Senior Associate, Billing Specialist

• 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)

• →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.
  
  

• 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.

• 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 plans for all stakeholders.
• Strong cross‑functional collaboration with member services, care, finance, employers, providers, and insurers.
  
  
• Soft Skills & Adaptability
• Empathy-driven and member‑centric in handling escalated cases
• Comfortable adapting to shifting priorities in a fast-paced environment.
• Creative problem-solver with resourcefulness to drive innovative escalations strategies.

The base salary range for this role is $98,000 - $107,000 per year. You will also be entitled to receive equity and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.

Maven embraces a flexible hybrid work model. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week  (Tuesday, Wednesday, Thursday). For those based in San Francisco/Bay Area, CA, or  Seattle, WA, we encourage in-person collaboration by requiring team members to attend quarterly Work Together Days within these cities. This policy aims to balance remote work flexibility with the benefits of face-to-face interaction.

Maven embraces a flexible and inclusive work environment. This role is open to candidates in: AZ, CA, CO, CT, DC, DE, FL, GA, HI, IL, IN, KS, MA, MD, ME, MI, MN, MO, NC, NH, NJ, NM, NV, NY, OH, OR, PA, RI, SC, TN, UT, VA, VT, WA, WI. Maven is committed to supporting remote team members with the tools and collaborative culture needed to thrive regardless of location. This policy reflects our belief that great work can happen anywhere and that flexibility enables our team to do their best work.