Senior Billing Operations Associate

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $68k - $103.5k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Lyra Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $235M Series F on 2022-01

Healthcare • Healthcare Insurance • SaaS

Lyra Health is a mental health company that partners with organizations to deliver comprehensive and effective global workforce mental health benefits. By providing evidence-based mental health care, Lyra Health boosts employee well-being and drives business impact. Their platform offers high-quality mental health support through a global network of professionals, utilizing AI matching technology to connect members quickly with suitable providers. Lyra Health serves families, couples, adults, and children, offering support for diverse mental health needs. Their programs aim to improve employee health, productivity, and reduce healthcare costs while providing a seamless member experience.

📋 Description

• Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation • Manage complex billing queues and optimize workflows • Analyze EOBs and RAs to identify denial and payment discrepancy root causes • Investigate, correct, and resubmit denied claims to payers • Post high-volume health-plan payments to patient accounts and reconcile them with bank deposits • Identify and resolve discrepancies between expected and actual payments • Follow up on denials and underpayments using payer portals, phone communication, and written correspondence • Prepare documentation for complex appeals • Maintain accurate billing-system records and audit readiness • Collaborate on queue management and resolve complex billing issues • Support and escalate issues for junior team members • Adhere to SOPs, compliance guidelines, and regulatory requirements • Recommend solutions and process improvements • Identify denial and payment-discrepancy trends • Mentor and support junior team members

🎯 Requirements

• A minimum of 5 years of progressively responsible experience in healthcare billing • Demonstrable expertise in independently managing complex claim denials, payment posting, and intricate remittance reconciliation • Subject matter expertise in reading and interpreting complex Explanation of Benefits (EOBs) and electronic remittance advice (ERAs) • Comprehensive understanding of the complete claim lifecycle, claim denials, resolution strategies, and payer-specific rules and regulations • Experience navigating complex payer portals and using billing software for claim research, high-volume payment posting, and follow-up • Exceptional data entry skills with verifiable accuracy in high-volume payment posting and complex claim updates • Strong attention to detail and highly developed analytical and problem-solving skills • Outstanding organizational and time management skills • Professional written and verbal communication skills • Understanding of and commitment to established procedures, guidelines, and regulatory requirements • Proactive, solution-oriented, and leadership-driven approach to resolving billing issues • Demonstrated experience mentoring and supporting junior team members

🏖️ Benefits

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) • Lyra for Lyrians; coaching and therapy services • Equity in the company through discretionary restricted stock units • Competitive time off with pay policies including vacation, sick days, and company holidays • Paid parental leave • 401K with up to 3% matching • Monthly tech allowance • Well-being perks and activities • Surprise swag • Regular community celebrations