Green Card Revenue Cycle Manager Jobs
Revenue Cycle Manager green card sponsorship follows the EB-2 or EB-3 employment-based path, requiring PERM labor certification before your employer files an I-140 immigrant petition. Health systems, hospital networks, and large physician groups regularly sponsor this role, recognizing that RCM expertise in coding compliance, payer contract management, and denial reduction is difficult to source domestically.
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Get Access To All JobsAt Bristol Hospital and Health Care, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Hospital and Health Care your choice.
Position Summary:
The Systems Manager of Revenue Cycle Shared Services oversees daily operations of Cash Posting, Customer Service and Vendor Management across Bristol Health. This role ensures accurate payment posting, timely resolution of credit balances and refunds, high-quality customer service and revenue cycle vendors meet or exceed expectations. The manager also supports system development and process improvements across revenue cycle.
Essential Job Functions and Responsibilities:
- Lead daily operations for cash posting, customer service and self-pay collections.
- Ensure accurate and timely posting of payments, reconciliation, and resolution of credit balances.
- Maintain 100% balancing expectations in relation to system processes, manual processes, general ledger, cash responsibilities, end-of-day deposit composition, and daily reconciliation.
- Interface with patients and other operational departments to investigate and expedite patient or outside agency complaints, either written or oral, arising from the billing and collection process.
- Manage relationships with revenue cycle vendors, ensuring performance consistently meets or exceeds organizational expectations.
- Oversee financial assistance processing, county applications, and indigent care.
- Monitor KPIs including call volume, hold times, and recovery rates.
- Supervise and support staff performance, training, and development.
- Collaborate with internal departments and external partners to resolve issues and improve processes.
- Participate in system upgrades, testing, and implementation of new tools.
Maintain a strong knowledge base of reimbursement procedures of third party and private insurance payers, state and federal regulations, and local regulations relating to insurance and private collections.
Educational / Minimum Requirements:
- BA or BS, preferably in Business, Accounting, or Finance, or equivalent work experience
- Five (5) years’ experience in healthcare preferred, including significant experience specialized in cash handling, reconciliation, and cash management areas as identified above.
- Three (3) years’ previous supervisory experience in healthcare preferred.
- Knowledge of state and federal regulations as they pertain to collection processes and procedures.
State/Federal Mandated Licensure or Certification Requirements:
None
Bristol Hospital Mandated Educational Requirements:
General orientation at time of hire. Fire/Safety/Infection Control annually.
Special Requirements:
Ability to effectively manage multiple tasks and projects. Strong computer analytical skills with an aptitude for learning new software programs and the ability to assimilate changes. Outstanding supervisory and interpersonal skills.
Physical Requirements:
Prolonged sitting at a desk and/or computer terminal. Significant paperwork requiring extensive eye usage. Physically able to handle paperwork and patient filing. Vision and hearing corrected to normal.
Work Environment:
Normal office conditions.
Cognitive Requirements:
Strong interpersonal skills; ability to deal effectively with physicians, clients, and other related professional personnel. Excellent mathematical and analytical skills; must be able to reconcile patient accounts and spreadsheets expediently. Detail oriented personality. Excellent written and oral communication skills. Ability to work independently with minimal direct supervision.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
At Bristol Hospital and Health Care, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Hospital and Health Care your choice.
Position Summary:
The Systems Manager of Revenue Cycle Shared Services oversees daily operations of Cash Posting, Customer Service and Vendor Management across Bristol Health. This role ensures accurate payment posting, timely resolution of credit balances and refunds, high-quality customer service and revenue cycle vendors meet or exceed expectations. The manager also supports system development and process improvements across revenue cycle.
Essential Job Functions and Responsibilities:
- Lead daily operations for cash posting, customer service and self-pay collections.
- Ensure accurate and timely posting of payments, reconciliation, and resolution of credit balances.
- Maintain 100% balancing expectations in relation to system processes, manual processes, general ledger, cash responsibilities, end-of-day deposit composition, and daily reconciliation.
- Interface with patients and other operational departments to investigate and expedite patient or outside agency complaints, either written or oral, arising from the billing and collection process.
- Manage relationships with revenue cycle vendors, ensuring performance consistently meets or exceeds organizational expectations.
- Oversee financial assistance processing, county applications, and indigent care.
- Monitor KPIs including call volume, hold times, and recovery rates.
- Supervise and support staff performance, training, and development.
- Collaborate with internal departments and external partners to resolve issues and improve processes.
- Participate in system upgrades, testing, and implementation of new tools.
Maintain a strong knowledge base of reimbursement procedures of third party and private insurance payers, state and federal regulations, and local regulations relating to insurance and private collections.
Educational / Minimum Requirements:
- BA or BS, preferably in Business, Accounting, or Finance, or equivalent work experience
- Five (5) years’ experience in healthcare preferred, including significant experience specialized in cash handling, reconciliation, and cash management areas as identified above.
- Three (3) years’ previous supervisory experience in healthcare preferred.
- Knowledge of state and federal regulations as they pertain to collection processes and procedures.
State/Federal Mandated Licensure or Certification Requirements:
None
Bristol Hospital Mandated Educational Requirements:
General orientation at time of hire. Fire/Safety/Infection Control annually.
Special Requirements:
Ability to effectively manage multiple tasks and projects. Strong computer analytical skills with an aptitude for learning new software programs and the ability to assimilate changes. Outstanding supervisory and interpersonal skills.
Physical Requirements:
Prolonged sitting at a desk and/or computer terminal. Significant paperwork requiring extensive eye usage. Physically able to handle paperwork and patient filing. Vision and hearing corrected to normal.
Work Environment:
Normal office conditions.
Cognitive Requirements:
Strong interpersonal skills; ability to deal effectively with physicians, clients, and other related professional personnel. Excellent mathematical and analytical skills; must be able to reconcile patient accounts and spreadsheets expediently. Detail oriented personality. Excellent written and oral communication skills. Ability to work independently with minimal direct supervision.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
See all Green Card Revenue Cycle Manager Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Revenue Cycle Manager
Document your RCM credentials before applying
PERM requires your employer to prove you meet the job's minimum requirements. Gather degree transcripts, RHIA or CRCR certifications, and reference letters that map your experience to specific RCM functions before the recruitment phase begins.
Target health systems with established PERM history
Large hospital networks and academic medical centers file PERM applications regularly for revenue cycle roles. Use Migrate Mate to search employers with verified green card sponsorship history for Revenue Cycle Manager positions, filtered by location and organization type.
Understand how the OFLC Wage Search affects your offer
PERM sets your base salary at the DOL-determined prevailing wage for your SOC code and work location. Cross-reference any offer against the OFLC Wage Search for the Revenue Cycle Manager classification before accepting, so you know if the wage qualifies.
Align your degree to EB-2 or EB-3 early
EB-2 applies if you hold an advanced degree or a bachelor's plus five years of progressive RCM experience. EB-3 covers a bachelor's degree alone. Knowing your category before the offer stage lets you and your employer structure the PERM job description correctly.
Track your priority date if you're from India or China
Per-country annual limits create backlogs for Indian and Chinese nationals. File your I-140 as early as possible so your priority date is established, and monitor the USCIS Visa Bulletin monthly for movement in the EB-2 or EB-3 preference category.
Understand AC21 portability before switching employers
If your I-485 has been pending 180 days or more and your new role is in the same or a similar RCM occupation, AC21 lets you change employers without restarting the green card process. Confirm the occupational similarity with an immigration attorney before giving notice.
Green Card Revenue Cycle Manager: Frequently Asked Questions
Can a Revenue Cycle Manager role qualify for EB-2 green card sponsorship?
Yes. Revenue Cycle Manager positions typically require a bachelor's degree in health information management, business administration, or a related field. If you also hold a master's degree or have a bachelor's plus five years of progressive RCM experience, the role can qualify under EB-2. Employers document the degree requirement in the PERM job description, and DOL must certify it before the I-140 is filed with USCIS.
How does green card sponsorship for this role differ from H-1B sponsorship?
H-1B visa sponsorship is temporary, capped at six years in most cases, and subject to an annual lottery. Green card sponsorship through EB-2 or EB-3 leads to lawful permanent residency with no renewal requirement. The employer must complete PERM labor certification with the Department of Labor, including a prevailing wage determination and a formal recruitment test, before filing the I-140 immigrant petition with USCIS. There's no lottery, but per-country backlogs can create wait times for nationals of high-demand countries.
How do I find employers who sponsor green cards for Revenue Cycle Manager roles?
Search Migrate Mate for Revenue Cycle Manager positions with verified employment-based green card sponsorship history. Migrate Mate lists U.S. employers with documented PERM and I-140 filing activity for this occupation, so you can focus your applications on organizations that have already committed to sponsoring the role rather than negotiating sponsorship from scratch during the offer stage.
What does the PERM recruitment process mean for my job search timeline?
Before DOL certifies the PERM application, your employer must advertise the Revenue Cycle Manager position and show that no qualified U.S. workers applied. This recruitment phase adds months to the process before PERM is even filed. Employers typically begin PERM only after extending a job offer, so your timeline from offer to I-140 approval often runs 12 to 24 months, excluding any priority date backlog.
Can I change employers after my green card process has started?
It depends on where you are in the process. Once your I-485 adjustment of status application has been pending for 180 days or more, AC21 portability lets you move to a new employer in the same or a similar RCM occupation without restarting your green card case. Your priority date, established when your original I-140 was approved, can also carry over to a new employer's I-140 petition, protecting the time you've already waited.