Payment Operations Associate

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. Employers and health plans trust Maven’s end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Founded in 2014 by CEO Kate Ryder, Maven has raised $300 million in funding from top healthcare and technology investors including General Catalyst, Oak HC/FT, Sequoia, Dragoneer Investment Group, and Lux Capital.   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) CNBC Disruptor 50 List (2022, 2023)  Fast Company Most Innovative Companies (2020, 2023) Built In Best Places to Work (2023) Fortune Best Workplaces NY (2020, 2021, 2022, 2023) Great Place to Work certified (2020, 2021, 2022, 2023) Fast Company Best Workplaces for Innovators (2022) Built In LGBTQIA+ Advocacy Award (2022) Maven is looking for a Payment Operations Associate who will be a critical member of the Payment Delivery team focused on ensuring that members are supported during their fertility journeys, especially when it comes to reducing the financial anxiety associated with fertility treatments. This person will play a critical role in monitoring and managing balances and resolving discrepancies for members.  As a Payment Operations Associate at Maven, you will: Review and process complex claims related to Maven’s fertility treatments, procedures and applicable medications, and expenses related to additional paths to parenthood in accordance with company policies and benefits plan designs  Support management and verification of member benefit eligibility Contact providers and members to facilitate timely and accurate payments and resolve payment disputes  Ensure claims are accurately documents and filed compliantly   Develop documentation, reporting, and collecting strategies; this includes maintaining detailed and organized records of claims, collections activities, and correspondence  Handle and investigate escalated situations with members according to our escalations framework to ensure efficient response to high-value incidents. Work with other departments to ensure a smooth and efficient reimbursement process  Stay up-to-date on changes to healthcare regulations and reimbursement policies  Qualifications:       1-2 years of member-facing experience in benefits management or insurance focusing on claims and collections   Excellent communication skills; this includes written and spoken communication Understand medical billing, coding, insurance claims processing, and revenue cycle management  Proficient in using relevant software and tools for claims and collection management   Proficient in Microsoft Office tools   Ability to work independently and as part of a team  Strong organizational skills; demonstrated ability to multi-task and manage time effectively   Bachelor’s degree is a plus  For candidates in NYC, CO, or CA, the base salary range for this role is $75,000-$85,000 per year. You will also be entitled to receive stock options and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.   At Maven we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in all of the areas detailed above, we hope that you will share your unique background with us in your application and how it can be additive to our teams.   Benefits & Perks:  We are reimagining what a supportive workplace looks like, from the inside out. On top of standards such as employer-covered health, dental, and insurance plan options, and generous PTO, we offer an all-of-you, inclusive approach to benefits:  Maven for Mavens: access to the full platform and specialists, including care for everything from mental health, reproductive health, family planning, pediatrics. Whole-self care through wellness partnerships Weekly breakfast, lunch, and get-togethers  16 weeks 100% paid parental leave, flexible time upon return, and $1.5K/mo for 2 months, new parent stipend (for Mavens who've been with us at least six months) Udemy, annual professional development stipend, and access to a personal career coach through Maven  401K matching for US-based employees (immediately vesting) These benefits are applicable to Maven Clinic Co., US-based, full-time employees only. 1099/Contract Providers are ineligible for these benefits.  Maven is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Maven is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Maven Clinic interview requests and job offers only originate from an @mavenclinic.com email address (e.g jsmith@mavenclinic.com). Maven Clinic will never ask for sensitive information to be delivered over email or phone. If you receive a scam issue or a security issue involving Maven Clinic please notify us at: security@mavenclinic.com . For general and additional inquiries, please contact us at  careers@mavenclinic.com .