Patient Access Representative Jobs in USA with Visa Sponsorship
Patient Access Representatives handle patient registration, insurance verification, and intake coordination at hospitals and health systems. Employers in this role routinely file H-2B visa, TN visa, and green card sponsorships for qualified candidates. With consistent demand across large health networks, visa sponsorship is a realistic path for foreign nationals with the right administrative and healthcare background.
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Job Summary
Greets and registers all patients who present themselves for medical services. Obtains all necessary demographic and financial information to complete the registration process to ensure legal and accurate billing and medical record input. Obtains all appropriate authorizations and/or referrals. Collects Point of Service payments as appropriate and accurately record payments.
Minimum Qualifications
Minimum Education: High School diploma or Equivalent
Minimum Years of Experience: None
Substitutable Education & Experience: None
Required Certifications/Licensure: None
Required Training: Must attend departmental approved training sessions to maintain the position (Minimum of 8 Hrs required);
Experience with personal computers (PC’s), possess excellent oral and verbal communicative skills and demonstrates ability to work well with people and handle potentially stressful situations;
Essential Functions
- Demonstrates ability and willingness to adapt to special circumstances such as patient emergencies, disasters and/or staffing issues.
- Ability to think analytically in order to produce quality work; works efficiently and professionally.
- Demonstrates appropriate communication of information to all ages and responds to all customers/patients requests/needs, i.e., hard of hearing, etc.
- Ability to work independently or in conjunction with nursing or other personnel to serve the needs of the patient, their families, and/or their representatives.
- Must possess appropriate interviewing, communication and negotiation skills, including the ability to listen.
- Must work be able to work closely with department during disaster team drills and enactments.
- Obtains and enters demographic and financial information to ensure the accuracy of the patient’s Medical Record and the appropriate identification and signatures required by law.
- Enters information from the physician’s order into the appropriate patient’s EHR.
- Schedules appointments from the physician order entry when needed.
- Interview patients and/or their representatives to obtain demographic and financial information.
- Responsible for obtaining proper consent on adults as well as minors.
- Responsible for obtaining necessary signatures for registration.
- Responsible for obtaining copies/scanning of driver’s license and insurance cards.
- Assist patients to appropriate departments and/or nursing units.
- Communicates face-to-face and by way of phone with patients and patients’ representatives as needed.
- Obtain Workers Compensation information at the time registration and verify as needed.
Duties & Responsibilities
- Responsible for having a complete understanding and working knowledge of the policy and procedures regarding collection of insurance data.
- Collects Point of Service payments as appropriate and accurately records payments, adhering to the precautions as set forth by the Supervisor.
- Collect Point of Service payments as appropriate and accurately record payments.
- Verifies balance of Cash Drawer in assigned location of Patient Access when drawer is opened and closed. Generates a trial balance when closing the Cash Drawer, and prepares money for deposit ensuring all checks and balances are in place. Money shall never be left unattended and money shall be secured at all times in the Cash Drawer proper or safe.
- Professional in appearance, communications, and knowledge.
- Accepts chain of command, supervision and constructive criticism.
- Contributes to teamwork and creates harmonious relations with others. Displays positive attitude toward job duties and assigned tasks.
- Discourages gossip and treats others as they wish to be treated. Speaks positively about LMC, the department, other employees, and guests.
- Receive incoming phone calls. Route calls appropriately or take detailed legible messages when necessary.
- Maintains professional communications with all departments within the Lexington Medical Center community as needed.
- Attends monthly department meetings. When unable to attend due to work flow, meeting minutes by way of e-mail are to be read, signed, and sent back to Supervisor as an acknowledgement of understanding. (applied to your minimal 8 Hrs. of Departmental Training)
- Performs all other appropriate activities as directed by Management Team as necessary to meet patient’s needs and to achieve the required departmental and organizational outcomes.
- Utilizes the Service Recovery Process to resolve complaints.
- Documents all situations that arise out of the ordinary.
- Possesses knowledge of how to secure translators for patients or other parties requiring assistance.
- Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal. Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
- Performs duties as assigned by authorized personnel or as required and meets assigned time frame.
We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families:
- Day ONE medical, dental and life insurance benefits
- Health care and dependent care flexible spending accounts (FSAs)
- Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
- Employer paid life insurance – equal to 1x salary
- Employee may elect supplemental life insurance with low cost premiums up to 3x salary
- Adoption assistance
- LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
- Tuition reimbursement
- Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.
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Get Access To All JobsTips for Finding Patient Access Representative Jobs
Verify your credential equivalency early
Many Patient Access Representative roles require a high school diploma or associate degree, but USCIS scrutinizes foreign credential equivalency at the petition stage. Get a formal credential evaluation from a NACES-member service before you start applying.
Target health systems with PERM history
Large hospital networks and academic medical centers file PERM labor certifications for administrative healthcare roles more consistently than private clinics. Search the OFLC Wage Search to identify employers that have certified positions matching your job title.
Understand the H-2B seasonal limitation
Some Patient Access Representative openings are posted as temporary or seasonal roles, which makes them H-2B eligible. H-2B carries a 66,000 annual cap, so timing your application to the first filing window each fiscal year significantly improves your chances.
Use Migrate Mate to find verified sponsors
Filter your job search on Migrate Mate to surface health employers with verified sponsorship filing history for administrative and patient-facing healthcare roles, cutting out guesswork about which employers will actually file.
Confirm TN eligibility if you hold Canadian or Mexican citizenship
TN status does not cover Patient Access Representative directly, but if your role is structured as a medical technologist or records administrator under the USMCA list, you may qualify. Review the profession definitions carefully with your prospective employer before the offer stage.
Request the LCA wage level before accepting an offer
Your employer must file a Labor Condition Application certifying the prevailing wage for your position and location. Ask HR which wage level they intend to certify at Level I through IV, since a Level I certification can affect your negotiating position and future green card PERM filing.
Frequently Asked Questions
What visas can employers use to sponsor a Patient Access Representative?
The most common sponsorship paths are the H-2B for temporary or seasonal positions, TN status for Canadian or Mexican nationals in a qualifying administrative role, and EB-3 green card sponsorship through PERM for permanent hires. H-1B visa is generally not applicable because Patient Access Representative is not classified as a specialty occupation requiring a directly related bachelor's degree.
Does a Patient Access Representative role qualify for H-1B sponsorship?
In most cases, no. The H-1B requires a specialty occupation, meaning the position must normally require at least a bachelor's degree in a directly related field. Patient Access Representative roles typically require a high school diploma or an associate degree, which does not meet that threshold. USCIS would likely issue a Request for Evidence or deny the petition on specialty occupation grounds.
How do I find hospitals and health systems that sponsor Patient Access Representatives?
Migrate Mate lists employers with verified sponsorship filing history for administrative and patient-facing healthcare roles, so you can identify health networks that have actively sponsored candidates in this job category without sorting through postings that don't lead to a visa.
What documents should I prepare before applying for sponsored Patient Access Representative roles?
Prepare a foreign credential evaluation from a NACES-recognized service, proof of relevant certifications such as CPAR or CHAA if you hold them, and documentation of any prior U.S. work authorization. Employers filing a PERM labor certification will also need evidence that you meet the minimum requirements stated in the job description, so align your resume exactly to those posted qualifications.
Can a Patient Access Representative role lead to a green card?
Yes. Health systems and hospital networks regularly sponsor EB-3 green cards for Patient Access Representatives through the PERM labor certification process. The employer must demonstrate through recruitment that no qualified U.S. workers were available. Because Patient Access Representative does not require an advanced degree, most cases proceed under the EB-3 skilled worker or other worker category, depending on experience requirements.
What is the prevailing wage requirement for sponsored Patient Access Representative 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.