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About the Role

The Billing Implementation Specialist is the primary operational point of contact for payer onboarding and billing implementation, coordinating all setup activities from kickoff through billing readiness to ensure successful launches and optimize billing processes.

Responsibilities

• Coordinate end-to-end billing implementations for new payer and health plan launches.
• Guide payers through Color's standard billing implementation process.
• Own implementation timelines by tracking progress, coordinating next steps, and escalating risks.
• Identify risks and develop mitigation strategies for successful billing operations.
• Serve as the primary day-to-day contact for billing implementation, building strong relationships with payer billing representatives.
• Answer implementation questions, facilitate meetings, and work with payer billing contacts to resolve issues.
• Track billing KPIs (e.g., first-pass claim acceptance, denial rates, and payment turnaround times).
• Configure billing integrations through major payer networks via EDI or API pathways.
• Validate member eligibility and ensure accurate payer setup for claim adjudication.
• Troubleshoot billing data or eligibility issues in collaboration with billing partners, engineering and client success teams.
• Develop and maintain standard operating procedures (SOPs) for consistent, compliant billing practices.
• Investigate and resolve implementation issues related to payer setup, claims processing, and billing readiness.
• Maintain implementation documentation, trackers, and standard operating procedures.
• Analyze billing workflows to identify opportunities for improvement, automation and process optimization.

Requirements

• 5+ years of experience in revenue cycle management, payer relations, billing operations or customer implementation.
• Experience managing implementations with ASOs/TPAs or health plan partnerships is strongly preferred.
• Experience working with health plans, TPAs, provider organizations, or healthcare billing.
• Excellent organizational and project management skills.
• Exceptional communication, stakeholder management, and cross-functional coordination skills.
• Ability to manage multiple implementations simultaneously.
• Comfortable leading meetings with external partners.
• Strong follow-up and stakeholder management skills.
• Ability to independently drive work forward and resolve issues.
• Understanding of CPT/HCPCS codes, payer credentialing, and claim lifecycle management.

Skills

• Revenue cycle management
• Payer relations
• Billing operations
• Customer implementation
• Project management
• Stakeholder management
• Cross-functional coordination
• CPT/HCPCS codes
• Payer credentialing
• Claim lifecycle management

Experience Level

• 5+ years

Salary/Compensations

• Base Salary Range:$/year

Benefits

• Competitive salary
• Comprehensive medical, dental, vision, life, and disability benefits
• 401k match
• Monthly phone and wifi stipend
• Annual ergonomic stipend
• Generous vacation policy
• Paid holidays
• Company-wide recharge days
• Equal paid parental leave
• Free cancer screening and prevention resources

About the Company

• Color is revolutionizing cancer care with the nation’s first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states.
• Our innovative, guideline-based approach spans cancer screening, risk assessment, prevention, diagnosis, treatment support, and survivorship.
• In addition to personalized direct medical care, our services include cancer genetics risk assessment, nutrition, mental health support and at-home cancer screening diagnostics.
• Using technology-driven, patient-centric solutions, Color is transforming how employers, unions, health plans, and governments address cancer.
• Color’s goal is to close critical cancer care gaps, improve cancer outcomes, and guide patients with empathy through their healthcare journeys.

Equal Opportunity

• Color prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law.
• Color conforms to the spirit as well as to the letter of all applicable laws and regulations.
• We are also committed to providing reasonable accommodations for qualified applicants with disabilities in our recruitment process.