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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Overview

Open Jobs8+
Work Type63% On-site
Top LocationRemote
Most JobsOptum

Showing 5 of 8+ Prior Authorization Specialist jobs

Prior Authorization Specialist
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Added 1d ago
Prior Authorization Specialist
Singing River Health System
Pascagoula, Mississippi
Healthcare Administration
Patient Services & Wellbeing
Medical Coding & Billing
On-Site
High School
1,001-5,000

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Referral and Prior Authorization Specialist
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Added 5d ago
Referral and Prior Authorization Specialist
Cone Health
Greensboro, North Carolina
Healthcare Administration
Customer Service & Support
Patient Services & Wellbeing
On-Site
High School
10,000+

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Referral and Prior Authorization Specialist
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Added 2w ago
Referral and Prior Authorization Specialist
Optum
Corvallis, Oregon
Healthcare Administration
Medical Coding & Billing
Patient Services & Wellbeing
$18 - $32/hr
Hybrid
High School
10,000+

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Patient Service Coordinator & Prior Authorization Specialist
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Added 3w ago
Patient Service Coordinator & Prior Authorization Specialist
INSIGHT
Coldwater, Michigan
Administrative & Office Support
Customer Service & Support
Healthcare Administration
On-Site
High School
501-1,000

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Prior Authorization Specialist
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Added 3w ago
Prior Authorization Specialist
General Physician, P.C.
Buffalo, New York
Healthcare Administration
Patient Services & Wellbeing
$17 - $23/hr
Hybrid
High School
1,001-5,000

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Tips 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.