Payment Operations Associate

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 managing claim denial and appeals with payers, and resolving discrepancies for members. This role will be reporting to the Director of Payment Operations.

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
• Review claims to identify instances of denials and under payments
• Prepare and submit timely, well-documented appeals and reconsiderations to insurance payers for expedited re-processing of claims
• Communicate with insurance representatives to follow up on appeals and resolve claim issues
• Maintain accurate records of appeals, claim statuses, and outcomes
• Facilitate timely and accurate payments and resolve payment disputes
• Identify patterns or trends in denials and escalate systemic issues to management
• Work with other departments to ensure a smooth and efficient payment process across all stakeholders

We’re looking for you to bring:

• 2-4 years of experience in benefits management or insurance focusing on claims and collections
• Understand medical billing, coding, insurance claims processing, and revenue cycle management (fertility claims experience is a plus)
• Excellent communication skills; this includes written and spoken communication
• Proficient in using relevant software and tools for claims and collection management (Availity, Stedi, etc.)
• 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 $80,000-$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.

Maven embraces a flexible hybrid work model. Our teams primarily operate from the New York Metropolitan area, NY, San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. 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, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C., 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.

This role requires active work authorization in the US.

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.