Reimbursement Specialist Green Card Jobs
Reimbursement Specialist roles in healthcare billing and insurance claims qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file an I-140 petition after DOL approval, putting you on a path to permanent residency. Foreign professionals with coding credentials or payer-contract experience find strong sponsorship demand in hospital systems and revenue cycle management firms.
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Get Access To All JobsINTRODUCTION
INTEGRIS HEALTH Oklahoma’s largest not-for-profit health system has a great opportunity for a Reimbursement Specialist Sr. In this position, you’ll work remotely with our Financial Reporting team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today, and learn more about our increased compensation plans and recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
ROLE AND RESPONSIBILITIES
The Senior Regulatory Reporting Analyst will be responsible for preparation of hospital cost reports, net revenue and AR analysis and reporting, reimbursement impact analysis and data mining for the Reimbursement Department. The Senior Analyst will join a Reimbursement team that supports the entire health system. They may work on reimbursement matters and reporting for individual hospital(s) or more than one.
(Core Functions - 75% of time spent) The Reimbursement Specialist Senior responsibilities include but are not limited to, the following:
- Responsible for collecting, recording and reviewing all documentation required by CMS for submission in several key areas: Organ Acquisition, Bad Debts and DSH
- Responsible for collecting, recording, reviewing, and reconciling all Physician Time Studies
- Actively participate in and contribute to ad hoc revenue analysis projects
- Preparation and submission of accurate and timely Medicare and other third-party cost reports in compliance with CMS regulations
- Manages and coordinates Medicare cost report audits including wage index, EHR and other special audits including review of proposed audit adjustments
- Assists with the identification of Medicare issues that should be appealed or reopened
- Reviews the reasonableness and accuracy of interim reimbursement rates and special payments from Medicare and third-party payors and follow up with the MAC as appropriate
- Prepares monthly contractual allowances for Medicare and Medicaid
- Prepares monthly cost report reserves schedules
- Prepares and submits annual Medicaid DSH surveys and participates in the annual Medicaid DSH audits and year end Cost Report filings
- Monitors proposed and final changes in Medicare regulations and reimbursement and provide updated schedules for the reimbursement department Reports to the System Reimbursement Director
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally) Standing/Walking: Occasionally; activity exists up to 1/3 of the time Keyboarding/Dexterity: Frequently; activity exists 1/3 to 2/3 of the time Talking (Must be able to effectively communicate verbally): Yes Seeing: Yes Hearing: Yes Color Acuity (Must be able to distinguish and identify colors): No No inherent job hazards. Heavy work volume and tight deadlines as well as high degree of accuracy required. May experience frequent interruptions (telephone and walk in), exposed to the anger of unsatisfied customers (physicians and public), and involved in multiple projects at any given time. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
BASIC QUALIFICATIONS
Experience:
- 3-5 years of experience in hospital third party reimbursement
Education:
- Bachelors degree in Accounting/Finance or business-related field or five years equivalent work experience
PREFERRED QUALIFICATIONS
Experience:
- Experience with the Medicare Administrative Contractor is highly preferred
- Experience with PeopleSoft and Epic is highly preferred
INTEGRIS Health mission: Partnering with people to live healthier lives.
To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.
INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
INTRODUCTION
INTEGRIS HEALTH Oklahoma’s largest not-for-profit health system has a great opportunity for a Reimbursement Specialist Sr. In this position, you’ll work remotely with our Financial Reporting team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today, and learn more about our increased compensation plans and recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
ROLE AND RESPONSIBILITIES
The Senior Regulatory Reporting Analyst will be responsible for preparation of hospital cost reports, net revenue and AR analysis and reporting, reimbursement impact analysis and data mining for the Reimbursement Department. The Senior Analyst will join a Reimbursement team that supports the entire health system. They may work on reimbursement matters and reporting for individual hospital(s) or more than one.
(Core Functions - 75% of time spent) The Reimbursement Specialist Senior responsibilities include but are not limited to, the following:
- Responsible for collecting, recording and reviewing all documentation required by CMS for submission in several key areas: Organ Acquisition, Bad Debts and DSH
- Responsible for collecting, recording, reviewing, and reconciling all Physician Time Studies
- Actively participate in and contribute to ad hoc revenue analysis projects
- Preparation and submission of accurate and timely Medicare and other third-party cost reports in compliance with CMS regulations
- Manages and coordinates Medicare cost report audits including wage index, EHR and other special audits including review of proposed audit adjustments
- Assists with the identification of Medicare issues that should be appealed or reopened
- Reviews the reasonableness and accuracy of interim reimbursement rates and special payments from Medicare and third-party payors and follow up with the MAC as appropriate
- Prepares monthly contractual allowances for Medicare and Medicaid
- Prepares monthly cost report reserves schedules
- Prepares and submits annual Medicaid DSH surveys and participates in the annual Medicaid DSH audits and year end Cost Report filings
- Monitors proposed and final changes in Medicare regulations and reimbursement and provide updated schedules for the reimbursement department Reports to the System Reimbursement Director
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally) Standing/Walking: Occasionally; activity exists up to 1/3 of the time Keyboarding/Dexterity: Frequently; activity exists 1/3 to 2/3 of the time Talking (Must be able to effectively communicate verbally): Yes Seeing: Yes Hearing: Yes Color Acuity (Must be able to distinguish and identify colors): No No inherent job hazards. Heavy work volume and tight deadlines as well as high degree of accuracy required. May experience frequent interruptions (telephone and walk in), exposed to the anger of unsatisfied customers (physicians and public), and involved in multiple projects at any given time. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
BASIC QUALIFICATIONS
Experience:
- 3-5 years of experience in hospital third party reimbursement
Education:
- Bachelors degree in Accounting/Finance or business-related field or five years equivalent work experience
PREFERRED QUALIFICATIONS
Experience:
- Experience with the Medicare Administrative Contractor is highly preferred
- Experience with PeopleSoft and Epic is highly preferred
INTEGRIS Health mission: Partnering with people to live healthier lives.
To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.
INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
See all 16+ Reimbursement Specialist jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Reimbursement Specialist
Target hospital systems with revenue cycle departments
Large health systems and academic medical centers run in-house reimbursement teams and have established PERM filing infrastructure. Smaller billing services often lack the legal budget to manage multi-year green card sponsorship for overseas candidates.
Use Migrate Mate to find green card sponsoring employers
Search Migrate Mate to filter Reimbursement Specialist roles by employers with active EB-2 or EB-3 PERM filing history, so you're targeting companies that have already committed to sponsoring this occupation rather than asking employers to start from scratch.
Understand how PERM wage levels affect your offer
DOL requires your offered salary to meet the prevailing wage for your geographic area and experience level. Run your target role and location through the OFLC Wage Search before negotiating so you know the minimum wage the employer must commit to in the PERM filing.
Confirm EB-2 versus EB-3 classification with your employer
Reimbursement Specialists with a bachelor's degree and standard experience typically qualify under EB-3. If your role requires an advanced degree or your employer can justify an advanced-degree requirement in the job description, EB-2 priority dates move faster for most countries outside India and China.
Ask about PERM audit history before accepting an offer
Some employers have received DOL audit notices on previous PERM filings for billing and coding roles, which can delay your case 12 to 24 months. Ask HR whether prior reimbursement filings completed without audit or required supplemental documentation before you sign.
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Find Reimbursement Specialist JobsReimbursement Specialist Green Card Sponsorship: Frequently Asked Questions
Does a Reimbursement Specialist role qualify for EB-2 or EB-3 green card sponsorship?
Both categories are available depending on how the employer structures the job requirements. EB-3 applies when the role requires a bachelor's degree in health information, business, or a related field. EB-2 applies when the employer can document a legitimate business need for an advanced degree, such as a master's in health administration or a combination of degree and specialized payer-contract expertise.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
PERM sponsorship targets permanent residency, not a temporary work visa. There is no annual lottery at the EB-3 level, so your employer's filing doesn't depend on a random selection in April. The tradeoff is timeline: PERM labor certification, I-140 approval, and adjustment of status together typically run two to four years for most nationalities, compared to three-year H-1B status that begins sooner but requires renewal.
What does the PERM labor certification process actually require for a Reimbursement Specialist?
Your employer must conduct a DOL-mandated recruitment campaign, advertise the position at the prevailing wage level, and certify no qualified U.S. workers were available. For billing and reimbursement roles, DOL audits are more common when job duties include standard functions, so employers often document specialized payer knowledge, software proficiency, or compliance scope to justify the filing.
How do I find Reimbursement Specialist jobs where the employer already sponsors green cards?
Search Migrate Mate to filter roles by employers with verified PERM and I-140 filing history in healthcare billing and revenue cycle management. Targeting companies that have already sponsored this occupation reduces the time spent educating HR teams about PERM requirements and speeds up your path from offer letter to filed petition.
Can I switch employers after my I-140 is approved without losing my place in the green card queue?
Yes, if your I-140 has been approved for 180 days or more and your new role is in the same or a similar occupational classification, portability under AC21 lets you transfer your priority date to a new employer's petition. Revenue cycle and reimbursement roles generally share the same O*NET classification, which supports portability arguments, but your new employer must still file a new I-140 petition.
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