This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in the review and auditing of specific stop loss claim submissions.

• Validate the completeness and accuracy of claim documentation and supporting records.

• Analyze data related to medical and pharmaceutical claims.

• Help identify discrepancies in claims, overpayments, and findings from audits.

• Utilize Excel and other Microsoft Office tools to organize, analyze, and report data.

• Support auditors in the preparation of client reports and audit summaries.

• Engage in process improvement initiatives and special projects.

• Ensure the confidentiality of protected health information (PHI) and sensitive client data.

• Communicate audit findings and project status with team members.

⛳️ Requirements

• Currently a sophomore in college pursuing a degree in Healthcare or a related Science field.

• Strong analytical and critical thinking abilities.

• Exceptional attention to detail and organizational skills.

• Proficient in Microsoft Office, especially Excel, Word, and Outlook.

• Excellent written and verbal communication skills.

• Capable of working independently and managing multiple tasks in a remote setting.

• Relevant coursework or internship experience in healthcare, insurance, auditing, or claims administration.

• Familiarity with healthcare claims processing or medical billing concepts.

• Experience with Excel features such as formulas, sorting, filtering, and pivot tables.

• Understanding of healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS.

• Experience with Microsoft Access or other database applications.

🏝️ Benefits

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance.

• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement.

• Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services.

• Paid Time Off.

• Holidays.

• Preferred Partner Discounts.