Sr. Billing Operations Associate

2 weeks, 3 days ago
Full-time
Senior
Operations
Lyra Health

Lyra Health

Lyra Health is a global leader in mental health benefits, connecting companies and employees to world-class therapists and coaches. Their innovative platform offers fast, reliable access to evidence-based care for organizational well-being.

Health Care Providers & Services
1001-5000
Founded 2015
$627M raised

Description

  • Analyze EOBs and remittance advice to identify denial and payment-discrepancy root causes and resolution strategies.
  • Investigate, correct, and resubmit complex denied claims to health plan payers.
  • Post and reconcile high-volume health plan payments to patient accounts and bank deposits.
  • Resolve underpayments and payment discrepancies, escalating novel or high-impact issues when needed.
  • Follow up on outstanding denials and underpayments through payer portals, phone calls, and written correspondence.
  • Prepare documentation for payer-specific appeals based on denial reasons and applicable regulations.
  • Maintain accurate, audit-ready billing-system records and uphold SOPs and compliance requirements.
  • Identify denial and reconciliation trends, recommend solutions, and implement process improvements.
  • Support queue management, act as an escalation resource, and mentor junior team members.

Requirements

  • 5+ years of progressively responsible healthcare billing experience.
  • Expertise managing complex claim denials, payment posting, and remittance reconciliation independently.
  • Proficiency interpreting complex EOBs and electronic remittance advice (ERAs).
  • Deep understanding of the full claim lifecycle, denial-resolution strategies, payer rules, and regulations.
  • Advanced experience using payer portals and billing software for claim research, payment posting, and follow-up.
  • Demonstrated accuracy in high-volume data entry and complex claim updates.
  • Strong analytical, problem-solving, organizational, and time-management skills.
  • Professional written and verbal communication skills for interactions with payers and internal teams.
  • Ability to prioritize complex workloads, meet demanding deadlines, and recommend process improvements.
  • Experience mentoring and supporting junior team members.

Interested in this position?

Apply directly on the company website

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