Sr. Billing Operations Associate

About: Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation. Expertly analyze Explanation of Benefits (EOBs) and remittance advice (RAs) to identify intricate root causes of denials or payment discrepancies. Proactively take ownership of complex denied claims, conducting in-depth investigations and ensuring accurate resubmission of claims. Independently manage the accurate posting of high-volume and complex payments from health plans to patient accounts. Identify, analyze, and independently resolve discrepancies between expected and actual payments. Lead proactive follow-up on outstanding denials and underpayments using payer portals, phone communication, and written correspondence. Prepare comprehensive documentation for complex appeals based on nuanced denial reasons. Maintain meticulously organized records in the billing system. Collaborate with team members to optimize queue management and support junior team members. Adhere to established Standard Operating Procedures (SOPs) and compliance guidelines. Identify complex denial or reconciliation issues and develop solutions. Lead the identification of trends in denials and payment discrepancies, proposing process improvements. Provide mentorship, guidance, and support to junior team members. Experience: A minimum of 5 years of progressively responsible experience in healthcare billing. Proven expertise in reading and interpreting Explanation of Benefits (EOBs) and electronic remittance advice (ERAs). In-depth understanding of the complete claim lifecycle. Experience navigating complex payer portals and using billing software with advanced proficiency. Exceptional data entry skills with a track record of accuracy. Strong attention to detail and problem-solving skills. Outstanding organizational and time management skills. Professional written and verbal communication skills. Commitment to adhering to established procedures and guidelines. Proactive, solution-oriented approach to resolving billing issues. Experience in mentoring and supporting junior team members. Salary and Perks: Pay range: $68K - $103K Comprehensive healthcare coverage including medical, dental, vision, FSA/HSA, life and disability insurances. 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 and regular community celebration. About Lyra Health: Our mission is to transform access to life-changing mental health care. #J-18808-Ljbffr