Specific Stop Loss Claim Auditor Intern

Job Description

Specific Stop Loss Claim Auditor Intern | Bridge Specialty Group

The Tone:
This is a part-time internship at Bridge Specialty Group (CTI Audit Solutions), located remotely in the United States. CTI Audit Solutions, a company built on meritocracy, helps self-funded health plan sponsors reduce claim expenses and improve service to their employees through independent audit and control of third-party claim administration. This role matters by supporting the Audit Team in reviewing and analyzing medical claim documentation, contributing to the identification of claim discrepancies, and assisting in the overall audit process to ensure high-quality service and financial efficiency for customers.

The TL;DR
• Role: Internship
• Type: Part-time
• Location: Remote – United States
• Pay: $19 hourly
• Team: Audit Team
• Mission: To support the audit process by reviewing specific stop loss claim submissions and analyzing data to identify discrepancies and overpayments for self-funded health plan sponsors.
• Tech Stack: Excel, Microsoft Office applications, Microsoft Access, other database applications

What You’ll Actually Do
• Review: Assist with the review and auditing of specific stop loss claim submissions.
• Validate: Validate claim documentation and supporting records to ensure completeness and accuracy.
• Analyze: Analyze medical and pharmaceutical claims data to identify trends and issues.
• Identify: Assist in identifying claim discrepancies, potential overpayments, and audit findings.
• Support: Support auditors in preparing comprehensive client reports and audit summaries.

The Must-Haves
• Background: Entry-Level. Currently a sophomore in college pursuing a degree in Healthcare or a Science-related field.
• Experience: None required. Preferred qualifications include coursework or internship experience related to healthcare, insurance, auditing, or claims administration; or experience using Excel features such as formulas, sorting, filtering, and pivot tables.
• Skills: Strong analytical and critical thinking abilities; high attention to detail and strong organizational skills; proficiency in Microsoft Office, particularly Excel, Word, and Outlook; excellent written and verbal communication skills; ability to work independently and manage multiple tasks in a remote environment.
• Bonus: Familiarity with healthcare claims processing or medical billing concepts; exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS; experience with Microsoft Access or other database applications.