Senior Associate, Billing Specialist

Maven Clinic

Senior Associate, Billing Specialist at Maven Clinic resolving complex billing issues and ensuring accurate member financial tracking while providing equitable solutions.

Posted 5/7/2026full-timeNew York City • New York • 🇺🇸 United StatesSenior💰 $98,000 - $107,000 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical billingclaims lifecyclebenefits designaccumulations logicAR workflowsinsurance adjudicationroot-cause analysisbilling correctionsdata reconciliationissue tracking

Soft Skills

detail-orientedorganizational skillscritical-thinkingverbal communicationwritten communicationcross-functional collaborationempathyadaptabilityproblem-solvingresourcefulness

Certifications

Bachelor’s degree in Healthcare AdministrationBachelor’s degree in FinanceBachelor’s degree in Business