📅 Oct 5
Manage healthcare revenue-cycle billing from claim preparation and coding through denial resolution, reimbursement reconciliation, and reporting, ensuring accurate, timely, and compliant submissions to Medicaid and other payers.
Billing Specialist
📅 Sep 4
Healthcare Customer ServicePatient AccessMedical BillingInsurance Verification
📜 Description
- Serve as the primary financial contact for caregivers during behavioral health care onboarding.
- Explain payment information and available payment options.
- Coordinate with Care Coordination and Clinical teams to support a seamless onboarding experience.
- Document caregiver interactions accurately and follow HIPAA and privacy standards.
🛠️ Requirements
- 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
✨ Benefits
- Explain insurance benefit coverage and estimated care costs clearly and compassionately.
- Answer initial financial and insurance questions, directing plan-specific inquiries to the family's insurer.
Full job description
About Lyra Health
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.
About the Role
The Billing Specialist 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.
Responsibilites:
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
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