United States onlyMahmee is on a mission to make the United States the best place in the world to give birth by providing wraparound pregnancy and postpartum care that treats the whole you. Mahmee is backed by some of the most well-known venture capital investors in the world, including Goldman Sachs Asset Management, MaC Venture Capital, Mark Cuban, Serena Williams, and Arlan Hamilton, among others.
The primary goal of this role is:
To support the maintenance and refinement of Mahmee’s internal revenue cycle reporting systems, ensuring accurate tracking of insurance billing performance and reimbursement trends. Success in this role means our billing workflows are consistently followed, claims and reimbursements are monitored effectively, and reporting inputs are accurate and timely.
Within 90 days, the Medical Biller will have contributed to refining Mahmee’s internal insurance billing workflows, supported the establishment of a standard billing performance dashboard, and ensured timely tracking of key reimbursement and denial trends across payers.
To accomplish this goal, you’ll need a ton of knowledge in:
- 2–3 years of experience working in healthcare billing or revenue cycle operations, with a working knowledge of payer reimbursement processes, CPT/ICD coding, EOB review, and denial management
- Experience working within a healthcare services environment, supporting billing processes for medical practices, outpatient clinics, or similar settings
- Collaborating cross-functionally with clinical, operational, or administrative teams to ensure complete and accurate documentation, claim submissions, and follow-up activities that support the revenue cycle
- Understanding of financial compliance and documentation standards related to healthcare billing and payer requirements
- Working in a healthcare services environment, particularly with a focus on maternal and/or infant health
- Collaborating with care teams that include doulas, nurses, lactation consultants, mental health specialists, nutrition coaches, and other health professionals to ensure financial processes support patient care operations
- Financial compliance and internal controls related to healthcare delivery and revenue cycle management
You must have all of these skills:
- Strong analytical and financial acumen, with the ability to identify discrepancies, investigate issues, and ensure data accuracy in billing and reimbursement processes
- Familiarity with insurance billing systems and payer portals, including tools such as Tebra (formerly Kareo), Office Ally, Availity, and Change Healthcare for submitting claims, verifying eligibility, reviewing remittances, and managing denials
- Adaptability and systems thinking, with comfort navigating dynamic environments, optimizing workflows between internal teams and external vendors, and working with data from Electronic Health Records (EHRs) and insurance billing platforms
- Organizational and project management skills, including the ability to prioritize tasks, manage competing deadlines, and operate independently
Your responsibilities will include:
- Revenue Integrity and Insurance Billing Oversight
- Supporting the maintenance of Mahmee’s internal revenue cycle reporting framework, including providing accurate, validated data inputs for recurring reports used by the Director of Operations and other leadership stakeholders
- Reviewing insurance billing activity and auditing remittance receipts to ensure accurate revenue recognition and identify underpayments, overpayments, or billing anomalies
- Investigating discrepancies in Explanation of Benefits (EOBs) or insurer reimbursements and collaborating with internal stakeholders to resolve them
- Coordinating with internal teams to ensure proper CPT code usage, modifier application, and encounter documentation that supports clean claims
- Identifying gaps or inefficiencies in billing workflows and recommending improvements to reduce denials and improve reimbursement timelines
- Insurance Billing Optimization and Claims Workflow Support
- Monitoring claim status, denials, and aged receivables to identify patterns in payer behavior or internal billing issues that require intervention
- Partnering with clinical and operational teams to ensure documentation and workflows align with payer requirements for authorization, eligibility, and reimbursement
- Supporting internal training and documentation for billing-related workflows, helping other teams understand how clinical activity translates to accurate billing
Your Benefits Package
- Competitive pay plus stock options
- Flexible work solutions including remote options, hybrid work schedules
- Paid time off, including national holidays and your birthday
- Health, dental and vision coverage, plus 401(k) and life insurance
Mahmee’s Commitment as an Equal Opportunity Employer
Mahmee values diverse experiences. If you have important skills that we haven't listed here, please don’t hesitate to apply and tell us more about your unique expertise. Just like we fight for equitable access to healthcare, we also stand for equitable access to career opportunity. Inclusive hiring is incredibly important to our organization, and we welcome individuals of all cultural backgrounds and experiences to apply to our open positions. We especially encourage members of traditionally underrepresented communities to apply, including women, people of color, LGBTQ people, veterans, and people with disabilities.
