H-1B Visa Patient Service Representative Jobs
Patient Service Representative roles at large hospital systems and multi-site clinic networks regularly appear in H-1B visa LCA filings, particularly for candidates with healthcare administration credentials. Employers must certify prevailing wages through DOL before USCIS adjudicates your petition, and the 85,000-slot annual cap means timing your job search around the April filing window matters.
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INTRODUCTION
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
SUMMARY
The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in the hospital, ambulatory or medical office setting. The PFSR engages with the patient or guarantor to obtain pertinent information and answer any questions in an effort to ensure that all required demographic, financial, and insurance eligibility information is gathered and verified. Ensures all required notices and consent forms are signed accordingly.
Responsibilities
- May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.
- May confirm physician and prescription orders ensuring accuracy.
- May schedule walk-in appointments for services offered.
- Collects patient out-of-pocket responsibility per collection guidelines.
- Provides patient estimates as requested.
- Prepares and balances a daily deposit of all payment collections.
- Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner.
- May guide the patient to appropriate destination for services.
- Obtains pre-certification and authorization.
- Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active.
- Determines correct insurance filing order, if multiple insurance coverages are effective for that service.
- Explains policies including all regulatory and financial consent forms; secures all required signatures.
- Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.
COMPETENCIES
- ACCOUNTABILITY
- ACCURACY & QUALITY
- CUSTOMER SERVICE
- EFFECTIVE COMMUNICATION
- ORGANIZATION SKILLS
- PATIENT AND FAMILY CENTERED CARE
- PROBLEM SOLVING
- PRODUCTIVITY
- RESPONDING TO CHANGE
- STANDARDS OF BEHAVIOR
- TEAM WORK
EDUCATION AND CERTIFICATION REQUIREMENTS
High School Diploma or Equivalent (Required)
ADDITIONAL JOB INFORMATION
Complexity of Work: Requires excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to work and build relationships collaboratively.
Required Work Experience: No experience required. One (1) year of related hospital, medical office, or customer service experience preferred.
Other Information: In Memorial Physician Group (specialty practices), additional responsibilities include:
1. obtain specialty authorizations
2. authorization denial and peer to peer process
3. patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations
4. handle all incoming calls and physician and hospital back line
5. obtain and confirm referrals
In the Hospital, additional responsibilities include:
1. Upon validation of patient identity, place identification band on patient
2. obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting
3. obtain authorizations for walk-in appointments
4. determine when financial assistance is needed.
In Memorial Primary Care, additional responsibilities include:
1. MIH-MPC program patient referral, payment collection and eligibility scheduling
2. process referral work-ques and same day access requests
3. work with Patient Access Center on real time patient requests
4. address prescription refill requests, patient advice requests through MyChart, and provider scheduling template.
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS
- Bending and Stooping = 60%
- Climbing = 0%
- Keyboard Entry = 100%
- Kneeling = 0%
- Lifting/Carrying Patients 35 Pounds or Greater = 60%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
- Lifting or Carrying 25 - 75 lbs Non-Patient = 40%
- Lifting or Carrying > 75 lbs Non-Patient = 0%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
- Pushing or Pulling 26 - 75 lbs Non-Patient = 80%
- Pushing or Pulling > 75 lbs Non-Patient = 0%
- Reaching = 80%
- Repetitive Movement Foot/Leg = 0%
- Repetitive Movement Hand/Arm = 80%
- Running = 0%
- Sitting = 80%
- Squatting = 80%
- Standing = 80%
- Walking = 80%
- Audible Speech = 80%
- Hearing Acuity = 80%
- Smelling Acuity = 0%
- Taste Discrimination = 0%
- Depth Perception = 80%
- Distinguish Color = 0%
- Seeing - Far = 80%
- Seeing - Near = 80%
- Biohazardous Waste = 60%
- Biological Hazards - Respiratory = 60%
- Biological Hazards - Skin or Ingestion = 60%
- Blood and/or Bodily Fluids = 60%
- Communicable Diseases and/or Pathogens = 60%
- Asbestos = 0%
- Cytotoxic Chemicals = 0%
- Dust = 0%
- Gas/Vapors/Fumes = 60%
- Hazardous Chemicals = 60%
- Hazardous Medication = 60%
- Latex = 60%
- Computer Monitor = 100%
- Domestic Animals = 0%
- Extreme Heat/Cold = 0%
- Fire Risk = 0%
- Hazardous Noise = 0%
- Heating Devices = 0%
- Hypoxia = 0%
- Laser/High Intensity Lights = 0%
- Magnetic Fields = 0%
- Moving Mechanical Parts = 0%
- Needles/Sharp Objects = 60%
- Potential Electric Shock = 0%
- Potential for Physical Assault = 40%
- Radiation = 0%
- Sudden Decompression During Flights = 0%
- Unprotected Heights = 0%
- Wet or Slippery Surfaces = 40%
SHIFT
Primarily for office workers - not eligible for shift differential
DISCLAIMER:
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Patient Service Representative
Verify your credential equivalency early
If your healthcare administration or medical office credentials come from outside the U.S., get a course-by-course evaluation before applying. Many employers won't start the H-1B process without documented equivalency to a U.S. associate or bachelor's degree.
Target employers enrolled in E-Verify
Hospitals and clinic networks that use E-Verify for employment eligibility checks are far more likely to have established H-1B sponsorship workflows. Filtering your search to E-Verify-enrolled employers cuts time spent on organizations with no sponsorship infrastructure.
Look up prevailing wages before negotiating
Use the OFLC Wage Search to find the Level I and Level II prevailing wages for your metro area before any salary discussion. Your employer's LCA must certify at least the applicable wage level, so knowing it protects you from underpayment that could jeopardize your petition.
Search H-1B-sponsoring employers on Migrate Mate
Pull up Patient Service Representative roles on Migrate Mate to see which employers have active H-1B LCA filings for this occupation. That filing history tells you an employer already understands the sponsorship process before your first interview.
Ask about specialty occupation documentation upfront
USCIS scrutinizes Patient Service Representative petitions because the role doesn't always carry a universal bachelor's degree requirement. Ask your prospective employer whether they've successfully sponsored this title before and whether their job description references a specific field of study.
Time your offer acceptance around the cap window
H-1B cap-subject petitions can only be filed for an October 1 start date, with registration opening each March. If you're negotiating an offer in May, confirm whether your employer will bridge your authorization through OPT cap-gap or a visa change before that start date.
H-1B Visa Patient Service Representative: Frequently Asked Questions
Does a Patient Service Representative role qualify as a specialty occupation for H-1B purposes?
It depends on how the employer structures the position. USCIS requires that the job normally require at least a bachelor's degree in a specific field. Patient Service Representative roles at large health systems are more likely to qualify when the job description ties the position to health information management, healthcare administration, or a related field rather than listing a degree as merely preferred.
Which types of employers most commonly sponsor H-1B visas for this role?
Large hospital networks, academic medical centers, and multi-site outpatient clinic groups account for most H-1B LCA filings for Patient Service Representative titles. These organizations typically have in-house immigration counsel and established sponsorship processes. Smaller private practices rarely have the administrative infrastructure to manage H-1B petitions. You can see which employers have active filings by searching this role on Migrate Mate.
Can my employer file my H-1B petition while I'm on OPT?
Yes. If you're on post-completion OPT, your employer can file your H-1B cap-subject petition in April for an October 1 start date. If your OPT authorization is still valid on October 1, you're covered. If it expires before then, cap-gap protection under F-1 regulations automatically extends your work authorization through September 30, provided your employer filed before your OPT end date.
What does the DOL prevailing wage requirement mean for Patient Service Representative salaries?
Before USCIS can approve your H-1B petition, your employer must file a Labor Condition Application certifying they'll pay you at least the prevailing wage for your occupation in your work location. The DOL sets prevailing wages by job title, geographic area, and experience level. You can verify what applies to your specific situation using the OFLC Wage Search before accepting any offer.
What happens to my H-1B status if I change employers after approval?
H-1B status is employer-specific, so changing jobs requires your new employer to file a new H-1B petition before your start date. Under AC21 portability provisions, you can begin working for the new employer once USCIS receives the transfer petition, without waiting for final approval, provided you've already been in H-1B status for at least 180 days and the new role is in the same or a similar occupational classification.