OPT Billing Manager Jobs
Billing Manager jobs are a strong fit for F-1 OPT students with backgrounds in accounting, finance, or healthcare administration. Most roles qualify as STEM-adjacent under business operations, and employers in healthcare, SaaS, and professional services regularly hire OPT candidates with billing systems experience and revenue cycle knowledge.
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Get Access To All JobsINTRODUCTION
Supports Revenue Cycle Management to ensure the integrity of the supporting systems are functioning as expected. Monitors and assesses important control points to ensure that systems, workflows, processes and people are functioning appropriately. Responsibilities include all aspects of Revenue Cycle system support including performance improvement as well as work on special projects as needed. Acts as a System Coordinator being responsible for ensuring that the Huron tools are utilized to best maintain and improve performance and used effectively. Facilitates the development of requests and keeps the organization apprised of any changes impacting the Huron Healthcare tools. Requests are reviewed in the test system to ensure any changes are accurate before approving and moving into production. Acts as the Business Owner of both TRAC and ONTRAC and serves as a liaison with client executives and process owners for the Systems Coordinator and Huron Healthcare TECS. Understands the integration of the tools into the Revenue Cycle Team's day to day processes and workflows.
Education
Bachelor's Degree in Accounting, Finance or related field. Required
Combination of relevant education and experience may be considered in lieu of degree. Required
Experience
3 years experience in a multi-hospital consolidated business office environment. Required
7 years experience in healthcare revenue cycle. Required
General experience and knowledge of third party billing, registration, and billing protocols. Required
2 years experience in a related supervisory or management role. Preferred
INTRODUCTION
Supports Revenue Cycle Management to ensure the integrity of the supporting systems are functioning as expected. Monitors and assesses important control points to ensure that systems, workflows, processes and people are functioning appropriately. Responsibilities include all aspects of Revenue Cycle system support including performance improvement as well as work on special projects as needed. Acts as a System Coordinator being responsible for ensuring that the Huron tools are utilized to best maintain and improve performance and used effectively. Facilitates the development of requests and keeps the organization apprised of any changes impacting the Huron Healthcare tools. Requests are reviewed in the test system to ensure any changes are accurate before approving and moving into production. Acts as the Business Owner of both TRAC and ONTRAC and serves as a liaison with client executives and process owners for the Systems Coordinator and Huron Healthcare TECS. Understands the integration of the tools into the Revenue Cycle Team's day to day processes and workflows.
Education
Bachelor's Degree in Accounting, Finance or related field. Required
Combination of relevant education and experience may be considered in lieu of degree. Required
Experience
3 years experience in a multi-hospital consolidated business office environment. Required
7 years experience in healthcare revenue cycle. Required
General experience and knowledge of third party billing, registration, and billing protocols. Required
2 years experience in a related supervisory or management role. Preferred
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Get Access To All JobsTips for Finding OPT Sponsorship as a Billing Manager
Lead with billing systems expertise
Employers prioritize candidates who know specific platforms like Epic, Cerner, or Salesforce Billing. Naming the systems you've worked with in your resume and cover letter signals immediate value and reduces the perceived risk of sponsoring an OPT candidate.
Target healthcare and SaaS employers
Healthcare networks and SaaS companies hire Billing Managers at scale and have established OPT sponsorship processes. These industries have chronic demand for billing talent, which makes them more willing to work through visa timelines than smaller or less structured employers.
Quantify your revenue cycle impact
Billing roles are measured by numbers: days in AR, denial rates, collections efficiency. Including specific metrics from past internships or projects demonstrates direct business value and gives hiring managers a concrete reason to move forward with an OPT candidate.
Address OPT timing early in conversations
Billing Managers often manage billing cycles tied to fiscal quarters. Proactively clarifying your OPT end date and H-1B visa timeline helps employers plan around your authorization window without treating it as a surprise late in the hiring process.
Highlight compliance and accuracy credentials
Billing roles carry regulatory exposure under HIPAA, ICD coding standards, or SaaS revenue recognition rules. Certifications like CMBS or coursework in revenue cycle management signal you understand compliance requirements, which matters to employers evaluating candidates across any visa status.
Use Migrate Mate to filter for sponsoring employers
Not every employer is open to OPT candidates. Migrate Mate surfaces Billing Manager roles from employers with active OPT and H-1B sponsorship history, so you spend time applying to companies that are already familiar with the process.
Billing Manager OPT: Frequently Asked Questions
Do Billing Manager jobs qualify for OPT work authorization?
Yes. Billing Manager roles qualify for F-1 OPT when the position is directly related to your degree field, such as accounting, finance, health information management, or business administration. Your work must align with your major, so review your job offer against your degree program before accepting to confirm it meets DSO requirements.
Can I work as a Billing Manager on STEM OPT extension?
Billing Manager roles can qualify for the 24-month STEM OPT extension if your degree is in a STEM-designated field such as management information systems, health informatics, or quantitative finance, and your employer is enrolled in E-Verify. Business administration degrees without a STEM designation typically do not qualify. Confirm your degree's CIP code with your DSO before applying.
How do I find Billing Manager employers who sponsor OPT?
Migrate Mate lists Billing Manager positions from employers with documented OPT and H-1B sponsorship history. Searching there filters out roles where authorization is likely to be a barrier, saving significant time. Healthcare systems, revenue cycle management firms, and enterprise SaaS companies are the most consistent sponsors for this title.
What degree backgrounds do employers expect for Billing Manager OPT candidates?
Most Billing Manager roles expect a bachelor's degree in accounting, finance, health information management, or business administration. Healthcare-specific roles often prefer candidates with clinical coding coursework or a health informatics background. Some employers accept management information systems degrees, particularly for SaaS billing or subscription revenue roles requiring systems configuration experience.
What should I do if my OPT expires before an employer can file my H-1B?
If you're on a STEM OPT extension and your employer files an H-1B petition by April 1 of the cap year, you're covered by cap-gap protection, which automatically extends your OPT status and employment authorization through September 30. If you're on standard OPT without STEM extension, timing is tighter and you may face a gap. Discuss the timeline with your DSO and employer as early as possible.