Payment Operations Associate

Position Overview

Maven is seeking a Payment Operations Associate to join the Payment Delivery team. This role is crucial in supporting members through their fertility journeys by mitigating financial anxiety associated with fertility treatments. The Associate will manage claim denials and appeals with payers and resolve discrepancies for members. This position reports to the Director of Payment Operations.

Responsibilities

• Review and process complex claims related to Maven’s fertility treatments, procedures, applicable medications, and expenses for additional paths to parenthood, adhering to company policies and benefit plan designs.
• Identify instances of denials and underpayments within claims.
• Prepare and submit timely, well-documented appeals and reconsiderations to insurance payers for claim re-processing.
• Communicate with insurance representatives to follow up on appeals and resolve claim issues.
• Maintain accurate records of appeals, claim statuses, and outcomes.
• Facilitate timely and accurate payments and resolve payment disputes.
• Identify patterns or trends in claim denials and escalate systemic issues to management.
• Collaborate with other departments to ensure a smooth and efficient payment process.

Requirements

• 2-4 years of experience in benefits management or insurance, with a focus on claims and collections.
• Understanding of medical billing, coding, insurance claims processing, and revenue cycle management (fertility claims experience is a plus).
• Excellent written and spoken communication skills.
• Proficiency in claims and collection management software (e.g., Availity, Stedi).
• Proficiency in Microsoft Office tools.
• Ability to work independently and as part of a team.
• Strong organizational skills with a demonstrated ability to multitask and manage time effectively.
• A Bachelor’s degree is a plus.

Salary & Location

• Salary: For candidates in NYC, CO, or CA, the base salary range is $80,000 - $85,000 per year.
• Location Type: Not specified.
• Employment Type: Not specified.

About Maven

Maven is the world's largest virtual clinic for women and families, dedicated to making healthcare accessible for everyone. Maven's digital programs offer clinical, emotional, and financial support across fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. Over 2,000 employers and health plans trust Maven's platform to improve clinical outcomes, reduce healthcare costs, and promote equity in benefits programs.

Maven has been recognized for its innovation and industry leadership, earning accolades such as:

• Time 100 Most Influential Companies
• CNBC Disruptor 50
• Fast Company Most Innovative Companies
• FORTUNE Best Places to Work

Founded in 2014 by CEO Kate Ryder, Maven has secured over $425 million in funding from leading healthcare and technology investors.

Maven is an award-winning culture with numerous workplace and innovation awards, including:

• 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)
• TIME 100 Most Influential Companies (2023)
• Fast Company Most Innovative Companies (2020, 2023)
• Built In Best Places to Work (2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)
• Great Place to Work certified (2020, 2021, 2022, 2023, 2024)
• Fast Company Best Workplaces for Innovators (2022)
• Built In LGBTQIA+ Advocacy Award (2022)

For more information, visit mavenclinic.com.