Maven Clinic
Billing Specialist Associate
Remote role where the employee must remain based in a particular country.
United States only
Employer listed it 2 days ago · Added yesterday
First listed 2 days ago.
Salary
$81k to $95k per year
Location
United States only
Timezone
Not stated
Contract
Full-time
Experience
Mid
Category
Other
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)
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 will be reporting 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.
Understand 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.
Strong critical-thinking skills for root-cause analysis and sound judgment on when to escalate.
Requirements
- ·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.
- ·Understand 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).
Benefits
- ·Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
- ·Whole-self care through wellness partnerships
- ·Hybrid work, in office meals, and work together days
- ·16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+)
- ·Annual professional development stipend and access to a personal career coach through Maven for Mavens
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.
Similar roles
Other open other roles with comparable remote rules.
Free to apply, no account needed.
$81k to $95k per year · You'll be taken to the employer's careers page.