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Senior Billing Operations Associate
Lyra Health. Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing processes, including claim denials, payment posting, and remittance reconciliation. Proficient in analyzing EOBs and ERAs, managing complex billing queues, and mentoring junior team members while adhering to compliance guidelines.
Highest-signal resume keywords
Claim Denials ManagementPayment PostingRemittance ReconciliationEOB and ERA AnalysisPayer Portal Navigation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Lifecycle UnderstandingData Entry AccuracyComplex Claim ResolutionPayment Discrepancy IdentificationBilling Software Proficiency
Soft Skills
Analytical Problem-SolvingOrganizational SkillsTime ManagementProfessional CommunicationMentoring
Tools & Technologies
Billing SoftwarePayer Portals
Industry Keywords
Healthcare BillingCompliance GuidelinesSOPsRemittance AdviceExplanation of Benefits
About the role
Key responsibilities & impact- Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation
- Manage complex billing queues and optimize workflows
- Analyze EOBs and RAs to identify denial and payment discrepancy root causes
- Investigate, correct, and resubmit denied claims to payers
- Post high-volume health-plan payments to patient accounts and reconcile them with bank deposits
- Identify and resolve discrepancies between expected and actual payments
- Follow up on denials and underpayments using payer portals, phone communication, and written correspondence
- Prepare documentation for complex appeals
- Maintain accurate billing-system records and audit readiness
- Collaborate on queue management and resolve complex billing issues
- Support and escalate issues for junior team members
- Adhere to SOPs, compliance guidelines, and regulatory requirements
- Recommend solutions and process improvements
- Identify denial and payment-discrepancy trends
- Mentor and support junior team members
Requirements
What you’ll need- A minimum of 5 years of progressively responsible experience in healthcare billing
- Demonstrable expertise in independently managing complex claim denials, payment posting, and intricate remittance reconciliation
- Subject matter expertise in reading and interpreting complex Explanation of Benefits (EOBs) and electronic remittance advice (ERAs)
- Comprehensive understanding of the complete claim lifecycle, claim denials, resolution strategies, and payer-specific rules and regulations
- Experience navigating complex payer portals and using billing software for claim research, high-volume payment posting, and follow-up
- Exceptional data entry skills with verifiable accuracy in high-volume payment posting and complex claim updates
- Strong attention to detail and highly developed analytical and problem-solving skills
- Outstanding organizational and time management skills
- Professional written and verbal communication skills
- Understanding of and commitment to established procedures, guidelines, and regulatory requirements
- Proactive, solution-oriented, and leadership-driven approach to resolving billing issues
- Demonstrated experience mentoring and supporting junior team members
Benefits
Comp & perks- 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
- Well-being perks and activities
- Surprise swag
- Regular community celebrations