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Internship Payment Integrity Analyst Jobs in Michigan

... Payment Integrity, Coding, Billing, Collections, etc.). * Experience with workflow redesign and system implementation is a plus. * Ability to conduct operational data analysis and synthesize ...

Analyst, Collections

Ann Arbor, MI ยท On-site

$60.70 - $103.20/hr

Track payment commitments and follow up to ensure timely receipt. * Customer Relationship ... Interns are eligible for some of the benefits listed. We are committed to complying with all ...

New

Forecast responsibilities supporting chemical reconciliation, uniform payments and scrap shipper ... or internship) in a manufacturing environment * Proficient in SAP and Hyperion Essbase and ...

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Internship Payment Integrity Analyst information

What does an internship payment integrity analyst do?

An Internship Payment Integrity Analyst assists in analyzing healthcare payment data to identify errors, discrepancies, and potential fraud. They support senior analysts in reviewing claims, conducting audits, and ensuring that payments are accurate and compliant with policies. Interns may also help develop reports, document findings, and recommend improvements to payment processes. This role offers hands-on experience in the healthcare industry, focusing on analytics, compliance, and process optimization.

What types of projects or tasks can an internship payment integrity analyst expect to work on day-to-day?

As an Internship Payment Integrity Analyst, you'll typically assist with researching and analyzing healthcare claims to identify potential errors, fraud, or overpayments. Your daily tasks may include reviewing data sets, conducting trend analyses, preparing reports, and supporting investigations into payment discrepancies. You'll likely collaborate with experienced analysts and cross-functional teams such as compliance, audit, and IT to ensure payment accuracy and process improvements. This hands-on experience provides valuable insight into healthcare operations and strengthens analytical and problem-solving skills.

What are the key skills and qualifications needed to thrive as an internship payment integrity analyst, and why are they important?

To thrive as an Internship Payment Integrity Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or related fields, often supported by relevant coursework or internships. Familiarity with data analysis tools like Excel, SQL, and healthcare claims management systems is typically expected. Strong problem-solving abilities, effective communication, and the ability to work collaboratively help interns stand out in this role. These skills are crucial for accurately identifying payment discrepancies, preventing fraud, and supporting the financial integrity of healthcare organizations.

What is the difference between Internship Payment Integrity Analyst vs Payment Integrity Analyst?

AspectInternship Payment Integrity AnalystPayment Integrity Analyst
CredentialsTypically pursuing or holding relevant certifications, some internship experienceUsually requires professional certifications like CPC, CPC-H, or similar
Work EnvironmentInternship setting, often part-time or temporary, in healthcare or insurance companiesFull-time, permanent role within healthcare or insurance organizations
Industry UsageUsed for entry-level training, internships, or early career rolesEstablished role focused on auditing, claims review, and payment accuracy

The Internship Payment Integrity Analyst is an entry-level position designed for individuals gaining experience in payment integrity, often during internships. In contrast, the Payment Integrity Analyst is a full-time professional responsible for ensuring claims are processed correctly, preventing fraud, and maintaining payment accuracy. While both roles focus on payment integrity, the internship role offers training and development opportunities, whereas the analyst role involves more advanced responsibilities and independent work.

What cities in Michigan are hiring for Internship Payment Integrity Analyst jobs?

Cities in Michigan with the most Internship Payment Integrity Analyst job openings:

Analyst Senior - Payment Integrity Prospective Editing

Advantasure, Inc.

Detroit, MI โ€ข On-site

Full-time

Posted 7 days ago


Job description


Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers.
  • Identify and analyze operational data and develop insights in support of business objectives.
  • Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality.
  • Identify and/or analyze business problems and develop recommendations for solutions to problems.
  • Lead the development and implementation of projects and/or teams in order to produce desired results.
  • Document and communicate project concepts, milestones and results.
  • Recommend and assist with implementing standard policies and procedures.
  • Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis.
  • Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
  • Provide support to internal departments and external entities by answering questions, supplying information and training.
  • Create and present reports and presentations to display operational data and proposed business changes.

"Qualifications"
  • Bachelor's Degree in a related field is preferred.
  • Four (4) years of experience in a related field is required.
  • Excellent analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.
  • Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines.
  • Excellent verbal, written communication and interpersonal skills.
  • Ability to lead and contribute to business unit and/or corporate projects.
  • Proficient in Microsoft Office Suites.
  • Ability to develop and maintain effective working relationships.

Departmental Preferences:
  • Ability to analyze medical claim data to identify opportunities for claim edits preferred.
  • Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred.
  • Ability to apply advanced data analytic techniques and root cause analysis is preferred.
  • Intermediate skill using Microsoft applications including Excel, Word and PowerPoint is preferred.
  • Expert level experience with NASCO claims system preferred.

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.