Stop Loss Claim Auditor Intern

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

📋 Description

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

• Ensure that claim documentation and related records are complete and accurate.

• Analyze data pertaining to medical and pharmaceutical claims.

• Help identify discrepancies in claims, overpayments, and audit findings.

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

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

• Engage in initiatives aimed at process improvement and special projects.

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

• Collaborate with team members to discuss audit findings and project progress.

⛳️ Requirements

• Currently a sophomore in college majoring 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 capabilities.

• Ability to work independently and handle multiple tasks in a remote setting.

• Coursework or internship experience in healthcare, insurance, auditing, or claims administration is preferred.

• Familiarity with healthcare claims processing or medical billing concepts is preferred.

• Experience using Excel features such as formulas, sorting, filtering, and pivot tables is preferred.

• Exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS is preferred.

• Experience with Microsoft Access or other database applications is preferred.

🏝️ 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.

• Flexible scheduling.

• Remote work arrangement.