Senior Associate, Billing Specialist

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. To learn more about Maven, visit us 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: 

• 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)

Role Overview
Maven is looking to hire a Senior Associate, Billing Specialist who will lead the resolution of complex financial and benefits billing escalations, serving as a key expert to ensure accurate member financial tracking and provide equitable solutions for members, employers, and insurers.

Key Responsibilities

• Investigate and resolve escalated cases involving billing errors, incorrect benefit calculations, eligibility disputes, overpayments, insurance review and balance mismatches.
• Perform root-cause analysis on multi system issues (e.b, billing delays, data reconciliation, error tracking) and coordinate corrective actions—such as claim adjustments, accumulator adjustments, or balance reconciliations—with internal and external partners.
• Act as the primary bridge between Operations, Product and Engineering, Support, Customer Success, Finance, Employers, and Payers to clarify issues and expedite resolutions.
• Reconcile claims data, denial reports, and finance outputs across many platforms to ensure accurate benefit balances and member statements.
• Track cases through resolution; maintain meticulous issue documentation across multiple systems.
• Proactively identify trends in escalations; propose and implement systematic process improvements to reduce recurrence.
• Communicate clearly and compassionately with members and stakeholders about resolution steps, outcomes, and next actions.
  
  

Success Metrics

• Rapid and accurate resolution of escalations, while maintaining high member satisfaction
• Reduction in billing inaccuracies and escalation volume over time.
• Data-driven enhancements in escalation workflows and systemic issue reduction.

Qualifications

• Educational & Professional Background
• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field; or equivalent experience preferred
• 3+ years of relevant experience in medical billing, health benefits, or escalation management
  
  
• Technical & Domain Knowledge
• Proven ability to handle complex billing escalations (e.g., accumulator discrepancies, eligibility, overpayments, billing corrections).
• Deep understanding of claims lifecycle, benefits design, accumulations logic, AR workflows, and insurance adjudication.
• Familiarity with billing systems (EHRs, clearinghouses), issue tracking tools (Zendesk, Jira, etc.), and data/reporting platforms (Google Sheets, Looker).
  
  
• Analytical & Problem‑Solving Skills
• Highly detail‑oriented and structured, with strong organizational skills
• Excellent critical‑thinking skills for root‑cause analysis and effective resolution of multi‑stakeholder issues.
  
  
• Communication & Collaboration
• Outstanding verbal and written communication, adept at translating billing data into clear, confident, and definitive recovery plan