Green Card Pre Sales Engineer Jobs
Pre Sales Engineer roles sit squarely in the EB-2 and EB-3 specialty occupation categories, making PERM labor certification a well-established path to green card sponsorship. Employers file on your behalf after completing the DOL recruitment process, and your technical degree and client-facing engineering credentials are central to building a strong I-140 petition.
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Location
Remote, US
Scheduled Hours
40
Position Summary
This advanced level Pre-certification Coordinator specializes in complex pre-certifications for high dollar oncology and/or non-oncology drugs as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department. This position may also perform rechecks of insurance eligibility and verify authorization information for each service. This position will also document all pertinent authorization information in Epic and communicate with clinical staff and providers in a timely and effective manner.
Job Description
Primary Duties & Responsibilities:
- Completes pre-certifications for complex and high dollar drugs as indicated on therapy and treatment plans. Must read and analyze therapy and treatment plans, drug protocols and clinical documentation, as well as payer policies and patient benefits. Completes the authorization process with the payer and in EPIC.
- Completes rechecks on existing pre-certifications by verifying insurance eligibility and all authorization information for all applicable services. Confirms all recheck information is documented in EPIC.
- Works with clinical staff and providers on add-ons, denials and peer to peers through to resolution in a timely fashion.
- Other duties as assigned, such as assistance with denials, rejections and appeals.
Working Conditions:
Job Location/Working Conditions
Normal office environment
Physical Effort
Typically sitting at desk or table
Equipment
- Office equipment
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications /Professional Licenses:
No specific certification/professional license is required for this position.
Work Experience:
Clinical Office, Medical Billing, Health Information Management (HIM), or Pre-Certification (3 Years)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Preferred Qualifications
- Coding experience and previous pre-certification experience preferred.
- Applicant must have a thorough understanding of both Washington University insurance database and insurance terminology.
- Experience interacting with managed care plans, insurance companies and third-party payers.
- Ability to work with internal and external customers, including physicians, nurses, patients and families.
Preferred Qualifications
Education:
Associate degree
Certifications /Professional Licenses:
Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Communication, Detail-Oriented, Epic EHR, Fast-Paced Environments, Health Insurance Portability & Accountability Act (HIPAA), Insurance Terminology, Interpersonal Communication, Multitasking, Organizational Savvy, Prioritization
Grade
C09-H
Salary Range
$23.63 - $35.49 / Hourly
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Pre Sales Engineer
Document your specialty occupation evidence early
Pre Sales Engineers often blur the line between sales and engineering in job descriptions. Gather performance reviews, technical certifications, and project documentation that prove the role genuinely requires a specialized engineering degree, not just general business experience.
Target employers with established PERM filing history
Mid-to-large enterprise software and hardware companies run PERM processes routinely. Search Migrate Mate to filter Pre Sales Engineer roles by employers who have active green card sponsorship history, saving you the guesswork of cold outreach.
Understand how your role is classified under O*NET
PERM petitions use DOL occupation codes tied to O*NET. Pre Sales Engineers typically fall under Sales Engineers or related technical codes. Confirm your employer's intended classification early, since a mismatch can delay or complicate your labor certification.
Verify the prevailing wage tier before your offer letter
Before signing, ask your employer to run your title and location through the OFLC Wage Search. The wage tier assigned affects your offered salary and your PERM filing. A Level I wage, common for new hires, can trigger audit scrutiny if your duties are senior-level.
Negotiate PERM filing timing into your employment terms
Most employers won't start PERM until you've completed a probationary period, often six to twelve months. Clarify this timeline during the offer stage, not after onboarding, so you can plan your overall green card timeline realistically.
Use EB-3 as a parallel path if your degree field is narrow
If your degree is in a field that doesn't map cleanly to your Pre Sales Engineer duties, EB-3 skilled worker can be a more defensible category than EB-2. USCIS scrutinizes degree-to-role alignment, and EB-3 carries a lower evidentiary threshold for qualifying experience.
Green Card Pre Sales Engineer: Frequently Asked Questions
Do Pre Sales Engineer roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories apply depending on your qualifications. EB-2 covers advanced-degree professionals or candidates with strong credentials in a specialty occupation. EB-3 covers roles requiring at least a bachelor's degree or two years of specialized training. Pre Sales Engineers typically qualify under either path because the role requires applied engineering knowledge, but your employer's PERM filing will specify the category based on the stated minimum requirements for the position.
How does PERM green card sponsorship differ from H-1B for a Pre Sales Engineer?
The H-1B visa is a temporary nonimmigrant visa requiring annual cap registration and a lottery for most employers. PERM sponsorship targets permanent residency with no annual cap at the EB-3 level for most countries outside India and China. The PERM process itself takes longer, often one to three years from labor certification through I-140 approval and visa availability, but the outcome is a green card rather than renewable temporary status.
How can I find Pre Sales Engineer jobs with green card sponsorship?
Migrate Mate is built specifically for this search. You can filter roles by visa sponsorship type, including EB-2 and EB-3 PERM sponsorship, so you're only seeing employers who have demonstrated willingness to sponsor foreign professionals. This is far more efficient than filtering general job boards where sponsorship status is rarely disclosed upfront.
What happens to my PERM case if I change employers during the process?
The PERM labor certification is tied to the sponsoring employer, not to you personally. If you leave before USCIS approves your I-140, you generally lose the labor certification and must restart with a new employer. However, once your I-140 is approved and you've been in the process for more than 180 days, AC21 portability rules may allow you to transfer the petition to a new employer in a same or similar occupational category.
Does a Pre Sales Engineer need client-facing experience documented for the PERM process?
Not in the way you might expect. PERM documentation focuses on the minimum requirements for the position, not on your individual resume highlights. What matters is that your employer can demonstrate the role genuinely requires a specialized degree and that the offered wage meets DOL prevailing wage standards. USCIS reviews your I-140 credentials separately to confirm you meet those stated minimums, where your technical background and engineering qualifications become directly relevant.