OPT Practice Assistant Jobs
Practice Assistant roles are open to F-1 OPT students with degrees in healthcare administration, clinical sciences, or related fields. Most positions qualify as specialty occupations for OPT purposes. Cap-gap protection applies if you apply for H-1B visa sponsorship before your OPT expires, giving you continued work authorization through the lottery cycle.
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We are a Firm where people truly believe in what they do and strive to achieve the highest standards of performance and success.
This position is based in our Nashville office.
General Description:
We are seeking a Practice Assistant to join our team! Practice Assistants provide high-quality administrative support to a group of lawyers and professionals in a team environment, effectively and efficiently meeting Firm/client needs.
Key Responsibilities and Essential Job Functions:
- Communicate effectively and professionally with clients, lawyers, and co-workers via email, by telephone, and in person; answer telephone, providing responses to routine questions from clients and staff members, and/or route calls to appropriate lawyer or staff member; arrange conference calls and greet clients.
- Create, draft, format, edit, proofread, and manage Word documents, Excel spreadsheets, PowerPoint presentations; draft routine business correspondence, forms, and documents under the supervision of an appropriate lawyer/professional.
- Schedule domestic and foreign travel through Firm travel system, including flights, hotels, and/or car rentals.
- Prepare, organize, and process reimbursements, invoices, and check requests in a timely manner.
- Collect and prepare information to run conflict checks, open new client matters, and draft engagement letters, scope letters, and other required documents; provide guidance to lawyers to ensure completed forms are prepared and submitted properly.
- Learn client-specific billing guidelines or restrictions and consistently apply them to client invoices to ensure compliance and cost-effective practices.
- Open, prioritize, and distribute mail (both paper and electronic), coordinate mailings, deliveries, copying, scanning, and printing, when appropriate.
- Enter and manage work requests from lawyers in the Firm’s workflow tool and complete according to provided deadline(s).
- Perform routine electronic and paper filing in an organized manner for easy access; photocopy, scan, compile, and distribute documents; identify and coordinate available services provided by administrative departments, including office services, the IT Help Desk, document services, accounting, billing, and records.
- Perform all file maintenance, including saving documents to the document management system.
- Assist lawyers with time entry, billing, and collection, as needed.
- Operate independently to ensure completion of assignments, which may be complex in nature or require high-level production, in an accurate and timely manner. Produce a high volume of work assignments in an accurate and timely manner.
- Perform clerical duties for non-legal departments, as needed.
- Special projects and duties as assigned.
Required Skills:
- Advanced knowledge of Microsoft Office Suite and Adobe.
- Experience with document management systems.
- Experience with electronic signature software programs.
- Proficiency in core legal administrative assistant functions and advanced technical and communications skills.
- Ability to thrive in a fast-paced environment with demonstrated ability to coordinate multiple competing tasks and demands.
- Superb attention to detail, grammar, and punctuation, and the ability to articulate thoughts and effectively present innovative ideas and findings.
- Ability to take direction and work independently with little supervision.
- Ability to effectively work well with others.
- Effective and professional interpersonal and communication skills.
- Ability to write clearly and professionally, with excellent proofing skills.
- Strong work ethic with ability and commitment to maintain confidentiality.
Required Qualifications & Education:
- Bachelor's degree
- 4 – 5 years of experience supporting lawyers and paralegals with administrative or client-related tasks preferred.
Physical Requirements:
- Ability to sit or stand for extended periods of time.
- Moderate or advanced keyboard usage.
- Ability to lift and carry up to thirty pounds.
Benefits: Our goal is to promote a work environment in which individuals have access to the resources they need to be their best both professionally and personally, which includes resources that encourage individuals to focus on their health and well-being.
Below are the benefits we offer: comprehensive medical (PPO and HDHPs), dental and vision plans including coverage for domestic partners; life and AD&D insurance; short and long term disability insurance; tax-advantaged accounts for health care expenses, including FSAs and HSAs; FSAs for dependent care; health advocacy services; behavioral health and counseling resources for all family members; 401(k); profit sharing; backup dependent care; senior care planning support; resources for individuals with development disabilities and their caregivers; and paid holidays and other paid time off, including paid leave for new parents.
Holland & Knight is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related conditions, transgender status, and sexual orientation), national origin, age, disability, genetic information, veteran status or any other factor prohibited by law.
Applicants who are interested in applying for a position and require an accommodation during the process should contact ApplicantAccommodations@hklaw.com.
Personal Information collected from applicants will be used for the purpose of processing the application throughout any recruitment or employment process, as well as inclusion in a personnel file. Categories of data collected may include name, address, phone numbers, email, Social Security Number, and signature. Holland & Knight may collect further information if you consent to a background check. This includes criminal background, employment, and certifications. Please visit Legal Information Portal for Holland & Knight LLP’s privacy policies.
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Get Access To All JobsTips for Finding OPT Sponsorship as a Practice Assistant
Target practices with established hiring infrastructure
Large medical groups, hospital systems, and multi-location specialty practices hire Practice Assistants regularly and are more likely to have HR teams familiar with OPT work authorization and the H-1B visa sponsorship process than small independent offices.
Lead with your OPT authorization upfront
Mention your EAD and remaining OPT validity in your cover letter. Employers unfamiliar with F-1 OPT often assume international candidates require immediate sponsorship. Clarifying your current authorization reduces hesitation and moves your application forward faster.
Connect your degree directly to the role
Practice Assistant positions qualify for OPT when the work relates directly to your field of study. Be explicit in applications about how your degree in health sciences, biology, or administration connects to the specific responsibilities of the role.
Ask about H-1B sponsorship before accepting an offer
Raise sponsorship in later-stage interviews, not at the first contact. Ask whether the organization has sponsored H-1B visas for similar roles before. A yes means infrastructure exists. A no means you need to assess whether they are willing to start that process.
Track your OPT end date and cap-gap window carefully
If an employer files your H-1B petition before your OPT expires, cap-gap protection extends your work authorization automatically. Missing this window means a gap in employment eligibility, so coordinate your job search timeline around the April H-1B filing period.
Use Migrate Mate to filter for OPT-friendly employers
Migrate Mate surfaces Practice Assistant roles from employers who have sponsored international hires before. Filtering for visa-friendly positions saves significant time compared to applying broadly and discovering sponsorship limitations late in the hiring process.
Practice Assistant OPT: Frequently Asked Questions
Does a Practice Assistant role qualify for F-1 OPT work authorization?
Yes, if the position is directly related to your field of study. Practice Assistant roles typically qualify when your degree is in health sciences, healthcare administration, biology, or a closely related field. Your DSO can confirm whether a specific offer meets the OPT employment relationship requirement before you accept.
Can I work as a Practice Assistant on STEM OPT extension?
Yes, if your degree is in a STEM-designated field and the employer meets the E-Verify requirement. Many healthcare administration and health informatics degrees qualify for STEM OPT. The employer must also sign a formal training plan with you. Confirm your CIP code with your DSO to verify STEM eligibility before applying.
How do I find Practice Assistant employers who are open to sponsoring an H-1B?
Migrate Mate lists Practice Assistant jobs from employers with a documented history of international hires, which is the strongest signal that H-1B sponsorship is feasible. Beyond job boards, large hospital systems and academic medical centers sponsor most consistently. Asking directly during interviews about prior sponsorship history is the most reliable filter.
What happens to my work authorization if my OPT expires before I find a Practice Assistant job?
Your F-1 status includes a 60-day grace period after OPT expires, but you cannot work during that window. If an employer files an H-1B petition before your OPT end date, cap-gap protection keeps you authorized through September 30. Planning your search around the April H-1B filing window is critical if your OPT expires in the spring or summer.
Do Practice Assistant roles at small clinics or private practices typically offer visa sponsorship?
Less often than larger organizations. Small independent practices rarely have experience with immigration compliance or the budget for legal fees associated with H-1B petitions. Multi-location specialty groups, hospital-affiliated practices, and academic health systems are more realistic sponsorship targets. For OPT authorization alone, any employer can hire you without those constraints.