Sr. Billing Operations Associate
Core
Sr. Billing Operations Associate managing complex claim denials, payment posting, and remittance reconciliation for Lyra Health's mental health care services.
Role type
Senior IC billing operations specialist
Builds
Accurate payment postings and resolved claim denials for health plans and patients
Domain
Healthcare billing and revenue cycle management
Required skills
claim denial analysis, payment posting, remittance reconciliation, EOB interpretation, payer portal navigation, regulatory compliance, data integrity, process improvement, mentorship
Preferred skills
workflow optimization, trend analysis, strategic problem solving
Technologies
billing software, payer portals, electronic remittance advice (ERA) systems
Responsibilities
Analyze EOBs and RAs to identify root causes of denials; manage complex denied claims and ensure timely resubmission; post high-volume payments and reconcile with bank deposits; resolve discrepancies between expected and actual payments; lead follow-up on outstanding denials via payer portals and correspondence; prepare documentation for complex appeals; maintain audit-ready records; mentor junior team members; propose process improvements based on denial trends.
Seniority
Senior, hands-on IC with mentorship responsibilities
