Billing Specialist

Maven Clinic

. Investigate and resolve escalated cases involving reimbursement processing discrepancies, accumulator/cost-share issues, eligibility questions, claims lifecycle, and claims adjudication processing .

Posted 9/22/2026full-timeUnited StatesJuniorMid-Level💰 $81,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing, reimbursement processing, and claims adjudication, with a strong focus on resolving payment discrepancies and maintaining audit-ready documentation. Exhibits strong organizational, critical-thinking, and communication skills to effectively collaborate across functions and adapt to fast-paced environments.

Highest-signal resume keywords

Medical Billing ExpertiseReimbursement ProcessingClaims AdjudicationJira FamiliarityZendesk Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement ProcessingClaims AdjudicationMedical BillingRevenue Cycle ManagementPayments Lifecycle UnderstandingBenefits Design KnowledgeRoot-Cause AnalysisEscalation ManagementAudit-Ready DocumentationCost-Share Determinations

Soft Skills

Strong Organizational SkillsDetail-OrientedCritical-Thinking SkillsOutstanding Communication SkillsCreative Problem-Solving

Tools & Technologies

JiraZendeskGoogle SheetsLooker

Industry Keywords

Healthcare AdministrationFinanceBusiness OperationsPayment Escalation ManagementInsurance Claims Processing

About the role

Key responsibilities & impact

Investigate and resolve escalated cases involving reimbursement processing discrepancies, accumulator/cost-share issues, eligibility questions, claims lifecycle, and claims adjudication processing
Serve as the billing and cost-share determinations expert
Execute backend system corrective actions
Coordinate with Member Benefits Services, Adjudication, Payment Operations, Product, Client Success, and Client Operations
Maintain complete, audit-ready documentation for every case
Support smooth reimbursement processing for members and resolve payment discrepancies
Report to the Manager of Payments

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Finance, Business Operations, or related field; or equivalent experience preferred
3–6 years of relevant experience in medical billing, health benefits, or payment escalation management
Understanding of medical billing, reimbursement processing, insurance claims processing, and revenue cycle management
Working knowledge of the payments lifecycle, benefits design, and claim adjudication
Familiarity with Jira and Zendesk
Familiarity with Google Sheets and Looker
Strong organizational and detail-oriented skills
Strong critical-thinking skills for root-cause analysis and escalation judgment
Outstanding verbal and written communication skills
Strong cross-functional collaboration skills
Ability to adapt to shifting priorities in a fast-paced environment
Creative problem-solving and resourcefulness
Active work authorization in the US

Benefits

Comp & perks

Equity
Employer-covered health, dental, and insurance plan options
Access to Maven’s virtual care platform and specialists, including mental health, reproductive health, family planning, and pediatrics
Wellness partnerships
Hybrid work, in-office meals, and Work Together Days
16 weeks 100% paid parental leave
New parent stipend for employees with 1+ year of service
Annual professional development stipend
Personal career coach through Maven for Mavens
401(k) matching for US-based employees, with immediate vesting