Billing Specialist Associate

Maven Clinic is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Through Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife - improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Through its consumer platform, Maven provides direct access to virtual care across 30+ specialties, as well as dedicated hormone and GLP-1 care programs purpose-built for women. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. Recognized for innovation and industry leadership, Maven has been named to the TIME100 Most Influential Companies, CNBC Disruptor 50, Fast Company's Most Innovative Companies, and FORTUNE Best Places to Work. Learn more at mavenclinic.com

An award-winning culture working towards an important mission -  Maven Clinic is a recipient of over 30 workplace and innovation awards, including: 

• TIME 100 Most Influential Companies (2023, 2026)
• Fortune Change the World (2024)
• CNBC Disruptor 50 List (2022, 2023, 2024)
• Fortune Best Workplaces for Millennials (2024)
• Fortune Best Workplaces in Health Care (2024)
• Fast Company Most Innovative Companies (2020, 2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)

About the Role: 

Maven is looking for a Billing Specialist Associate who will be a critical member of the Payment Operations team focused on the deeper investigation and resolution of complex payment and billing cases. This person will play an essential role in managing smooth reimbursement processing for members and in resolving payment discrepancies. This role will be reporting to the Manager of Payments. 

What You’ll Do:

• • Investigate and resolve escalated cases (reimbursement processing discrepancies, accumulator / cost-share issues, eligibility questions, claims lifecycle and claims adjudication processing questions). 
  • Serve as the expert on billing and cost-share determinations: executing backend system corrective actions.
  • Coordinate with internal teams like Member Benefits Services, Adjudication, Payment Operations, Product, Client Success and Client Operations. 
  • Maintain complete, audit-ready documentation on every case.

What You’ll Bring: 

• Bachelor’s degree in Healthcare Administration, Finance, Business Operations, or related field; or equivalent experience preferred.
• 3-6 years of relevant experience in medical billing, health benefits, or payment escalation management.
• Understand medical billing, reimbursement processing, insurance claims processing, and revenue cycle management.
• Working knowledge of the payments lifecycle, benefits design, and claim adjudication.
• Familiarity with ticketing tools (Jira, Zendesk) and reporting tools (Google Sheets, Looker).
• Highly detail-oriented and structured, with strong organizational skills.
• Strong critical-thinking skills for root-cause analysis and sound judgment on when to escalate.
• Outstanding verbal and written communication, adept at translating billing and payments data into clear, confident, and definitive recovery plans for all stakeholders.
• Strong cross-functional collaboration internally (with external visibility) 
• Comfortable adapting to shifting priorities in a fast-paced environment.
• Creative problem-solver with resourcefulness to drive innovative escalations strategies.

The base salary range for this role is $81,000- $95,000 per year. You will also be entitled to receive equity and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.

This role requires active work authorization in the US.

Maven embraces a flexible hybrid work model. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week  (Tuesday, Wednesday, Thursday). For those based in Boston, DC, Chicago, Seattle, and San Francisco, we encourage in-person collaboration by requiring team members to attend monthly Work Together Days within these cities. This policy aims to balance remote work flexibility with the benefits of face-to-face interaction.

At Maven we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in all of the areas detailed above, we hope that you will share your unique background with us in your application and how it can be additive to our teams.

Benefits That Work For You

Our benefits are designed to support your health, well-being and career development, helping you thrive both personally and professionally. We remain focused on providing a competitive benefits package for our employees. On top of standards such as employer-covered health, dental, and insurance plan options, we offer an inclusive approach to benefits:

• Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
• Whole-self care through wellness partnerships
• Hybrid work, in office meals, and work together days 
• 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+)
• Annual professional development stipend and access to a personal career coach through Maven for Mavens
• 401K matching for US-based employees, with immediate vesting

These benefits are applicable to Maven Clinic Co., US-based, full-time employees only. 1099/Contract Providers are ineligible for these benefits. 

Maven is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Maven is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Maven Clinic interview requests and job offers only originate from an @mavenclinic.com email address (e.g [email protected]). Maven Clinic will never ask for sensitive information to be delivered over email or phone. If you receive a scam issue or a security issue involving Maven Clinic please notify us at: [email protected]. For general and additional inquiries, please contact us at  [email protected].