H-1B Visa Pre Sales Engineer Jobs
Pre Sales Engineer roles sit squarely within H-1B visa specialty occupation requirements, combining technical expertise with client-facing consulting work that typically demands a bachelor's degree in engineering, computer science, or a related field. Many enterprise software and infrastructure companies sponsor H-1B visas for this title, making it one of the more accessible paths for international professionals in technical sales.
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Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
- Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
- Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
- Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
CAREER OPPORTUNITY OFFERING
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- The starting salary for this position is $47,400.00 annually, final compensation will be based on experience
Job Summary:
The Patient Access & Pre-Access Supervisor organizes and coordinates the activities of assigned staff to ensure safe, effective, and appropriate work in a fiscally responsible manner. Handles and solves problems related to area of assignment. Maintains a working knowledge of functions in area of responsibility. Works in conjunction with patient access manager to develop and coach staff, creating optimal performance. Conducts and oversees orientation and training of all Patient Access staff. Performs Revenue Cycle tasks that are necessary to ensure compliance and excellent customer service. Assist Patient Access Manager with day-to-day operations.
Essential Job Functions:
- Coordinates all registration duties with direct and indirect reporting employees. Ensures registration and pre-registration duties are completed daily. Provides training for staff. Monitors daily productivity and communicates with staff.
- Provides and reviews reporting to track department performance in key metrics including point of service, wait times, overtime, productivity, and others as necessary. Report needs may be daily, weekly, monthly, quarterly, annually, or as requested.
- Assigns and coordinates staff schedule, including scheduling rotation, time off, and call-offs as necessary. Ensures that department coordinates schedules in accordance with organizational policies. Minimizes overtime while maximizing productivity.
- Responsible for upfront collection process tracking and monitoring. Assigns goals and provides coaching and corrective action as appropriate.
- On-call rotation which includes days, nights, and weekends as necessary. While performing on-call duties, the Supervisor may be required to provide administrative and educational guidance to staff via telephone. If necessary, the Supervisor may be required to fill in for call-offs, staffing issues, or unexpected volumes.
- Assists with developing department processes and procedures. Conducts staff training, education, and development. Conducts audits to ensure acceptable performance and provides continual coaching and education as necessary.
- Acts as a resource person for staff and ancillary departments. Embraces standards of behavior to provide and promote excellent customer service for both internal and external customers. Holds self and others accountable for behaviors that promote service excellence.
- Manages assigned projects regarding implementing, tracking, and process changes. Reports to Patient Access Leadership routinely for monitoring.
- Participates in daily facility activities as assigned by Patient Access Leadership. Gathering of statistical information of assigned. Works in the department as needed in designated areas.
- Assists with staff evaluations. Maintains time/attendance system.
- Attend facility meetings as required/needed by department and/or client to ensure process alignment and effective communication between clinical team and our team.
- Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Ensemble Required License / Certification:
- Certified Healthcare Access Management (CHAM)
- Certified Revenue Cycle Representative (CRCR)
Job Experience: 1 to 3 Years
Preferred Knowledge, Skills and Abilities:
- 2 Year/ Associate degree or 4 year/ Bachelor’s Degree
- 2-3 years of supervisory experience in healthcare or business field preferred
- Ability to lead/direct others; high degree of analytical ability; working knowledge of Microsoft Office.
- Knowledge of registration, insurance, scheduling, and/or verification and hospital billing
- Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Employment Disclaimers – Ensemble
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Pre Sales Engineer
Align your degree to specialty occupation
USCIS scrutinizes whether your specific degree field directly supports the Pre Sales Engineer role. A computer science, electrical engineering, or information systems degree maps cleanly; a general business degree may trigger an RFE, so document any technical coursework carefully.
Search employer LCA filings by SOC code
Pre Sales Engineers are typically filed under SOC code 15-1299 or 17-2199. Use the OFLC Wage Search to filter LCA disclosures by those codes and identify which employers have active filings for this title before you apply.
Find verified H-1B sponsors on Migrate Mate
Use Migrate Mate to filter Pre Sales Engineer roles by employers with confirmed H-1B LCA filing history, so you're targeting companies that have already sponsored this specific job function rather than guessing from job postings.
Negotiate offer timing around the April cap
H-1B cap-subject petitions must be filed by April 1 for an October 1 start. If you're interviewing in January or February, push to finalize your offer by mid-March so your employer's legal team has time to prepare the I-129 and supporting documentation.
Clarify whether the employer is cap-exempt
Universities, nonprofit research institutions, and certain government entities can file H-1B petitions year-round without the lottery. If a Pre Sales Engineer role exists at a university tech transfer office or research lab, ask HR directly about cap-exempt status early in the process.
Document your technical consulting deliverables
USCIS may question whether Pre Sales Engineering is truly a specialty occupation if the job description emphasizes relationship-building over technical work. Secure a detailed offer letter that lists specific technical duties, required certifications, and the engineering degree requirement explicitly.
H-1B Visa Pre Sales Engineer: Frequently Asked Questions
Does a Pre Sales Engineer role qualify as a specialty occupation for H-1B purposes?
Yes, in most cases. USCIS evaluates whether the role normally requires a bachelor's degree or higher in a specific technical field. Pre Sales Engineers who design technical solutions, conduct proof-of-concept deployments, or support complex enterprise implementations generally qualify. Roles that blend sales and technical work require a clear job description that emphasizes the degree requirement to avoid an RFE.
Which industries sponsor H-1B visas most often for Pre Sales Engineers?
Enterprise software, cloud infrastructure, cybersecurity, and hardware companies are the most consistent H-1B sponsors for Pre Sales Engineers. These employers routinely file LCAs because the role requires deep technical knowledge of products that change frequently. You can verify which companies have active filings by reviewing OFLC disclosure data or searching Migrate Mate for roles filtered by H-1B sponsorship history.
Can I transfer my H-1B to a new Pre Sales Engineer role at a different company?
Yes. H-1B portability under AC21 lets you start working for a new employer as soon as they file a new I-129 petition, provided your previous petition was approved and you've been in valid H-1B status for at least 180 days. Your new employer files the petition and a fresh LCA covering the prevailing wage for the new position and location.
What prevailing wage level typically applies to Pre Sales Engineer H-1B petitions?
Most Pre Sales Engineer H-1B petitions are filed at Level II or Level III under DOL's four-tier wage system, depending on experience and complexity of the role. Employers determine the applicable wage using the OFLC Wage Search by SOC code and work location. Your offered salary must meet or exceed the certified prevailing wage for the petition to be approvable by USCIS.
What happens to my H-1B status if my Pre Sales Engineer role shifts to a different territory or travel-heavy schedule?
If your employer assigns you to work at client sites in multiple states for extended periods, they may need to post LCA notices at those locations and potentially file an amended H-1B petition depending on whether the change constitutes a material change in worksite. Short-term placements under 60 consecutive days at a non-listed worksite are generally covered under existing DOL short-term placement rules, but anything longer requires proactive compliance steps from your employer.