Senior Associate, Billing Specialist

Remote

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Biotechnology, Health InsuranceIndustries

Requirements

Candidates should possess a Bachelor's degree in Healthcare Administration, Finance, Business, or a related field, or have equivalent experience. A minimum of 3 years of relevant experience in medical billing, health benefits, or escalation management is required. Proven ability to handle complex billing escalations, a deep understanding of claims lifecycle, benefits design, accumulations logic, AR workflows, and insurance adjudication are essential. Familiarity with billing systems, issue tracking tools, and data/reporting platforms is also necessary. Strong organizational skills and excellent critical-thinking abilities for root-cause analysis are crucial.

Responsibilities

The Senior Associate, Billing Specialist will investigate and resolve escalated cases concerning billing errors, benefit calculations, eligibility disputes, overpayments, and balance mismatches. They will perform root-cause analysis on multi-system issues, coordinate corrective actions with partners, and act as a liaison between various internal departments and external stakeholders. Responsibilities include reconciling claims data and finance outputs, tracking cases meticulously, identifying trends to propose process improvements, and communicating clearly with members and stakeholders about resolution steps and outcomes.

Skills

Billing

Financial Tracking

Escalation Resolution

Benefits Administration

Maven Clinic

Digital health platform for women's healthcare

About Maven Clinic

Maven Clinic provides a digital health platform focused on women's and family health services. It offers a wide range of support, including preconception care, fertility preservation, IVF, adoption, surrogacy, and menopause care. The platform connects users with dedicated Care Advocates and utilizes data-driven insights to ensure equitable access to healthcare, regardless of location or background. This approach helps improve health outcomes and reduces the need for expensive medical procedures. Maven Clinic's services include on-demand appointments with specialized providers, ongoing assessments, and proactive check-ins, which enhance member engagement and allow for early risk identification. The company aims to deliver comprehensive care while achieving significant clinical and business returns on investment.

New York City, New YorkHeadquarters

2014Year Founded

$416.1MTotal Funding

SERIES_FCompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Unlimited paid time off

14 weeks fully paid parental leave and return-to-work plan

Market-based compensation and equity

Medical, dental, and vision plans (100% covered options)

Free membership with One Medical

Free access to Maven, with credits for friends and family

401(k) match

Paid month-long sabbatical after 5 years

Risks

Increased competition from AI-driven startups like Abridge could impact Maven's market position.

Flat deal activity in healthcare IT may slow future funding opportunities for Maven Clinic.

Growing FemTech market could lead to increased competition from new entrants in reproductive health.

Differentiation

Maven Clinic offers comprehensive women's and family health services, including IVF and surrogacy.

The platform provides equitable access to care through dedicated Care Advocates and data insights.

Maven Clinic's holistic approach reduces costly procedures with proactive healthcare interventions.

Upsides

Maven Clinic raised $125M in Series F, becoming the highest valued in its sector.

The rise of FemTech presents opportunities for Maven to expand and capture market share.

Increased employer demand for fertility benefits aligns with Maven's services, boosting its client base.

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