Collections Supervisor Jobs in USA with Visa Sponsorship
Collections Supervisor roles qualify for H-1B visa sponsorship when the employer documents a business degree requirement, making them viable specialty occupation petitions. Sponsors file a Labor Condition Application with DOL before USCIS reviews the I-129. Active LCA filers exist across banking, healthcare billing, and debt management sectors.
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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 Supervisor is responsible for all activities related to the Collections Department, including collections staff oversight. This includes generating the Aged Accounts Receivable reports for staff, assignment of accounts, creating policies, procedures and processes related to the department, training of staff and ensuring accounts are worked, and followed up, timely. Create, and maintain, collection documentation for each client. Identify issues specific to each client for review with Director, Revenue Management. Generate weekly reports of aged accounts receivable, by client, with details on outstanding accounts. Identify short pay and denial trends. Manage Collections staff to monitor productivity. Review PTO requests for approval as well as absence and tardiness. Review credit requests, Liaison to Billing Department, as well as other departments, on issues identified causing a delay in payment or rejection. Meet weekly with Director, Revenue Management to communicate status of open Accounts Receivables. Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, which include; injured workers, payors, clients, providers, stakeholders, and internal teams. By fully leveraging Paradigm’s solutions, delivering consistently high quality service, and collaborating effectively with internal and external partners, we create an exceptional customer experience.
DUTIES AND RESPONSIBILITIES:
- Oversight of collections department staffing, performance, training and productivity.
- Identify billing and collection issues, review and resolve client discrepancies and short payments as well as trends.
- Responsible for monitoring status of all accounts, reporting, account adjustment recommendations, and small balance write off.
- Accountable for reducing DSO on all accounts.
- Work closely with Director, Revenue Management, as well as other management as necessary to resolve aged accounts.
- Review credit requests of collections staff.
- Create policies and procedures for department.
- Develop processes, by client, for reference and adherence.
- Maintain updated client contact list.
- Weekly and monthly reporting to Director, Revenue Management.
- Internal and External customer interface.
- Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
- Work with Accounts Payable specialist on payment requests.
- Perform additional duties as identified and directed by management.
- 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.
- Leads adoption of AI-enabled tools within the team, ensuring effective integration into workflows. Coaches employees on appropriate usage, monitors impact on productivity and quality, and identifies opportunities for process improvement.
- Demonstrates a customer-first mindset by reinforcing expectations of all employees as drivers of customer excellence by actively fostering engagement, clarity, accountability, and support, recognizing that a positive and consistent employee experience directly influences service quality and customer outcomes.
SUPERVISORY RESPONSIBILITIES:
- Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback to achieve their best performance and goal attainment.
- Set the tone for a strong Enterprise culture and high employee engagement.
- Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies.
- Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.
QUALIFICATION REQUIREMENTS:
- An Associate Degree in business or equivalent and minimum of four years of proven success in Finance or Collections.
- Supervision of staff. Analytical/Problem Solving Skills.
- Knowledge of medical billing. Attention to detail.
- Account reconciliation.
- Accurate and comprehensive reporting.
- Excellent Communication, both verbal and written.
- Understanding of Accounts Receivable and Collections, in a business to business environment.
- Data Entry Skills. Accounts Receivable knowledge/experience a plus.
- Strong attention to detail, goal oriented. Commitment to excellent customer service.
- Knowledge of Billing and Collection Procedures.
- Excellent written and verbal communication abilities.
- Proven success in reducing DSO and collections.
- Ability to prioritize and manage multiple responsibilities.
- Medical collections experience preferred.
- Technical Capacity including advanced knowledge of Microsoft Office, specifically Excel and Access.
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 Collections Supervisor Jobs
Frame your degree for specialty occupation
USCIS requires a directly related bachelor's degree to approve an H-1B for supervisory roles. A finance, accounting, or business administration degree tied explicitly to collections operations strengthens the specialty occupation argument on your I-129 petition.
Pull prevailing wage data before negotiating
Use the OFLC Wage Search to look up the Level II or III wage for your metro area before you discuss compensation. Your offered salary must meet or exceed the certified LCA wage, so knowing the floor protects you during offer conversations.
Target employers with active LCA filing history
Search Migrate Mate to identify companies with verified LCA sponsorship history for collections and financial operations roles. Employers who have filed before understand the process and are far less likely to withdraw an offer mid-petition due to cost concerns.
Get your FDCPA credentials documented early
Many collections employers require demonstrated knowledge of the Fair Debt Collection Practices Act. Gather any compliance training certificates or prior employer documentation of FDCPA responsibilities now, since USCIS may request evidence linking your background to the specialty occupation definition.
Ask about PERM before accepting a role
If you're on H-1B and want a path to a green card, confirm whether the employer is willing to run PERM labor certification for a Collections Supervisor position. Some finance-sector employers sponsor for EB-2 or EB-3 but only after a minimum tenure, so clarify the timeline upfront.
Clarify cap-exempt status with large healthcare employers
Collections Supervisor roles at nonprofit hospitals or university-affiliated healthcare systems may qualify for cap-exempt H-1B filing. These employers aren't subject to the annual lottery, so you can receive H-1B approval at any time of year rather than waiting for the next registration cycle.
Frequently Asked Questions
Does a Collections Supervisor role qualify as a specialty occupation for H-1B?
It can, but the employer must document that the position genuinely requires a bachelor's degree in a specific field like finance, accounting, or business administration. Generic supervisory duties alone won't meet the threshold. USCIS scrutinizes management titles heavily, so the job description must tie day-to-day responsibilities directly to a theoretical body of knowledge from that degree field.
Which visa types realistically cover a Collections Supervisor position?
H-1B is the primary path if the employer establishes specialty occupation. Australian nationals can use the E-3 visa, which has a separate cap and no lottery. Canadian and Mexican nationals may qualify under TN visa if the role maps cleanly to a USMCA-listed profession, though Collections Supervisor is not always a straightforward TN fit and requires careful job description review before attempting that route.
Do I need a specific degree, or will work experience substitute?
USCIS allows three years of progressively responsible work experience to substitute for one year of a bachelor's degree, so extensive collections or financial operations experience can compensate for a non-matching degree. However, the experience must be formally evaluated by a credential assessment organization, and the employer still needs to attest that equivalent knowledge is a genuine job requirement in the LCA.
How do I find employers who actively sponsor Collections Supervisor roles?
Browse Collections Supervisor listings on Migrate Mate, which shows employers with verified sponsorship history for financial operations and supervisory roles. Focusing on employers who have filed before saves time and reduces the risk of a withdrawn offer after you've already started the process.
Does a Collections Supervisor role typically require the employer to run PERM for a green card?
Yes, most EB-2 and EB-3 green card paths for this role require PERM labor certification, where DOL tests whether qualified U.S. workers are available. Collections Supervisor roles don't typically qualify for the EB-2 National Interest Waiver, which would skip PERM. Expect a recruitment phase of several months and a priority date backlog if you're from India or China.
What is the prevailing wage requirement for sponsored Collections Supervisor 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.