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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Job Summary:
Performs reception, registration and billing functions in the front office of the Medical Practice to facilitate the effective delivery of patient care.
Minimum Education:
High School Diploma or GED.
Licensure, Registration and/or Certification:
None.
Work Experience:
Minimum 6 months of front facing customer service or medical office experience, preferred.
Knowledge, Skills and Abilities:
- Demonstrated PC skills.
- Effective organization of multi-task role.
- Ability to accurately record and interpret data.
- Effective interpersonal, written and oral communication skills.
- Ability to organize and prioritize work in an effective and efficient manner.
- Ability to learn quickly.
- Effective critical thinking and use of logic.
Essential Functions and Responsibilities:
- Maintains exemplary patient satisfaction and participates as an engaged team member.
- Greets and directs patients and visitors according to established office protocols.
- Informs patients of delays in care.
- Communicates schedule changes to physicians, clinical assistants and other staff as appropriate.
- Maintains and corrects environment for cleanliness and safety.
- Schedules appointments, registers demographic and billing information, determines eligibility to accommodate patient's care in the medical office.
- Successfully uses the EMR and other computer applications to accomplish tasks according to policies and procedures.
- Maintains medical records including preparation of charts, filing of correspondence and test results.
- Prepares encounter forms and other supporting billing documentation.
- Maintains and distributes provider schedules including application of templates, hold times, etc.
- Determines and collects co-pays and deductibles from patients.
- Requests payments of self pay balances according to policies.
- Responsible for preparation of cash receipts, bank deposits and balancing of cash drawer on a daily basis.
- Converts provider written description of diagnosis to appropriate ICD-9 code.
- Posts charges and payments to patient accounts.
- Reviews and corrects rejected or denied claims.
- Reviews and assists in collections of past due accounts.
- Prepares phone notes for communication to the provider from patients, pharmacists, and other healthcare sources.
- Makes calls to patients to remind them of pending appointments or communication from provider.
- Distributes mail and other communication to patients, providers and staff.
- Determines eligibility and obtains authorization for services.
- Schedules tests and appointments for referred services.
- Tracks referrals made for specified services.
- Participates in quality initiatives and safety functions.
- Assists in identifying and ordering needed supplies.
- Remains informed and compliant with current Health System, Warren Clinic, HIPAA and OSHA policies and procedures.
Decision Making:
Independent judgment in planning the sequence of operations and making decisions in a complex technical or professional field.
Working Relationships:
- Works directly with patients and/or customers.
- Works with internal / external customers.
- Works with other healthcare professionals and staff.
- Works frequently with individuals at director level or above.
Special Job Dimensions:
None.
Supplemental Information:
This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Location:
Tulsa, Oklahoma 74136
EOE Protected Veterans/Disability
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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.