Maven Clinic
Payment Operations Associate
Remote role where the employee must remain based in a particular country.
United States only
Employer listed it 3 weeks ago · Added yesterday
Been open since 3 weeks ago, still being checked, but it has been live a while.
Salary
$81k to $95k per year
Location
United States only
Timezone
Not stated
Contract
Full-time
Experience
Mid
Category
Operations
Stated by the employer in the job description
Remote flexibility
Work from home
This is a remote role, but the listing expects you to be based in United States.
What the employer says
- Source listing states candidate location: "Remote"
- Listing states: "This role requires active work authorization in the US."
What Nomaders makes of it
- Confirm with the employer before assuming you can work from another country
The quotes above are the employer's own words; the reading is ours. Always check the original listing and employment terms before working from another country.
About the role
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)
As an Associate, Payments [RCM] at Maven, you will:
Review and process complex claims related to Maven's fertility treatments, procedures, applicable medications, and expenses tied to additional paths to parenthood, in accordance with company policy and benefit plan designs
Review claim to Identify instances of denials, underpayments, overpayments
Prepare and submit timely, well-documented appeals and reconsiderations to insurance payers for expedited re-processing of claims
Communicate directly with insurance representatives to follow up on appeals and resolve claim issues
Identify patterns or trends in denials and escalate systemic issues to management
Verify member eligibility and benefits ahead of and during claims processing
Resolve eligibility discrepancies between payer records and member/benefit plan data
Coordinate prior authorizations where applicable to fertility treatment coverage
Facilitate timely and accurate payments and resolve payment disputes across payers and claims
Post and reconcile payments against expected reimbursement; research underpayments and unapplied cash
Work with both internal and external cross-functional stakeholders to ensure a smooth and efficient payment process
Maintain and improve SOPs for all Revenue Cycle Management processes
We’re looking for you to bring:
2-4 years of experience in revenue cycle management, benefits management, or insurance billing, focused on claims and collections
Requirements
- ·Proficiency with relevant claims/collections software (Availity, Stedi, or similar)
- ·Proficiency in Microsoft Office tools or Google Suite Tools
- ·Experience leveraging AI tools to streamline processes and workflows
- ·Ability to work independently and as part of a team
- ·Strong organizational skills; demonstrated ability to multi-task and manage time effectively
Benefits
- ·Resolve eligibility discrepancies between payer records and member/benefit plan data
- ·Coordinate prior authorizations where applicable to fertility treatment coverage
- ·Facilitate timely and accurate payments and resolve payment disputes across payers and claims
- ·Post and reconcile payments against expected reimbursement; research underpayments and unapplied cash
How to apply
- 1Check the flexibility label above, work from home, matches where you plan to live and work.
- 2Tailor your CV to the role at Maven Clinic, mentioning your remote working experience.
- 3Apply directly on the employer's careers page using the button below. Nomaders never handles your application.
Found 1d ago. Last checked 23 Sept. Always confirm the details on the original posting, salary and location can change after publication.
Listing sourced from Company boards.
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