liability, collecting patient liabilities, identifying patients in need of financial assistance and referring patients to financial counseling as necessary. This position requires multi-tasking and effective problem solving skills. It is expected that the PSR will foster positive relationships with all patients in an effort to provide quality service.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Patient Service Representative
Document your healthcare credentials before applying
Gather transcripts, certifications in medical terminology or billing software, and any HIPAA compliance training records. PERM requires your employer to verify your qualifications match the advertised role, so having organized documentation speeds that verification.
Target health systems with E-Verify enrollment
Large hospital networks and federally funded health centers are required to use E-Verify, which signals established immigration compliance infrastructure. Employers already running I-9 verification through E-Verify are far more likely to have PERM filing experience for patient-facing roles.
Search for sponsoring employers using Migrate Mate
Filter by healthcare employers with active green card filing history for administrative roles. Migrate Mate surfaces DOL labor certification data so you can identify which health systems have sponsored Patient Service Representative positions before applying.
Understand how EB-3 backlog affects your country
EB-3 has no annual numerical cap on petitions, but visa number availability varies by birth country. Nationals of India and China face longer wait times due to per-country limits. Check the USCIS Visa Bulletin before accepting an offer to estimate your priority date timeline.
Ask employers about concurrent I-485 filing eligibility
If your priority date is current when the I-140 is approved, you can file for adjustment of status at the same time, shortening your wait for work authorization. Confirm with the hiring team whether they will support concurrent filing before signing an employment agreement.
Verify the prevailing wage tier before your offer
Your employer must pay at least the DOL prevailing wage for your metro area before PERM is certified. Look up the applicable wage level for Patient Service Representative using the OFLC Wage Search to confirm your offer meets DOL requirements before the labor certification is filed.
Green Card Patient Service Representative: Frequently Asked Questions
Can a Patient Service Representative role qualify for EB-3 green card sponsorship?
Yes. Patient Service Representative positions typically qualify under EB-3 as skilled workers when the role requires at least two years of training or experience, or as professionals when the employer requires a bachelor's degree. The employer files a PERM labor certification with DOL to demonstrate no qualified U.S. workers are available before sponsoring you for permanent residency.
How does green card sponsorship through PERM differ from H-1B sponsorship for this role?
H-1B visa sponsorship is temporary and requires annual renewals, while PERM-based EB-3 sponsorship leads directly to lawful permanent residency with no renewal cycle. H-1B also has an annual lottery with limited cap slots, whereas EB-3 has no petition cap. The PERM process takes longer upfront, often 12 to 24 months for certification and I-140 approval, but the outcome is a green card rather than a temporary status.
What credentials strengthen a PERM application for a Patient Service Representative?
Employers must define minimum qualifications in the PERM job posting, so your credentials need to match exactly what is advertised. Medical terminology certifications, experience with electronic health records systems, bilingual skills in healthcare settings, and customer service certifications like CEHRS can all support a stronger match. Avoid over-qualifying beyond the posted requirements, as that can complicate the PERM audit process.
How do I find Patient Service Representative jobs that offer green card sponsorship?
Most job postings don't advertise PERM sponsorship explicitly, which makes it hard to identify sponsoring employers from listings alone. Migrate Mate aggregates DOL labor certification data so you can search by job title and see which health systems and clinics have a documented history of sponsoring Patient Service Representative roles for green card applicants, saving you from applying to employers unlikely to sponsor.
Can I switch employers after my PERM is certified but before my green card is approved?
Once your I-140 is approved and your priority date is current, portability rules under AC21 allow you to change employers if the new role is in the same or a similar occupational classification and your I-485 has been pending for at least 180 days. Patient-facing healthcare administration roles generally meet the same-or-similar standard, but you should confirm with an immigration attorney before accepting any new offer.