Senior Associate, Billing Specialist

Maven Clinic • New York, NY

3d • Hybrid

About The Position

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.

Requirements

• 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
• 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).
• Highly detail‑oriented and structured, with strong organizational skills
• Excellent critical‑thinking skills for root‑cause analysis and effective resolution of multi‑stakeholder issues.
• 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.
• 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.
• Active work authorization in the US.

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.

Benefits

• Employer-covered health, dental, and insurance plan options
• 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
• 401K matching for US-based employees, with immediate vesting

What This Job Offers

• Job Type: Full-time
• Career Level: Senior