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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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
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 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.