Payment Integrity Student Intern - Summer 2025

Blue Cross and Blue Shield of Rhode Island
United States, Rhode Island, Providence
500 Exchange Street (Show on map)
Jan 26, 2025
Payment Integrity Student Intern - Summer 2025 Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America Req #2039 Sunday, January 26, 2025 Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process. Schedule: Hybrid Compensation: $18-$25 hourly Jump into the new world of health insurance: At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you. Join others who know diversity is strength: We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population. Why this job matters: Provide administrative support to Provider Payment Integrity team. The Provider Payment Integrity team conducts complex, in-depth analysis of claim payments and its methodology, identifies trends and patterns, to ascertain cost avoidance/overpayment recovery opportunities. In addition, ensures medical claims, records and other documentation essential to claims submission and reimbursement is in compliance with state and federal guidelines, provider contracts, BCBSRI policy, national coding guidelines and industry standards. What you will do: Attend department meetings and prepare minutes. Identify and implement opportunities for process improvement Prepare spreadsheets, reports, presentations, and other materials. Complete special projects, tasks, and assignments under general direction. Collect, record, analyze, and evaluate data and information. Conduct research on various policies, practices, and topics. Assist team with department initiatives and projects. Perform other duties as assigned. What you need to succeed: Working knowledge of Microsoft Office including Access, and Word Proficient in Microsoft Excel Working knowledge of SQL Computer navigation skills Written and verbal communications skills Time management skills Ability to collect and organize data Ability to work independently Ability to meet established time and quality standards Ability to exercise sound judgment Strategic and critical thinking skills Strong analytical skills Strong business acumen and political savvy Strong negotiation skills Ability to work effectively with a wide variety of people in individual and group settings Strong organizing skills, with the ability to prioritize and respond to shifting deadlines The Extras: Experience with medical terminology, claim audit procedures, provider contracts, claims processing procedures and guidelines helpful Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression. The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster. Other details Pay Type Hourly Apply Now Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America Share this job: