[Remote] Healthcare Finance & Operations Intern (Contract, ~3 Months)

Note: The job is a remote job and is open to candidates in USA. Lonerock Clinic is an integrative primary care and psychiatry practice located in Eugene, OR, seeking a Healthcare Finance & Operations Intern to assist with financial and operational analysis. The intern will review workflows, identify inconsistencies, and present findings to improve revenue capture and operational efficiency.

Responsibilities

• Track daily revenue against the schedule (rolling 6- and 12-month views)
• Learn our prior auth → visit → billing workflow end-to-end
• Reconcile daily schedule vs. payments collected: estimate expected revenue by visit type (cash, insurance, copay) and compare against actual collections
• Identify and flag discrepancies such as patients seen without payment, missing charges, or uncollected copays
• Audit copay collections — compare scheduled insured patients against copays actually collected and identify patterns where collections slip (specific days, providers, payer types, front-desk shifts)
• Reconcile system reports to bank deposits: Compare Electronic Health Record (EHR)-reported collections to actual bank activity and identify discrepancies Identify (missing deposits, timing delays, and mismatches)
• Review medication, supply, and inventory logs (including high-cost medications like Spravato) against billed services: flag discrepancies or missing documentation
• Track no-shows and late-cancellations against fees charged and collected
• Build clean, repeatable tracking tools that can be maintained after the engagement
• Support bill tracking and assist with P&L review preparation
• Identify recurring inconsistencies in billing, collections, and operations
• Develop a clear, written Standard Operating Procedure (SOP) for ongoing financial and operational reconciliation
• Present findings and recommendations to improve revenue capture, workflow consistency, and financial visibility

Skills

• Exposure to or familiarity with healthcare operations — basic understanding of clinic workflow and the patient-to-billing lifecycle
• Medical billing & coding (exposure preferred) — familiarity with concepts such as CPT/HCPCS, ICD-10, and insurance billing workflows; formal coursework or certifications (CPC, CCS, CPB) are a plus but not required
• Accounting fundamentals — basic understanding of debits/credits, reconciliation, AR aging, and reading simple P&L statements
• Strong Excel/Google Sheets skills (pivot tables, lookups, conditional formatting; light SQL or Python is a plus, not required)
• High attention to detail and the ability to identify inconsistencies or gaps
• Comfort asking direct questions and presenting findings to leadership
• Professional discretion and awareness of HIPAA/PHI handling
• Coursework or background in healthcare administration, medical billing & coding, accounting, finance, or business analytics
• Experience with eClinicalWorks (eCW) is a plus but not required

Benefits

• Contract, approximately 3 months, with possibility of extension or conversion based on fit and outcomes
• On-site, 30-35 hrs weekly

Company Overview