Billing Specialist Associate

Maven Clinic
New York, San Francisco, Seattle, Boston, Washington, Chicago
Workplace: HybridFull timeUSD 81,000 - 95,000 annuallyFunction: Data Analytics & Business IntelligenceExperience: 3-6 yearsEducation: bachelorsSkills: ["Detail-oriented","Organizational skills","Critical thinking","Strong communication","Cross-functional collaboration"]

Investigate and resolve complex payment and billing escalations, including reimbursement discrepancies, accumulator/cost-share issues, eligibility questions, and claims adjudication questions. Serve as an expert on billing and cost-share determinations by executing backend system corrective actions. Maintain audit-ready documentation and collaborate cross-functionally with Member Benefits Services, Adjudication, Payment Operations, Product, Client Success, and Client Operations to drive resolution and recovery plans.

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Maven Clinic
Maven Clinic
1 day ago

Billing Specialist Associate

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Source: Company careers pageValidated by: Fursa AI
Last checked: 12 hours agoStatus: Live

Job Summary

Investigate and resolve complex payment and billing escalations, including reimbursement discrepancies, accumulator/cost-share issues, eligibility questions, and claims adjudication questions. Serve as an expert on billing and cost-share determinations by executing backend system corrective actions. Maintain audit-ready documentation and collaborate cross-functionally with Member Benefits Services, Adjudication, Payment Operations, Product, Client Success, and Client Operations to drive resolution and recovery plans.
Location: New York, San Francisco, Seattle, Boston, Washington, Chicago
Workplace: Hybrid
Employment Type: Full time
Job Function: Data Analytics & Business Intelligence
Seniority: Mid level

Key Responsibilities

  • •Investigate and resolve escalated cases involving reimbursement processing discrepancies and related issues.
  • •Act as an expert on billing and cost-share determinations and execute backend system corrective actions.
  • •Coordinate with internal teams including Member Benefits Services, Adjudication, Payment Operations, Product, Client Success, and Client Operations.
  • •Maintain complete, audit-ready documentation for every case.
  • •Apply root-cause analysis to determine when to escalate and develop recovery plans for stakeholders.

Pay and Benefits

Salary: USD 81,000 - 95,000 annually
Equity and Bonus:Equity
Perks:Health InsuranceDental401kParental LeaveLearning Budget

Key Requirements

  • •Bachelor’s degree in Healthcare Administration, Finance, Business Operations, or related field (or equivalent experience).
  • •3-6 years of relevant experience in medical billing, health benefits, or payment escalation management.
  • •Strong understanding of medical billing, reimbursement processing, insurance claims processing, and revenue cycle management.
  • •Working knowledge of the payments lifecycle, benefits design, and claims adjudication.
  • •Comfort using ticketing and reporting tools (Jira, Zendesk, Google Sheets, Looker).
Experience:3-6 yearsMedical billingHealth benefitsPaymentsInsurance claimsRevenue cycle management
Education:Bachelor's
Skills:Detail-orientedOrganizational skillsCritical thinkingStrong communicationCross-functional collaboration
Tech Stack:JiraZendeskGoogle SheetsLooker

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Maven Clinic
Maven Clinic is a virtual-first women’s and family healthcare platform offering telehealth services, care navigation, and employer-sponsored programs covering fertility, pregnancy, postpartum, pediatrics, and family planning.
Industry: HealthTech
Company Size: Large (251 to 1,000 employees)
Growth: Scaleup
Funding: Series D
Headquarters: New York, United States
Founded: 2014
WebsiteLinkedIn