Billing Operations Associate

Billing Ops Associate

The Billing Ops Associate serves as the central point of contact for caregivers during the onboarding process, guiding them through the financial and insurance aspects of starting care at Lyra Health. This role ensures families understand their benefit coverage, estimated costs, and payment options, while directing them to their insurance provider for plan-specific details.

This role is a great fit if you are empathetic, detail-oriented, and skilled at translating complex information into clear, actionable guidance. We encourage you to apply if the following competencies resonate with you: customer service excellence, experience with prior authorizations, clear communication, problem solving, collaboration, cultural sensitivity, and tech proficiency.

Responsibilities:

• Serve as the primary financial contact for caregivers during onboarding into behavioral health services
• Review and explain insurance benefit coverage and Lyra Health's estimated costs for care in a clear, compassionate manner
• Answer initial financial and insurance-related questions, escalating or redirecting to the family's insurance plan for detailed inquiries
• Provide transparent payment information and outline available payment options
• Collaborate with the Care Coordination and Clinical teams to ensure a seamless onboarding experience
• Maintain accurate documentation of all caregiver interactions in Lyra Health's systems
• Uphold HIPAA and privacy compliance standards in all communications

Qualifications:

• 2+ years of experience in healthcare customer service, patient access, medical billing, or insurance verification (pediatric or behavioral health experience preferred)
• Working knowledge of health insurance terminology, benefit structures, and prior authorization processes
• Experience with Prior Authorization cost-control process
• Strong verbal and written communication skills
• Ability to work independently in a remote environment while managing multiple priorities
• High school diploma or equivalent required; associate's or bachelor's degree in healthcare administration, business, or related field preferred
• Full-time resident of the United States

$61,000 - $84,000 a year

As a full-time Billing Operations Associate, you will be employed by Lyra Health, Inc. The anticipated annual base salary range for this full-time position is $61,000-$84,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. This role may also be eligible for discretionary bonuses.

Annual salary is only one part of an employee's total compensation package at Lyra. We also offer generous benefits that include:

• 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 retirement benefits
• Monthly tech allowance
• We like to spread joy throughout the year with well-being perks and activities, surprise swag, regular community celebrationand more!

We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.