Are you tired of the corporate grind and looking to make a meaningful impact on patients' lives? Join our team at Lonerock Clinic, where we prioritize patient care and a supportive work environment. We're seeking dedicated medical providers to join our integrated clinic, offering primary care, mental health services (including Ketamine and Esketamine), and lifestyle services (Botox, massage, weight loss, etc.) to adults in the Eugene, Oregon area

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

Lonerock Clinic — Eugene, OR

Contract  |  Hybrid (on-site preferred for discovery phase)  |  Full- or part-time negotiable

About Us

Lonerock Clinic is an integrative primary care and psychiatry practice in Eugene, OR, with a specialty program in ketamine-assisted psychotherapy (KAP), Spravato, and IM ketamine. We are a small, fast-moving team built around whole-person care, and we are looking for a sharp finance intern to dig into our books and tell us the truth.

The Role

This is a structured diagnostic and analysis role. You will review key operational and financial workflows including scheduling, payments, billing, and inventory, and help reconcile expected activity against actual outcomes. 

Your focus will be on identifying gaps, inconsistencies, and missed revenue opportunities, and presenting findings in a clear, organized way that supports decision making.

You will work directly with the clinic owner and Practice Manager and receive guidance on priorities and workflows. 

What You’ll Do

First 60 days — Reconciliation & discovery

• 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 

Days 61–90 — Synthesis & recommendations

• 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

Who We’re Looking For

This role can be a great fit for a recent graduate. We care about capability, not years on a resume. You should have an 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

Also looking for:

• 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 is helpful. Experience with eClinicalWorks (eCW) is a plus but not required.

Compensation & Logistics

• Contract, approximately 3 months, with possibility of extension or conversion based on fit and outcomes
• Hourly rate : $20-30/hour dependent on experience
• On-site, 30-35 hrs weekly 
• Location: Eugene, OR

To Apply

Send your resume and a brief note (a few sentences is fine) telling us about a time you found a financial or operational gap nobody else had noticed. We read every application.

Lonerock Clinic is an equal opportunity employer.