Payment Operations Associate (Healthcare)

Location: Remote within the United States, with teams primarily operating from the New York Metropolitan area and remotely via San Francisco/Bay Area, Seattle, Boston, Chicago, and Washington, D.C. New York City employees work onsite three days per week; employees in the other listed locations attend quarterly Work Together Days. Active US work authorization is required.

Salary: $81,000–$95,000 per year, plus stock options and benefits.

Company

hirify.global provides virtual healthcare programs and care access for women and families through employer, health plan, and consumer platforms.

What you will do

• Review and process complex claims for fertility treatments, procedures, medications, and related paths to parenthood according to benefit plan designs.
• Identify denials, underpayments, overpayments, eligibility discrepancies, and other claim issues.
• Prepare and submit appeals and reconsiderations, communicate with insurance representatives, and coordinate prior authorizations.
• Facilitate accurate payments, post and reconcile reimbursements, and research underpayments and unapplied cash.
• Escalate denial trends and systemic issues to management.
• Collaborate with internal and external stakeholders while maintaining and improving Revenue Cycle Management SOPs.

Requirements

• 2–4 years of experience in revenue cycle management, benefits management, or insurance billing focused on claims and collections.
• Understanding of medical billing, coding, insurance claims processing, and revenue cycle management.
• Proficiency with claims and collections software such as Availity, Stedi, or similar tools.
• Strong written and spoken communication, organization, multitasking, time management, and independent working skills.
• Proficiency with Microsoft Office or Google Workspace tools.
• Experience using AI tools to streamline processes and workflows.

Nice to have

• Experience processing fertility claims.
• Bachelor's degree.

Culture & Benefits

• Flexible hybrid work model with remote work and scheduled in-person collaboration.
• Employer-covered health, dental, and insurance plan options.
• Access to Maven care specialists, including mental health, reproductive health, family planning, and pediatrics.
• Wellness partnerships, an annual professional development stipend, and access to a personal career coach.
• 16 weeks of fully paid parental leave and a new parent stipend for eligible employees.
• 401(k) matching with immediate vesting for US-based employees.

Hiring process

• Interview requests and job offers originate only from an @mavenclinic.com email address.