Green Card Revenue Cycle Specialist Jobs
Revenue Cycle Specialist jobs with green card sponsorship are available through employers willing to file PERM labor certification with the Department of Labor, followed by an I-140 petition and adjustment of status or consular processing. EB-2 and EB-3 pathways both apply depending on your degree and experience, leading to lawful permanent residency.
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Get Access To All JobsINTRODUCTION
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
ROLE AND RESPONSIBILITIES
The Collections Specialist will be responsible for assigned open AR reporting with the goal of reducing delinquency for all assigned aging. In addition to customer calls, emails, open AR reporting, and account adjustment recommendations.
DUTIES AND RESPONSIBILITIES:
- Generate aged accounts receivable reports for assigned accounts to review with management.
- Prepare client-specific reports.
- Thoroughly review open accounts and any issues prior to contacting client.
- Develop positive relationship with client contact to review open A/R on a weekly basis to reduce DSO.
- Create and maintain collection documentation for each client.
- Conduct business-to-business calls and/or correspondence in a fast-paced, goal-oriented environment.
- Provide excellent customer service regarding collection issues; review and resolve client discrepancies and short payments as identified.
- Responsible for customer calls, emails, open A/R reporting, account adjustment recommendations.
- Accountable for reducing delinquency for accounts.
- Work closely with departmental management as well as other internal departments, when necessary, to resolve aged accounts.
- Weekly and monthly reporting to direct supervisor.
- Internal and external customer interface.
- Assist leadership in creating and/or updating departmental policies and trending reports.
- Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
- Maintain reliable and predictable attendance during scheduled work hours.
- Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.
- Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
- Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.
QUALIFICATION REQUIREMENTS:
- Bachelor’s degree, or equivalent experience
- Excellent organizational skills and attention to detail
- Excellent problem-solving skills
- Knowledge of Paradigm systems and processes, customers, and industry
- Proven ability to partner and collaborate
- Excellent time management and prioritization
- Self-motivated and able to work with little supervision
- Exceptional computer skills, including Microsoft Office and web-based applications
- Clear, concise and professional verbal and written communication
- Ability to communicate with all members of the company and external customers, using diplomacy and tact
- The ability to operate a personal computer for extended periods
Paradigm Benefits:
- Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster
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INTRODUCTION
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
ROLE AND RESPONSIBILITIES
The Collections Specialist will be responsible for assigned open AR reporting with the goal of reducing delinquency for all assigned aging. In addition to customer calls, emails, open AR reporting, and account adjustment recommendations.
DUTIES AND RESPONSIBILITIES:
- Generate aged accounts receivable reports for assigned accounts to review with management.
- Prepare client-specific reports.
- Thoroughly review open accounts and any issues prior to contacting client.
- Develop positive relationship with client contact to review open A/R on a weekly basis to reduce DSO.
- Create and maintain collection documentation for each client.
- Conduct business-to-business calls and/or correspondence in a fast-paced, goal-oriented environment.
- Provide excellent customer service regarding collection issues; review and resolve client discrepancies and short payments as identified.
- Responsible for customer calls, emails, open A/R reporting, account adjustment recommendations.
- Accountable for reducing delinquency for accounts.
- Work closely with departmental management as well as other internal departments, when necessary, to resolve aged accounts.
- Weekly and monthly reporting to direct supervisor.
- Internal and external customer interface.
- Assist leadership in creating and/or updating departmental policies and trending reports.
- Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
- Maintain reliable and predictable attendance during scheduled work hours.
- Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.
- Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
- Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.
QUALIFICATION REQUIREMENTS:
- Bachelor’s degree, or equivalent experience
- Excellent organizational skills and attention to detail
- Excellent problem-solving skills
- Knowledge of Paradigm systems and processes, customers, and industry
- Proven ability to partner and collaborate
- Excellent time management and prioritization
- Self-motivated and able to work with little supervision
- Exceptional computer skills, including Microsoft Office and web-based applications
- Clear, concise and professional verbal and written communication
- Ability to communicate with all members of the company and external customers, using diplomacy and tact
- The ability to operate a personal computer for extended periods
Paradigm Benefits:
- Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Revenue Cycle Specialist
Match your credentials to the right EB category
If you hold a bachelor's degree in health information management, business, or a related field, you likely qualify under EB-3. A master's degree or a bachelor's plus five years of progressive revenue cycle experience can qualify you under EB-2, which sometimes moves faster depending on your country of birth.
Look for employers with PERM filing history
Target health systems, hospital networks, and revenue cycle management companies that have sponsored foreign workers before. Use Migrate Mate to search for employers with verified green card sponsorship history in healthcare billing and coding roles, so you're not guessing at willingness to sponsor.
Understand the PERM recruitment test before interviewing
Your employer must conduct a DOL-mandated recruitment process before filing PERM, advertising the role at the prevailing wage and showing no qualified U.S. workers applied. Knowing this helps you frame your specialized skills, especially in medical coding systems or denial management, as genuinely hard-to-fill requirements.
Verify prevailing wage using the OFLC Wage Search
Before you negotiate an offer, check the DOL prevailing wage for Revenue Cycle Specialist roles in your metro area using the OFLC Wage Search. Your employer must pay at least this wage throughout the PERM process, and an offer below it will delay or block certification.
Get your credentials evaluated before the I-140 stage
If your healthcare administration or accounting degree was earned outside the U.S., obtain a credential evaluation from a NACES-member service before your employer files the I-140. USCIS requires that foreign degrees meet U.S. equivalency standards, and gaps here are a common source of requests for evidence.
Track your priority date and plan for country-based backlogs
Your priority date is set when your employer files PERM. If you were born in India or China, the gap between that date and when a visa number becomes available can be significant. Check the USCIS monthly Visa Bulletin and ask your employer about concurrent I-485 filing eligibility to avoid delays.
Green Card Revenue Cycle Specialist: Frequently Asked Questions
What is the difference between H-1B and green card sponsorship for a Revenue Cycle Specialist?
H-1B visa sponsorship gives you temporary work authorization, typically in three-year increments, and must be renewed. Green card sponsorship through PERM, I-140, and adjustment of status leads to lawful permanent residency with no renewal requirement. The PERM process also requires your employer to test the labor market and pay the DOL prevailing wage, steps that don't apply to H-1B petitions.
Which EB category applies to Revenue Cycle Specialist roles?
Most Revenue Cycle Specialists qualify under EB-3 with a bachelor's degree in health information management, business administration, or a related field. If you hold a master's degree or a bachelor's plus five years of progressive experience in revenue cycle operations, you may qualify under EB-2, which can carry advantages depending on your priority date and country of birth.
How do I find employers willing to sponsor a green card for this role?
Search Migrate Mate for employers with verified green card sponsorship history in healthcare revenue cycle roles. Large hospital systems, physician group management companies, and specialized revenue cycle outsourcing firms are the most common sponsors, as they rely on sustained staffing in billing, coding, and denial management and have HR infrastructure to manage the PERM process.
How long does the PERM process typically take for a Revenue Cycle Specialist position?
DOL processing times for PERM labor certification shift based on application volume and audit rates. After PERM certification, your employer files the I-140 petition with USCIS, and you then wait for a visa number based on your priority date and country of birth. Nationals of high-demand countries like India and China can face multi-year backlogs at the I-485 stage.
Can I change employers after my green card process has started?
Once your I-485 adjustment of status application has been pending for 180 days or more, AC21 job portability lets you move to a new employer in the same or a similar occupation without losing your place in the queue. Your priority date from an approved I-140 can also transfer to a new employer's petition, but confirm eligibility with an immigration attorney before making the move.