Maven helps companies retain talent, improve health outcomes, and reduce maternity and fertility costs. We support every path to parenthood: Pregnancy, Fertility, Egg Freezing, Adoption, Surrogacy, Infant Care, Breastmilk Shipping, and Manager Training. Backed by General Catalyst and Sequoia.
About the role
Maven is looking for a Senior Associate, Payment Operations to support our program expansion into insurance-based billing. This person will play a critical role in managing claim denial and appeals with payers, resolving real time eligibility system errors, and unblocking payment issues. This role will be reporting to the Manager, Revenue Cycle Management. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Develop, document, and iteratively refine SOPs for claims processing as new verticals and claim types launch
- Review and process complex claims, maintaining a high first pass clean claims submission rate
- Review claims to identify instances of denials and under payments
- Serve as the point of resolution for cross-functional needs between RCM, Member Support, and Finance on billing issues
- Prepare recurring operational reporting on claims volume, SLA performance, and denial trends for program and leadership review
- Identify and escalate systemic issues, with authority to resolve claims-specific process issues directly, escalating member-experience or product-level issues to the appropriate owner
More about this role
Maven Clinic is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Through Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Through its consumer platform, Maven provides direct access to virtual care across 30+ specialties, as well as dedicated hormone and GLP-1 care programs purpose-built for women. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. Recognized for innovation and industry leadership, Maven has been named to the TIME100 Most Influential Companies, CNBC Disruptor 50, Fast Company's Most Innovative Companies, and FORTUNE Best Places to Work. Learn more at mavenclinic.com
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