About Maven Clinic
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, improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Founded in 2014, Maven Clinic has raised more than $425 million from leading healthcare and technology investors and has been named to the TIME100 Most Influential Companies, CNBC Disruptor 50, and FORTUNE Best Places to Work.
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 reports 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.
- Understanding of 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 and critical-thinking ability for root-cause analysis.
- Outstanding verbal and written communication, adept at translating billing and payments data into clear recovery plans for all stakeholders.
Compensation
Salary: $81,000 – $95,000 / year (base salary range; you will also be entitled to receive equity and benefits. Individual pay decisions are based on qualifications for the role, experience level, and skillset).
