Payment Integrity Student Intern - Summer 2026

Blue Cross & Blue Shield of Rhode Island
9hHybrid

About The Position

Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We’re dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. 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.

Requirements

  • 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

Nice To Haves

  • Experience with medical terminology, claim audit procedures, provider contracts, claims processing procedures and guidelines helpful

Responsibilities

  • 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.

Benefits

  • flexible work arrangements that include remote and hybrid opportunities and paid time off
  • tuition reimbursement
  • assist with student-loan repayment
  • health, dental, and vision insurance
  • programs that support your mental health and well-being
  • competitive pay
  • bonuses and investment plans
  • committed to growing and developing our employees
  • associates receive additional paid time to volunteer
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