Green Card Prior Authorization Specialist Jobs
Prior Authorization Specialist jobs with green card sponsorship require employers to complete PERM labor certification with the Department of Labor before filing an I-140 petition with USCIS. Health systems and insurance networks sponsor EB-2 and EB-3 candidates in this role, granting lawful permanent residence rather than temporary status.
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INTRODUCTION
At Singing River Health System, caring isn’t just part of the job — it’s in our DNA. Whether we’re saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day.
With pride, passion, and commitment, we will improve health and save lives in our community every day.
Shift:
Monday - Friday (8:00 AM - 4:30 PM)
Location:
Pascagoula Financial Services Building
JOB DESCRIPTION SUMMARY
Job Description
Position Overview:
The Authorization Specialist evaluates medical services ordered for authorization requirements with payers and obtains authorization for diagnostic imaging, radiation therapy, oncology, rheumatology, and other services when necessary for reimbursement.
Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees.
DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.
Education
High School diploma or equivalent required. Associates or bachelor’s degree in business finance, healthcare administration, or related field preferred.
LICENSE
N/A
CERTIFICATIONS
Certification as a Prior Authorization Certified Specialist through the National Board of Prior Authorization Specialists preferred.
Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.
Experience
Experience in a hospital or physician office setting obtaining authorizations for diagnostic imaging services or medical oncology services preferred.
REPORTS TO
Patient Access Services Manager
SUPERVISES
N/A
PHYSICAL DEMANDS
Work involves moderate physical activity: frequently moving about the office, building, or other facilities within the SRHS service area; frequently positioning self to access files, computers, equipment, and other objects; performing repetitive motions with wrists, hands and fingers in using the keyboard and other office equipment.
Work involves being able to perceive the nature of sounds at normal speaking levels, with or without correction. Must demonstrate the ability to communicate, speak, and enunciate to express/exchange ideas and detailed information in person and on the telephone. Work requires a minimum standard of visual acuity, with or without correction, with the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms that are closer to compare data at close vision.
MENTAL DEMANDS
Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines.
Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.
SPECIAL DEMANDS
Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.). Must have working knowledge of MS Outlook, Word, Excel, and PowerPoint.
Work requires the ability to function independently, adapt to workload demands, set priorities, and understand and set goals. Must understand the fundamentals of automated data processing, and be able to quickly gain a detailed understanding of complex computerized and non-computerized information.
Must possess knowledge of medical, coding, and billing terminology. Must have an understanding of Revenue Cycle functions in a hospital setting and thorough knowledge of state and federal laws, as they apply. Must be able to navigate within an Electronic Medical Record (EMR).
If you’re looking for purpose, teamwork, and a place where what you do truly matters, you’ve found it. Let’s do big things together. Apply now and join our team.
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Prior Authorization Specialist
Match your credentials to the right EB category
EB-2 requires a master's degree or a bachelor's plus five years of progressive experience in a directly related field like healthcare administration or utilization management. EB-3 covers a bachelor's degree alone. Know which category fits your background before applying.
Search verified green card sponsors on Migrate Mate
Target employers with active PERM filing history for clinical operations and medical billing roles. Migrate Mate lists employers with verified employment-based green card sponsorship history, searchable by role and location, so you're not guessing at willingness to sponsor.
Verify your prevailing wage before negotiations
Your employer's PERM filing must certify a wage at or above the DOL prevailing wage for your role and location. Use the OFLC Wage Search to look up the wage level for your SOC code before salary discussions so you know what DOL requires.
Look for employers already running active PERM recruitment
PERM requires employers to run a formal recruitment test, including job postings and documentation, before filing. Health systems that have completed PERM for similar roles recently are more likely to have internal HR processes and legal counsel ready to move quickly for you.
Understand your O*NET classification before the I-140
USCIS evaluates whether your duties match the EB-2 or EB-3 specialty occupation definition using O*NET job zone data. Prior Authorization Specialists fall under healthcare support and administration clusters, so your offer letter's duty description should align with that O*NET profile.
Protect your priority date if you change employers
Once your original I-140 is approved, your priority date can carry over to a new employer's petition. Separately, if your I-485 has been pending 180 days or more, AC21 portability lets you move to a same or similar occupation without restarting. Don't conflate these two protections.
Green Card Prior Authorization Specialist: Frequently Asked Questions
Which EB category covers Prior Authorization Specialist roles?
Most Prior Authorization Specialist positions qualify under EB-3 for professionals with a bachelor's degree in a health-related field, or EB-3 skilled worker if the role requires at least two years of experience without a degree requirement. Candidates with a master's degree in healthcare administration, nursing, or a related field, or a bachelor's plus five years of progressive experience, may qualify under EB-2 instead. Your employer's PERM filing will specify the minimum requirements, so the job description must reflect what the role genuinely requires.
How does green card sponsorship differ from H-1B sponsorship for this role?
H-1B visa sponsorship is temporary, capped at 85,000 slots annually, and subject to a lottery. Green card sponsorship through EB-2 or EB-3 is permanent and has no lottery, but it does have per-country annual limits that can create priority-date backlogs, particularly for nationals of India and China. The PERM process also adds steps that H-1B does not require: a formal prevailing wage determination from DOL and a documented recruitment test proving no qualified U.S. workers were available before USCIS reviews the I-140 petition.
How do I find employers who sponsor green cards for Prior Authorization Specialists?
Search Migrate Mate for Prior Authorization Specialist roles filtered by employers with verified PERM and employment-based green card sponsorship history. Large health insurers, hospital systems, and third-party utilization management companies are the most active PERM filers for this occupation. Targeting employers with established PERM programs means the internal HR and legal infrastructure is already in place, which reduces your timeline risk.
What does the PERM labor certification process involve for this role?
Your employer files a PERM application with the Department of Labor after obtaining a prevailing wage determination and completing a formal recruitment test, which includes specific job postings and documentation proving no qualified U.S. worker applied. Only after DOL certifies the PERM can your employer file the I-140 immigrant petition with USCIS. The recruitment test is role-specific, so your employer's job description must accurately reflect the duties and minimum requirements of your actual position.
Can I change jobs after my employer files my PERM application?
Changing employers before your I-140 is approved generally requires restarting the PERM process with the new employer. Once the original I-140 is approved, your priority date can carry over to a new employer's petition. If your I-485 adjustment of status application has been pending for 180 days or more, AC21 portability lets you move to a same or similar occupation without invalidating your pending case. These are two separate protections with different triggering conditions.