Senior Associate
Payment Operations
Posted on 9/13/2023
Maven Clinic

201-500 employees

Virtual clinic
Company Overview
Maven Clinic's mission is to change the health of the world — one woman, one family at a time. They believe by improving care for women and families, they can build a more equitable healthcare system and a better world for all.
New York, NY, USA
Experience Level
Desired Skills
Customer Service
Operations & Logistics
Customer Success & Support
  • 3+ years of experience in benefits management or insurance focusing on claims and collections
  • Strong understanding of medical billing, coding, insurance claims processing, and revenue cycle management
  • Excellent communication skills; this includes written and spoken communication
  • 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 customer service orientation
  • Strong organizational skills; demonstrated ability to multi-task and manage time effectively
  • Review and process complex claims related to Maven's fertility treatments, procedures and applicable medications in accordance with company policies and benefits plan designs
  • Ensure claims are accurately documents and filed compliantly
  • Monitor and manage outstanding accounts receivable related to fertility services
  • Contact providers and patients to facilitate timely and accurate payments and resolve payment disputes
  • Develop documentation,reporting, and collecting strategies; this includes maintaining detailed and organized records of claims, collections activities, and correspondence
  • Ensure that patients and providers receive detailed, clear and accurate communications regarding claims and collections matters
  • Work with other departments to ensure a smooth and efficient reimbursement process
  • Stay up-to-date on changes to healthcare regulations and reimbursement policies
Desired Qualifications
  • Bachelor's degree is a plus