OPT Billing Representative Jobs
Billing Representative jobs are a strong fit for F-1 OPT students with backgrounds in accounting, finance, or business administration. Most roles qualify as professional positions under OPT, and many healthcare and financial services employers have established processes for sponsoring international candidates after the OPT period ends.
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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 in Billing Representative
Target employers with dedicated billing departments
Large healthcare systems, insurance carriers, and financial services firms maintain dedicated billing teams and are far more likely to have HR infrastructure for OPT authorization and future visa sponsorship than small practices or solo operators.
Emphasize your accounting or finance coursework
Billing Representative roles often qualify as specialty occupations under OPT when tied to a relevant degree. Explicitly connect your coursework in accounting, finance, or business administration to the role in your resume and cover letter.
Get your EAD card timeline right before applying
Apply for your EAD at least 90 days before your program end date. Billing roles in healthcare and finance often have multi-week hiring cycles, so you need your work authorization confirmed before or during the offer stage.
Ask about H-1B sponsorship history during interviews
Before accepting an offer, confirm whether the employer has previously sponsored H-1B visas. Billing roles in large organizations qualify as specialty occupations, but sponsorship willingness varies significantly by company size and HR capacity.
Highlight medical billing software proficiency
Employers in healthcare billing specifically value experience with systems like Epic, Cerner, or Meditech. Listing these on your resume signals job-ready skills and reduces employer hesitation about onboarding someone with OPT time constraints.
Track your OPT end date against employer hiring timelines
If you have fewer than six months of OPT remaining, be upfront early in the process. Some employers will fast-track sponsorship paperwork. Others won't, and knowing this saves you from wasting time on roles that won't convert.
Billing Representative OPT: Frequently Asked Questions
Can I work as a Billing Representative on F-1 OPT?
Yes, Billing Representative roles generally qualify for F-1 OPT as long as the position is directly related to your field of study. A degree in accounting, finance, health information management, or business administration typically satisfies that requirement. Document the connection between your degree and the role clearly in case USCIS or your employer's HR team asks for clarification.
Does a Billing Representative job qualify for STEM OPT extension?
Only if your degree is in a STEM-designated field and the employer is enrolled in E-Verify. Billing roles rooted in health information systems, data analytics, or management information systems from a STEM-classified program may qualify. Business administration degrees without a STEM designation do not qualify, even if the work is analytical. Check your program's CIP code with your DSO to confirm eligibility.
How do I find Billing Representative employers who are open to OPT candidates?
Migrate Mate is built specifically for F-1 OPT students and filters for employers who have demonstrated openness to international work authorization. Browse Billing Representative listings on Migrate Mate to identify companies with OPT-friendly hiring patterns, rather than applying broadly and discovering sponsorship barriers late in the process.
What happens to my OPT authorization if I get laid off from a billing job?
You enter a 60-day unemployment grace period starting the day your employment ends. During those 60 days you must find a new qualifying position, or your F-1 status will fall out of compliance. Report any job change to your DSO promptly. The 60-day clock does not pause, so begin your job search immediately and document every application.
Will Billing Representative experience help me qualify for H-1B sponsorship later?
It can, particularly if your role involves specialized functions tied to a specific degree field, such as medical coding, revenue cycle management, or financial analysis. USCIS evaluates H-1B eligibility on a case-by-case basis. Employers are more likely to sponsor billing professionals in large healthcare networks or financial institutions than in smaller offices, where HR capacity for immigration filings is limited.