Sr. Billing Operations Associate

The role

You will support the accounts receivable function of the Health Plan Billing Operations team at Lyra Health. The role centers on claim denials, payment posting and remittance reconciliation with health plan partners.

What you will do

• Serve as subject matter expert in claim denials, payment posting and remittance reconciliation, managing complex queues independently.
• Analyze Explanation of Benefits (EOBs) and remittance advice (RAs) to find root causes of denials or payment discrepancies.
• Investigate and correct denied claims and resubmit them to payers.
• Post high-volume and complex health plan payments to patient accounts and reconcile them with bank deposits.
• Resolve discrepancies between expected and actual payments.
• Follow up on outstanding denials and underpayments using payer portals, phone calls and written correspondence.
• Prepare documentation for complex appeals.
• Keep accurate records of all billing system actions with audit readiness.
• Follow Standard Operating Procedures (SOPs) and compliance guidelines.
• Identify denial trends and propose process improvements; mentor junior team members.

Required qualifications

• At least 5 years of progressively responsible healthcare billing experience.
• Expertise in claim denials, payment posting and remittance reconciliation.
• Ability to read and interpret EOBs and electronic remittance advice (ERAs).
• Understanding of the full claim lifecycle and payer-specific rules.
• Experience using payer portals and billing software for claim research and payment posting.
• Exceptional data entry accuracy.
• Strong attention to detail and analytical problem-solving skills.
• Organization and time management skills for complex workloads and deadlines.
• Professional written and verbal communication skills.
• Commitment to established procedures, with ability to recommend improvements.
• Proactive, solution-oriented approach.
• Experience mentoring and supporting junior team members.

Before you apply

• Lyra Health is an Equal Opportunity Employer and does not discriminate on the basis of protected categories.

About the company

Lyra Health provides evidence-based mental health care to employers, health plans and partners. Its Lyra Empower platform combines care and AI-powered technology.