OPT Billing Specialist Jobs
Billing Specialist roles are a strong fit for F-1 OPT students with degrees in accounting, finance, or business administration. Most positions qualify as STEM-adjacent under business operations, and employers regularly sponsor H-1B visas for billing professionals with strong systems experience. Your 12-month OPT window is enough to prove your value.
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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 Specialist
Target employers with billing departments of 10 or more people
Large billing teams at healthcare systems, insurance companies, and enterprise software firms are far more likely to have established H-1B sponsorship processes. Smaller teams often lack the legal infrastructure to sponsor, even when they want to.
Lead with your systems experience, not just your degree
Employers hiring billing specialists want proficiency in platforms like Epic, Salesforce Billing, or NetSuite. Listing specific systems you have worked with signals immediate value and reduces the perceived risk of sponsoring a candidate on OPT.
Raise OPT status early in the interview process
Billing roles often have fast hiring timelines. Mentioning your OPT authorization and STEM extension eligibility in your first conversation prevents late-stage surprises and helps employers plan their sponsorship timeline before extending an offer.
Pursue STEM OPT extension if your degree qualifies
Finance and accounting degrees from STEM-designated programs qualify for a 24-month extension, giving you up to three years of work authorization. That timeline comfortably covers two H-1B lottery cycles, which significantly improves your sponsorship odds.
Highlight revenue impact in your resume and interviews
Billing specialists who can quantify their contributions, such as reducing claim denial rates or cutting invoice aging days, are easier for employers to justify sponsoring. Concrete outcomes reframe sponsorship as a business investment rather than an administrative burden.
Use Migrate Mate to find billing roles at verified OPT-friendly employers
Migrate Mate filters job listings by employers who have sponsored work visas before, saving you time you would otherwise spend researching sponsorship history manually. Browse roles specific to billing and finance to focus your applications where they are most likely to succeed.
Billing Specialist OPT: Frequently Asked Questions
Can I work as a Billing Specialist on F-1 OPT?
Yes. Billing Specialist roles qualify for F-1 OPT as long as the position is directly related to your degree field, typically accounting, finance, business administration, or health information management. You must have an active EAD card before starting work. If your degree is from a STEM-designated program, you may also qualify for a 24-month STEM OPT extension.
Do Billing Specialist employers commonly sponsor H-1B visas?
Sponsorship is more common at large healthcare organizations, insurance carriers, and enterprise technology companies with dedicated billing departments. Smaller medical practices or regional businesses may be willing but lack the legal infrastructure. Searching Migrate Mate lets you identify employers who have a documented history of sponsoring work visas, so you can focus your applications accordingly.
Does a Billing Specialist role qualify for the STEM OPT extension?
It depends on your degree, not the job title. If your degree is in a STEM-designated field such as management information systems, applied mathematics, or computer and information science, you can apply for the 24-month extension regardless of your job title. A standard accounting or business degree does not qualify, even if the billing role involves significant data analysis.
What happens to my OPT authorization if I change billing employers?
You can change employers during OPT, but the new position must still be directly related to your degree. Report the change to your DSO within 10 days so your SEVIS record is updated. There is no grace period for gaps in employment beyond 90 cumulative days of unemployment allowed during your OPT period, so minimizing time between roles matters.
What billing skills are most relevant for OPT students competing for sponsorship?
Employers prioritize candidates with hands-on experience in billing platforms such as Epic, Cerner, Oracle NetSuite, or Salesforce Billing, depending on the industry. Strong knowledge of revenue cycle management, medical coding, or accounts receivable processes also strengthens your profile. Demonstrating proficiency in Excel or SQL for reconciliation and reporting can differentiate you from candidates without a technical background.