OPT Patient Representative Jobs
Patient Representative jobs on OPT are common in hospitals, health systems, and outpatient clinics. Most roles require a bachelor's degree in healthcare administration, communications, or a related field, which supports your OPT work authorization. Standard OPT gives you 12 months, and STEM OPT extension is not available for this role.
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Patient Access Representative - Emergency Room (Evenings 3p-11p)
Position Summary
At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial Screening and Verification, and patient throughput.
Qualified candidates will demonstrate excellent communication skills, interpersonal skills, knowledge and understanding of patient care and effectively respond to changing patient needs by making decisions based on ethical principles and adhering to our high standard of excellence.
The Patient Access Representative assigned to the Emergency Room, Registration Services is a key member of the Patient Access Services team. The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, provides excellent customer service to patients and visitors. The Representative adheres to strict rules of confidentiality, department, and organization’s policies and procedures.
Duties of a Patient Access Representative may include the following, but are not limited to:
- Supports activities to ensure excellence in throughput and patient experience for emergency room visits, admissions, observation and transfer patients in the Emergency room or as part of the multidisciplinary team in the CTO office.
- Completes high-volume complex bedside patient registration.
- Completes pre-arrival, pre-registrations and registrations using various computer systems for all inter and intra-facility transfers in accordance with prescribed workflows.
- Must be able to maneuver a workstation on wheels through patients’ rooms within the designated registration area.
- Communicates in a professional manner with patients and patient families experiencing serious health issues and emotional events.
- Responsible for securing required patient demographic information, correct documentation of admission source, mode of arrival, patient type and insurance coverage to support billing and revenue cycle goals.
- Verifies coverage eligibility and determines patient cost share (co-pay) using electronic systems and other means, taking payments at point of service.
- Provides financial guidance and excellence in Financial Care to patients and their representatives, presenting information about their benefit coverage and cost share responsibilities. Provides information on financial assistance services to self-pay patients, collecting required deposits when appropriate.
- Ensures that compliance regulations are met (presenting and obtaining consent and regulatory signatures from patients or designee, essential for treatment and payment, as per procedure).
- Maintains and requires appropriate documents as necessary (i.e. copies of photo ID and insurance documents etc.). Witnesses general consents, agreements, and acknowledgements.
- Reviews registrations for completeness and correctness. Utilizes worklists to conduct incomplete registration, verification or ineligible insurance follow up. Uses available enterprise resources to ensure encounters are bill ready.
- Ability to manage adjustments in workflow priorities in response to changing patient census and acuity.
The selected candidate will be required to work some holidays. Pass days are variable and weekend availability is required. The schedule/pass days may be subject to change.
Essential Position: This function/position has been designated as “essential.” This means that when the Hospital is faced with an institutional emergency (staff shortages, increased census, inclement weather, and/or other emergencies), employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Qualifications
Required:
- Associate's Degree with one year of working experience in a customer service, public health, healthcare, or related industry such as insurance.
- In lieu of degree, 2 years’ of demonstrated excellence working in a customer service, call center, healthcare, or other related industry requiring skills which demonstrate experience in payment collection, insurance reimbursement, or access services.
- Must be able to maneuver a workstation on wheels through patients’ rooms within the designated registration area.
- Communicate in a professional manner with patients and patient families experiencing serious health issues and emotional events.
Preferred:
- Bilingual in English and Spanish.
- Health care insurance billing and/or hospital patient access, intake, registration experience.
- Familiarity with medical insurance benefits, demonstrated experience with EMR computerized registration, financial, IT systems.
- Knowledge of medical terminology.
- Previous experience as a patient access representative in an Emergency Room environment is highly preferred.
Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
- Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services.
- Complete electronic reference check with a minimum of three (3) professional references.
- Successfully complete a 4 panel drug screen.
- Meet Regulatory Requirements for pre employment screenings.
- Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
The hiring department will be responsible for any fee incurred for examination.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.
Anticipated Pay Range:
The salary range (or hiring range) for this position is $54,175 - $61,010 / year.
The above salary range represents SBUH’s good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
Some positions offer annual supplemental pay such as:
- Location Pay for UUP full-time positions ($4,000).
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.
Job Number: 2602919
Official Job Title: TH Instructional Support Assistant
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-Stony Brook
Department/Hiring Area: Patient Access
Schedule: Full-time
Shift: Evening Shift
Shift Hours: 3p-11p
Pass Days: Variable
Posting Start Date: Aug 7, 2026
Posting End Date: Sep 6, 2026, 10:59:00 PM
Salary: $54,175 - $61,010 / year
Salary Grade: SL1
SBU Area: Stony Brook University Hospital
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Get Access To All JobsTips for Finding OPT Sponsorship in Patient Representative
Target health systems with established HR processes
Large hospital networks and academic medical centers hire Patient Representatives regularly and have HR teams familiar with OPT work authorization. Smaller private clinics may not have experience processing OPT documentation, which can slow your start date.
Confirm your degree field supports the role
OPT requires your job to be directly related to your major. Healthcare administration, public health, communications, and social work degrees typically align. If your degree is unrelated, document how your coursework connects to patient advocacy or healthcare operations.
Start your job search at least three months before OPT begins
Onboarding at hospitals involves background checks, health screenings, and credentialing that can take four to six weeks. Starting early gives you enough runway to complete hiring requirements before your authorized employment start date arrives.
Know your 90-day unemployment limit
OPT students can only be unemployed for 90 days total during the 12-month period. Patient Representative roles can take time to secure, so track your unemployment days carefully and pursue applications consistently to stay within your authorized window.
Ask about H-1B sponsorship during the offer stage
Patient Representative roles at large health systems sometimes qualify for H-1B visa sponsorship, depending on how the employer defines specialty occupation requirements. Ask HR directly whether the organization sponsors H-1B petitions before accepting or declining an offer.
Browse OPT-friendly Patient Representative roles on Migrate Mate
Migrate Mate filters jobs by visa sponsorship compatibility, which helps you focus on employers already open to OPT candidates. Searching there saves time compared to filtering through general postings where sponsorship status is rarely disclosed upfront.
Patient Representative OPT: Frequently Asked Questions
Can I work as a Patient Representative on OPT?
Yes, if your degree is directly related to the role. Patient Representative positions typically align with degrees in healthcare administration, public health, communications, or social work. Your job duties must connect to your field of study, which USCIS expects you to document on your SEVIS record through your DSO.
Does a Patient Representative job qualify for STEM OPT extension?
No. Patient Representative is not classified under a STEM-designated CIP code, so it does not qualify for the 24-month STEM OPT extension. You'll have 12 months of post-completion OPT to work in this role. If you want to remain in the U.S. longer, you'll need an employer willing to sponsor an H-1B or another visa.
Do hospitals sponsor H-1B visas for Patient Representatives?
Some do, but it depends on the employer and how they classify the role. Large academic medical centers and nonprofit health systems are more likely to sponsor H-1B petitions than smaller facilities. The role needs to meet the specialty occupation standard, which typically requires the employer to establish that a bachelor's degree in a specific field is a minimum requirement for the position.
What should I know about OPT employment reporting for this role?
You must report every new job to your DSO within 10 days of starting. This includes reporting the employer name, address, and confirmation that the role relates to your degree. If you change employers or take a second position, each one requires a separate report. Gaps in employment also count toward your 90-day unemployment limit, so keep your DSO updated consistently.
Where can I find Patient Representative jobs that accept OPT students?
Migrate Mate is built specifically for international students and visa holders, so job listings there are filtered for sponsorship and OPT compatibility. You can browse Patient Representative openings from employers already familiar with OPT work authorization, which reduces the back-and-forth of explaining your status to recruiters who have never encountered it before.