Billing Specialist

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

Additional information

By applying for this position, you acknowledge that your personal information will be processed as per the Lyra Health Workforce Privacy Notice. 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 Information form. 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 contact. For more information about how we use and retain your information, please see our Workforce Privacy Notice."