Billing Specialist

The role

The Billing Specialist is the main financial contact for caregivers during onboarding into behavioral health services. This role explains insurance benefit coverage, estimated costs, and payment options, and directs families to their insurance provider for plan-specific details.

What you will do

• 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

Required qualifications

• 2+ years of experience in healthcare customer service, patient access, medical billing, or insurance verification
• 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
• Full-time resident of the United States

Nice to have

• Pediatric or behavioral health experience
• Associate's or bachelor's degree in healthcare administration, business, or related field

Before you apply

• Must be a full-time resident of the United States

About the company

Lyra Health is a provider of evidence-based mental health care, working with employers and health plans. The company offers Lyra Empower, an AI-powered platform combining care and technology.