✨ The Role in One Sentence

Maven Clinic is seeking a Payment Operations Associate to manage claims, appeals, and discrepancies related to fertility treatments, ensuring members receive financial support.

📋 What You'll Likely Do

• 40%: Review and process complex claims related to Maven’s fertility treatments and expenses.

• 30%: Prepare and submit timely appeals to insurance payers for expedited re-processing of claims.

• 30%: Identify patterns in denials and escalate systemic issues to management.

🧑‍💻 Profiles Doing This Job

• High Priority: 2-4 years of experience in benefits management or insurance focusing on claims and collections.

• High Priority: Understanding of medical billing, coding, insurance claims processing, and revenue cycle management.

• High Priority: Excellent communication skills and proficiency in Microsoft Office tools.

📈 How This Role Will Look on Your CV

• Managed complex claims and appeals related to fertility treatments, ensuring timely and accurate payments.