Patient Service Representative Jobs in USA with Visa Sponsorship
Patient Service Representative positions regularly sponsor H-1B visas, with healthcare systems like Kaiser Permanente, Mayo Clinic, and Cleveland Clinic filing hundreds of applications annually. These roles typically require a bachelor's degree in healthcare administration, business, or related field, qualifying as specialty occupations under USCIS guidelines.
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INTRODUCTION
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.
ROLE AND RESPONSIBILITIES
- Effectively manage the patient check-in and check-out process from start to finish to include identification verification, update or confirm demographic and insurance information, and ensure appropriate forms are provided and completed accurately.
- Collect specified co-pays and payments from patients per coverage specifications, and from self-pay patients. Screen for eligibility and financial assistance.
- Follow policies and procedures in collecting and handling cash.
- Ensure patient information is placed into the Electronic Health Record accurately and in a timely manner.
- Confirm, request, and process referrals and authorizations for specialty services.
- Contact patients to schedule appointments and make reminder/recall notifications.
- Respond to customer billing and payment inquiries on an as needed basis. May escalate billing issues as needed.
- Regularly display a proactive approach to customer service by listening to the patient, taking ownership of solutions, and is able to accurately identify customer needs through involvement of leadership in resolving concerns.
- Perform general clerical duties, i.e., scanning information, tracking data, receiving and sorting correspondence and packages in an accurate and efficient manner.
- Perform other duties as assigned.
BASIC QUALIFICATIONS
- High School diploma or GED equivalent required.
- Or equivalent combination of education and experience that provide the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
- Medical Assistant certification, C-NA certification, or Medical Terminology course preferred.
- Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy.
EXPERIENCE/SPECIALIZED SKILLS
- 1 – 3 years of experience related to administrative/clerical support, or customer service required.
- Experience in a healthcare environment preferred.
- Demonstrated ability to multi-task, be flexible, ensure accuracy, and meet changing priorities in a fast-paced, high workload environment.
- Ability to work both in a team-based environment and independently.
- Sound computer literacy to use a computer system to enter information, manage and schedule appointments, and access electronic medical record information.
- Knowledge of cashiering functions with the ability to record payments and cash received.
- Good written and verbal communication skills to include interpersonal skills with the ability to communicate effectively with a patient base of varying levels of socio-economic and cultural diversity.
- Possess a basic understanding of medical terminology and procedures preferred.
- Ability to maintain confidentiality.
- Ability to listen well in devoting attention to patients and medical professionals. Multi-lingual preferred, English, Spanish, Arabic, and Somali depending on current priorities and locations.
- Ability to be flexible in recognizing and responding appropriately to changing priorities and situations.
COMPENSATION
- Salary Range: $25.00 - $29.12
Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)
FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.

INTRODUCTION
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.
ROLE AND RESPONSIBILITIES
- Effectively manage the patient check-in and check-out process from start to finish to include identification verification, update or confirm demographic and insurance information, and ensure appropriate forms are provided and completed accurately.
- Collect specified co-pays and payments from patients per coverage specifications, and from self-pay patients. Screen for eligibility and financial assistance.
- Follow policies and procedures in collecting and handling cash.
- Ensure patient information is placed into the Electronic Health Record accurately and in a timely manner.
- Confirm, request, and process referrals and authorizations for specialty services.
- Contact patients to schedule appointments and make reminder/recall notifications.
- Respond to customer billing and payment inquiries on an as needed basis. May escalate billing issues as needed.
- Regularly display a proactive approach to customer service by listening to the patient, taking ownership of solutions, and is able to accurately identify customer needs through involvement of leadership in resolving concerns.
- Perform general clerical duties, i.e., scanning information, tracking data, receiving and sorting correspondence and packages in an accurate and efficient manner.
- Perform other duties as assigned.
BASIC QUALIFICATIONS
- High School diploma or GED equivalent required.
- Or equivalent combination of education and experience that provide the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
- Medical Assistant certification, C-NA certification, or Medical Terminology course preferred.
- Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy.
EXPERIENCE/SPECIALIZED SKILLS
- 1 – 3 years of experience related to administrative/clerical support, or customer service required.
- Experience in a healthcare environment preferred.
- Demonstrated ability to multi-task, be flexible, ensure accuracy, and meet changing priorities in a fast-paced, high workload environment.
- Ability to work both in a team-based environment and independently.
- Sound computer literacy to use a computer system to enter information, manage and schedule appointments, and access electronic medical record information.
- Knowledge of cashiering functions with the ability to record payments and cash received.
- Good written and verbal communication skills to include interpersonal skills with the ability to communicate effectively with a patient base of varying levels of socio-economic and cultural diversity.
- Possess a basic understanding of medical terminology and procedures preferred.
- Ability to maintain confidentiality.
- Ability to listen well in devoting attention to patients and medical professionals. Multi-lingual preferred, English, Spanish, Arabic, and Somali depending on current priorities and locations.
- Ability to be flexible in recognizing and responding appropriately to changing priorities and situations.
COMPENSATION
- Salary Range: $25.00 - $29.12
Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)
FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.
How to Get Visa Sponsorship in Patient Service Representative
Target large health systems over small practices
Major healthcare networks like HCA Healthcare, Ascension, and Tenet have established H-1B programs and legal teams. Small medical offices rarely have the resources or processes for visa sponsorship.
Highlight healthcare administration degree requirements
Patient Service Representative roles at hospitals often require specialized knowledge of medical billing, HIPAA compliance, and insurance systems that directly tie to your degree in healthcare administration or business.
Apply to academic medical centers
University hospitals like Johns Hopkins, UCLA Medical Center, and Mass General Brigham are cap-exempt H-1B employers, meaning no lottery system and faster processing for Patient Service Representative positions.
Emphasize multilingual skills in applications
Hospitals in diverse markets actively seek Patient Service Representatives who speak multiple languages. This creates a stronger business case for sponsorship when you can serve specific patient populations.
Consider specialized patient service roles first
Positions like Patient Financial Counselor or Insurance Verification Specialist often have clearer degree requirements than general Patient Service Representative roles, making the specialty occupation argument stronger for H-1B applications.
Network through healthcare professional associations
Join organizations like NAHAM (National Association of Healthcare Access Management) to connect with hiring managers at hospitals that regularly sponsor visas for patient service roles.
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Get Access To All JobsFrequently Asked Questions
Do Patient Service Representative jobs qualify for H-1B sponsorship?
Yes, Patient Service Representative positions at hospitals and large healthcare systems regularly qualify for H-1B sponsorship. These roles require specialized knowledge of medical billing, insurance systems, and healthcare regulations that directly relate to a bachelor's degree in healthcare administration, business, or related field.
What degree do I need for H-1B sponsorship as a Patient Service Representative?
Most sponsored Patient Service Representative positions require a bachelor's degree in healthcare administration, business administration, health information management, or a related field. The degree requirement must be specific to the role's complexity, involving medical coding, insurance verification, and regulatory compliance knowledge.
Which healthcare employers sponsor H-1B visas for patient service roles?
Large health systems like Kaiser Permanente, HCA Healthcare, Mayo Clinic, Cleveland Clinic, and university hospitals regularly sponsor H-1B visas for Patient Service Representatives. Academic medical centers are particularly attractive because they're cap-exempt, avoiding the H-1B lottery system entirely.
Can I get sponsored for entry-level Patient Service Representative positions?
Entry-level positions at small clinics rarely qualify for H-1B sponsorship because they don't require specialized knowledge. However, Patient Service Representative roles at major hospitals involving complex billing systems, insurance authorization, and regulatory compliance can qualify even for recent graduates with relevant degrees.
What's the approval rate for Patient Service Representative H-1B petitions?
Healthcare administration roles, including Patient Service Representatives at hospitals, typically see H-1B approval rates of 85-90% when properly documented. The key is demonstrating that the position requires specialized knowledge of medical billing systems, HIPAA compliance, and insurance processes that directly relate to your degree.
What is the prevailing wage requirement for sponsored Patient Service 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.
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