Cash Application Specialist Jobs in USA with Visa Sponsorship
Cash Application Specialist roles qualify for H-1B visa sponsorship as a specialty occupation when the employer requires a bachelor's degree in accounting, finance, or a related field. Employers in accounts receivable and financial operations regularly file Labor Condition Applications, making this a viable path for international candidates with the right credentials.
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Get Access To All JobsCash Application Specialist – Patient Accounts
Join Maury Regional Health as a Cash Application Specialist and put your attention to detail, financial accuracy, and knowledge of healthcare revenue cycle operations to work supporting the financial integrity of our health system. Play an important role in ensuring accurate payment processing, maintaining reliable financial records, and supporting efficient patient account operations while advancing our mission of delivering Clinical excellence. Compassionate care. Every patient. Every day.
Location
Maury Regional Annex
1223 Trotwood Ave.
Columbia, TN 38401
Shift
Full-Time, Day Shift
Monday-Friday 8a - 4:30p
Job Summary
The Cash Application Specialist plays an essential role in supporting the financial accuracy and efficiency of Maury Regional Health's Patient Accounts operations. This position contributes to the integrity of patient financial records, accurate revenue reporting, and responsible management of organizational funds. As a valued member of the Patient Accounts team, the Cash Application Specialist supports effective revenue cycle operations, financial accountability, and the organization's commitment to providing high-quality patient services.
Responsibilities
- Accurately post and process insurance, patient, and collection agency payments to appropriate patient accounts in accordance with established departmental procedures and financial guidelines.
- Process patient refunds, ensuring appropriate account adjustments, accurate payment information, and compliance with established refund procedures.
- Reconcile and balance daily payment postings, verifying transaction totals and identifying discrepancies to maintain accurate patient account and financial records.
- Prepare and process daily bank deposits, ensuring payments are accurately accounted for, properly documented, and submitted according to established departmental procedures.
- Review payment information and patient account details to identify posting errors, discrepancies, or missing information and coordinate necessary corrections to maintain financial accuracy.
- Maintain accurate documentation of payment transactions, refunds, and daily reconciliations while collaborating with Patient Accounts team members to support efficient cash application processes and revenue cycle operations.
Qualifications
- 1 Year of Related Healthcare Experience (Required)
- 1 Year of Experience or Knowledge of Medical Terminology, CPT and ICD-10 Coding Guidelines, Revenue Cycle, and Practice Finance (Required)
- 1 Year of Experience Using Typing, Computer, and 10-Key Calculator Skills (Required)
- 1 Year of Cash Operations Experience in a Healthcare Setting (Preferred)
- High School Diploma or Equivalent (Preferred)
Why Maury Regional Health
Join an award-winning health system committed to serving the healthcare needs of southern Middle Tennessee! Benefit-eligible positions include:
- Comprehensive Medical, Dental, and Vision plans
- Employer-paid life insurance
- Retirement savings plan with employer-matching
- Paid Time Off (PTO)
- Educational Assistance, Tuition Reimbursement and Student Loan Forgiveness
- Career advancement navigation opportunities
- Adoption assistance services
- Financial planning programs
Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship. Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law. Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.
Cash Application Specialist – Patient Accounts
Join Maury Regional Health as a Cash Application Specialist and put your attention to detail, financial accuracy, and knowledge of healthcare revenue cycle operations to work supporting the financial integrity of our health system. Play an important role in ensuring accurate payment processing, maintaining reliable financial records, and supporting efficient patient account operations while advancing our mission of delivering Clinical excellence. Compassionate care. Every patient. Every day.
Location
Maury Regional Annex
1223 Trotwood Ave.
Columbia, TN 38401
Shift
Full-Time, Day Shift
Monday-Friday 8a - 4:30p
Job Summary
The Cash Application Specialist plays an essential role in supporting the financial accuracy and efficiency of Maury Regional Health's Patient Accounts operations. This position contributes to the integrity of patient financial records, accurate revenue reporting, and responsible management of organizational funds. As a valued member of the Patient Accounts team, the Cash Application Specialist supports effective revenue cycle operations, financial accountability, and the organization's commitment to providing high-quality patient services.
Responsibilities
- Accurately post and process insurance, patient, and collection agency payments to appropriate patient accounts in accordance with established departmental procedures and financial guidelines.
- Process patient refunds, ensuring appropriate account adjustments, accurate payment information, and compliance with established refund procedures.
- Reconcile and balance daily payment postings, verifying transaction totals and identifying discrepancies to maintain accurate patient account and financial records.
- Prepare and process daily bank deposits, ensuring payments are accurately accounted for, properly documented, and submitted according to established departmental procedures.
- Review payment information and patient account details to identify posting errors, discrepancies, or missing information and coordinate necessary corrections to maintain financial accuracy.
- Maintain accurate documentation of payment transactions, refunds, and daily reconciliations while collaborating with Patient Accounts team members to support efficient cash application processes and revenue cycle operations.
Qualifications
- 1 Year of Related Healthcare Experience (Required)
- 1 Year of Experience or Knowledge of Medical Terminology, CPT and ICD-10 Coding Guidelines, Revenue Cycle, and Practice Finance (Required)
- 1 Year of Experience Using Typing, Computer, and 10-Key Calculator Skills (Required)
- 1 Year of Cash Operations Experience in a Healthcare Setting (Preferred)
- High School Diploma or Equivalent (Preferred)
Why Maury Regional Health
Join an award-winning health system committed to serving the healthcare needs of southern Middle Tennessee! Benefit-eligible positions include:
- Comprehensive Medical, Dental, and Vision plans
- Employer-paid life insurance
- Retirement savings plan with employer-matching
- Paid Time Off (PTO)
- Educational Assistance, Tuition Reimbursement and Student Loan Forgiveness
- Career advancement navigation opportunities
- Adoption assistance services
- Financial planning programs
Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship. Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law. Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Cash Application Specialist
Align your degree to the role
H-1B eligibility hinges on a direct connection between your degree field and cash application work. A bachelor's in accounting, finance, or business administration maps clearly. A general business degree may require additional documentation showing relevance to AR processing and reconciliation duties.
Research LCA filing history by industry
Large healthcare systems, logistics companies, and insurance carriers consistently file LCAs for cash application and AR roles. Focus your search on employers in these sectors, where high transaction volumes make dedicated cash application headcount a standard part of finance operations.
Verify prevailing wage before negotiating
Your employer must pay at least the prevailing wage for your location and role before DOL certifies the LCA. Use the OFLC Wage Search to look up the Level I through Level IV wage range for your metro area before you enter salary discussions.
Use Migrate Mate to target verified sponsors
Find employers with confirmed LCA filing history for cash application and accounts receivable roles on Migrate Mate. Focusing on companies that have already sponsored similar positions cuts the time you spend on employers unlikely to navigate the H-1B process for the first time.
Prepare your ERP experience documentation
Employers sponsoring cash application specialists often face specialty occupation scrutiny because the role can seem clerical. Document your hands-on experience with ERP systems like SAP or Oracle and any process improvement work to support the technical, degree-level argument in the petition.
Confirm PERM requirements before green card talks
If your employer raises the EB-2 or EB-3 green card path, PERM labor certification requires proving no qualified U.S. workers are available. Cash application roles are common enough that DOL recruitment requirements are strictly enforced, so your employer needs experienced immigration counsel before starting that process.
Frequently Asked Questions
Does a Cash Application Specialist role qualify as a specialty occupation for H-1B purposes?
It can, but it's not automatic. USCIS requires the employer to demonstrate the role normally requires at least a bachelor's degree in a specific field like accounting or finance. If the job description includes ERP system management, complex reconciliation, or financial reporting oversight, the specialty occupation argument is much stronger than for a general AR posting.
Which visa types realistically cover Cash Application Specialist positions?
H-1B is the primary option for most nationalities, subject to the annual cap and selection process. Australian citizens can pursue the E-3 visa, which has its own 10,500 annual cap and has never been exhausted. Chilean nationals may use the H-1B1 visa and Singaporean nationals have their own H-1B1 category, both of which bypass the H-1B lottery entirely.
What degree does my employer need to list on the LCA for this role?
The LCA itself doesn't specify a degree, but the I-129 petition filed with USCIS must establish that the position requires a bachelor's degree or higher in a directly related field. Accounting, finance, or business administration are the most defensible choices. A general studies or unrelated degree creates risk even if you've held the role for years.
How do I find employers that actively sponsor Cash Application Specialist roles?
Migrate Mate lists employers with verified LCA sponsorship history for accounts receivable and cash application positions, so you can focus on companies that have already committed to sponsoring similar roles rather than approaching employers with no sponsorship track record.
Can my employer sponsor me for a green card from a Cash Application Specialist role?
Yes, through the EB-3 skilled worker category, which requires at least two years of experience and doesn't have a minimum degree requirement, though a degree strengthens the case. Your employer must complete PERM labor certification through DOL first, which involves a formal recruitment process. Priority date backlogs vary significantly by country of birth and can run many years for nationals of India or China.
What is the prevailing wage requirement for sponsored Cash Application Specialist jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.