Billing Operations Associate

Lyra Health; United States; Remote; USD 30,000 - 42,000; Full time

Benefits offered by this job

Comprehensive healthcare coverage

Lyra for Lyrians; coaching and therapy

Equity in the company through RSUs

Paid vacation and holidays

401K with matching

Monthly tech allowance

Well-being perks and activities

Job summary

Lyra Health is seeking a Billing Ops Associate to guide caregivers through onboarding, insurance details, and payment options. This remote, full-time role emphasizes empathy, clear communication, and the ability to translate complex information into actionable guidance.

You will review benefit coverage and Lyra's costs, answer questions, and collaborate with Care Coordination and Clinical teams to ensure a seamless start for families seeking behavioral health care.

Qualifications

• 2+ years 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.

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

Skills

Customer service

Insurance terminology

Prior Authorization

Communication skills

Remote work capability

Education

High school diploma or equivalent

Associate's or Bachelor's in healthcare administration

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 Ops Associate 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.

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

$26 - $26 an hour

As a full-time Billing Operations Associate, you will be employed by Lyra Health, Inc. The anticipated base rate for this full-time position is $26/hour. The base rate is determined by role and level, and the base rate will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. The base rate is only one part of an employee's total compensation package at Lyra. We also offer generous benefits that include:

Benefits

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)


• Lyra for Lyrians; coaching and therapy services


• Equity in the company through discretionary restricted stock units


• Competitive time off with pay policies including vacation, sick days, and company holidays


• Paid parental leave


• 401K with up to 3% matching


• Monthly tech allowance


• We like to spread joy throughout the year with well-being perks and activities, surprise swag, regular community celebration and more!

We can't wait to meet you.

We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.

By applying for this position,you acknowledge thatyourpersonal informationwill be processed as pertheLyra HealthWorkforce Privacy Notice. Through this application, to the extent permitted by law,we will collect personal information from you including, but not limited to,your name, email address, gender identity, employment information, and phone number for the purposes of recruiting and assessing suitability, aptitude, skills, qualifications, and interests for employment with Lyra.We may also collect information about your race, ethnicity, and sexual orientation, which is considered sensitive personal information under the California Privacy Rights Act (CPRA)and special category data under the UK and EU GDPR. Providing this information is optional and completely voluntary,and if you provide it you consent to Lyra processing it for the purposes as described at the point of collection, for example for diversity and inclusion initiatives. If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Informationform. This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not \"sell\" or \"share\" personal information as defined by the CPRA.Outside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. These rights may be subject to legal limitations.To exercise your data privacy rights outside of the United States, please [e-mail] more information about how we use and retain your information, please see ourWorkforce Privacy Notice.