OPT Billing Analyst Jobs
Billing Analyst roles are a strong fit for F-1 OPT students with degrees in accounting, finance, or business. Most positions qualify as STEM-adjacent under business operations, and employers frequently sponsor H-1B visa after OPT. Your 12-month OPT window, extendable to 36 months with a STEM designation, gives you real runway to prove your value.
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Overview
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position is for use in RCSS only. The core function of this role is to improve patient experience, lower AR Days thru resolution of patient account balances, and increase cash collections. SBO is the centralized team supporting institutional patient billing services, their knowledge spans both hospital and professional revenue cycle services. This position has no responsibility for providing direct patient care; however, supports direct patient customer service.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
- Daily work is performed with minimal supervision, exercising independent judgment.
- Manage a high volume of inbound patient phone calls while adhering to the quality of standards.
- High Dollar Balance accounts - determine resolution pathway in coordination with patient (i.e. insurance, financial assistant, payment plan, etc.).
- Identification and processing of bankruptcies.
- Risk Management referrals and coordination.
- Participate in Finders Process.
- Serve as patient advocate in resolution of balance (i.e. ensure appropriate billing, financial assistance, etc).
- Problem solving by anticipating support needed and best solution.
- Empowered to resolve patient disputes thru Service Recovery.
- Provide optimal customer service and the de-escalation of patient calls.
- Identification and communication of billing errors and opportunities.
- Coordination with patient and their insurance payer.
- Establish patient payment plans, in accordance with patient's ability to pay and alignment with internal guidelines.
- WQ follow up for patient account resolution and outbound calls.
- Presumptive Charity Consideration.
- Ensures quality outcomes and alignment with Dept/Institutional policies.
Knowledge / Skills / Abilities
- Ability to perform the essential functions of the job as outlined above.
- Hospital and Professional billing knowledge and support.
- Revenue Cycle knowledge needed to address patient questions.
- Ability to quickly transition from call to call, with varying topics/questions.
- Ability to maintain composure, in stressful situations.
Qualifications
Required
- Four years of direct customer service experience, or the equivalency.
- Completion of department Customer Service Certificate, within 6 months of hire.
Preferred
- Associate's degree in Communications, Business, or the equivalency.
- Two years of medical accounts receivable experience.
- Bilingual.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
Physical Requirements
Listening, Sitting, Speaking
Multi-lingual Candidates Welcomed
To inquire about this posting, email: careers@hsc.utah.edu
EEO Statement
University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.
All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/
Online reports may be submitted at eoe.utah.edu/
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
Requisition Number 85200
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule Day shift 07:00- 17:30
Clinical/Non-Clinical Status Non-Clinical
Location Name Business Services Building
Workplace Set Up Hybrid
City SALT LAKE CITY
State UT
Department COR ISC 10D SELFPAY BUS OFFICE
Category Customer Service
Workplace Set Up Hybrid
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Get Access To All JobsTips for Finding OPT Sponsorship as a Billing Analyst
Target companies with a history of H-1B filings
Employers who have filed H-1B visa petitions for billing or finance roles are far more likely to sponsor again. Search OFLC disclosure data for companies that have previously sponsored Billing Analysts or Financial Analysts before applying.
Highlight ERP and billing software proficiency
Employers value candidates who can hit the ground running. Proficiency in SAP, Oracle, or NetSuite signals technical depth that justifies the investment of sponsoring your visa transition from OPT to H-1B after your authorization period ends.
Frame your OPT timeline clearly in conversations
Bring up your work authorization status early with recruiters. Explain your 12-month OPT window and any STEM extension eligibility. Clarity prevents late-stage rejections and helps hiring managers plan around your authorization timeline with HR.
Pursue roles at mid-size or large companies
Larger organizations typically have dedicated immigration counsel and established H-1B sponsorship workflows. Billing Analyst roles at companies with 500-plus employees are more likely to have the HR infrastructure to support your visa transition.
Earn a billing or accounts receivable certification
Certifications like the NACM Credit Business Associate credential demonstrate specialized commitment to the billing field. For OPT students competing against permanent residents, a relevant certification helps justify the sponsorship case to hesitant employers.
Connect your degree directly to the job description
USCIS requires a direct connection between your degree and your role for OPT authorization. A finance or accounting degree aligns cleanly with Billing Analyst duties, so make that connection explicit in your resume, cover letter, and interviews.
Billing Analyst OPT: Frequently Asked Questions
Does a Billing Analyst role qualify for OPT work authorization?
Yes, Billing Analyst positions generally qualify for OPT as long as your degree relates directly to the role. Finance, accounting, and business administration degrees align well with billing duties. If your degree is in a STEM-designated field such as information systems or applied mathematics, you may also qualify for the 24-month STEM OPT extension.
Is a Billing Analyst role STEM OPT eligible?
It depends on your degree, not the job title. Billing Analyst roles are not inherently STEM-designated. However, if your degree is in a qualifying STEM field, such as computer information systems, statistics, or financial engineering, and the role involves analytical or quantitative work, you may qualify for the STEM OPT extension. Confirm your degree's CIP code with your DSO before applying.
How do I find Billing Analyst jobs that sponsor OPT students?
Browse Migrate Mate to find Billing Analyst openings specifically filtered for OPT and visa-friendly employers. Most general job boards do not surface sponsorship willingness clearly, which wastes your limited OPT time on roles that will screen you out late in the process. Migrate Mate surfaces employers who have a demonstrated history of sponsoring international candidates.
Will employers sponsor me for an H-1B after my OPT ends?
Many employers who hire Billing Analysts on OPT do go on to sponsor H-1B. The billing function is recurring and business-critical, which makes retaining a trained analyst easier to justify than restarting a hire. Your best signal is whether the company has previously filed H-1B petitions for finance or accounting roles, which you can verify through OFLC public disclosure data.
What should I report to my DSO when working as a Billing Analyst on OPT?
You must report your employer name, job title, start date, and work address to your DSO within 10 days of starting employment. If you change employers, work part-time under 20 hours per week outside your authorized period, or take a period of unemployment, those changes also require DSO notification. Keeping your SEVIS record updated is your responsibility and is required to maintain valid OPT status.