Billing Ops Associate

Responsibilities:

• 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