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.

See All OPT Billing Representative Jobs

Overview

Open Jobs18+
Top Visa TypeF-1 OPT
Work Type89% On-site
Top LocationBillings, MT
Most JobsPrisma Health

Showing 5 of 18+ Billing Representative jobs

Terracon Consultants Inc
Billing Representative
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Terracon Consultants Inc
Added 1mo ago
Billing Representative
Terracon Consultants Inc
Olathe, Kansas
Finance
Accounting
Customer Service & Support
Bookkeeping & AP/AR
On-Site
2+ yrs exp.
Associate's
1,001-5,000

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Northern Arizona Healthcare
Insurance Billing Representative
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Northern Arizona Healthcare
Added 1mo ago
Insurance Billing Representative
Northern Arizona Healthcare
Flagstaff, Arizona
Healthcare Administration
Finance
Accounting
Compliance & Legal
Medical Coding & Billing
On-Site
2+ yrs exp.
High School
1,001-5,000

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Prisma Health
Patient Finance Services Billing Representative
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Prisma Health
Added 3mo ago
Patient Finance Services Billing Representative
Prisma Health
Columbia, South Carolina
Healthcare Administration
Medical Coding & Billing
On-Site
3+ yrs exp.
High School

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Pitney Bowes
Client Billing Representative
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Pitney Bowes
Added 5mo ago
Client Billing Representative
Pitney Bowes
Arlington, Texas
Accounting
Customer Service & Support
Administrative & Office Support
$20.50/hr
On-Site
2+ yrs exp.
Associate's
10,000+

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Fairview Health Services
HIM Operations Representative III
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Fairview Health Services
Added 2d ago
HIM Operations Representative III
Fairview Health Services
Minneapolis, Minnesota
Healthcare Administration
Medical Coding & Billing
Patient Services & Wellbeing
$23/hr - $33/hr
On-Site
2+ yrs exp.
Associate's
10,000+

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Tips 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.