Senior Associate, Billing Specialist (Medtech)

TL;DR

Senior Associate, Billing Specialist (Medtech): Leading the resolution of complex financial and benefits billing escalations for a virtual clinic with an accent on root-cause analysis, claims reconciliation, and cross-functional coordination. Focus on resolving eligibility disputes and overpayments, implementing systemic process improvements to reduce billing inaccuracies.

Location: Must be based in the US (specifically: AZ, CA, CO, CT, DC, DE, FL, GA, HI, IL, IN, KS, MA, MD, ME, MI, MN, MO, NC, NH, NJ, NM, NV, NY, OH, OR, PA, RI, SC, TN, UT, VA, VT, WA, WI). Hybrid model: NYC office requires 3 days onsite; SF/Seattle require quarterly in-person visits.

Salary: $98,000 - $107,000 per year

Company

hirify.global is the world's largest virtual clinic for women and families, providing a comprehensive digital platform for fertility, maternity, and menopause care.

What you will do

• Investigate and resolve escalated billing errors, benefit calculations, and eligibility disputes.
• Perform root-cause analysis on systemic issues such as billing delays and data reconciliation.
• Coordinate corrective actions, including claim and accumulator adjustments, with internal and external partners.
• Act as the primary bridge between Operations, Product, Engineering, Finance, and external payers.
• Reconcile claims data and finance outputs across multiple platforms to ensure accurate member statements.
• Identify trends in escalations to propose and implement systemic process improvements.

Requirements

• Active work authorization in the US is required.
• 3+ years of experience in medical billing, health benefits, or escalation management.
• Bachelor’s degree in Healthcare Administration, Finance, Business, or equivalent professional experience.
• Deep understanding of claims lifecycle, benefits design, accumulations logic, and insurance adjudication.
• Proficiency with billing systems (EHRs), issue tracking tools (Zendesk, Jira), and data platforms (Google Sheets, Looker).
• Strong analytical skills for root-cause analysis and managing multi-stakeholder issues.

Culture & Benefits

• Flexible hybrid work model with support for remote team members across approved US states.
• 16 weeks of 100% paid parental leave and a new parent stipend (after 1 year of employment).
• Annual professional development stipend and access to a personal career coach.
• 401K matching for US-based employees with immediate vesting.
• Comprehensive health benefits, including full access to the Maven platform for mental and reproductive health.