Billing Implementation Specialist
Core
Primary operational point of contact for payer onboarding and billing implementation, coordinating setup from kickoff through billing readiness for new payer and health plan launches.
Role type
Senior IC billing implementation specialist
Builds
Billing workflows and playbooks for Color's Virtual Cancer Clinic
Domain
Healthcare revenue cycle management / Payer relations
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Revenue cycle management, payer relations, billing operations, project management, stakeholder management, CPT/HCPCS codes, payer credentialing, claim lifecycle management, EDI/API integration, SOP development
Preferred skills
Experience managing implementations with ASOs/TPAs, health plan partnerships
Technologies
EDI, API, major payer networks (Cigna, Anthem, UnitedHealthcare)
Responsibilities
Coordinate end-to-end billing implementations for new payer and health plan launches; Guide payers through Color's standard billing implementation process including meetings, setup, and claims testing; Own implementation timelines by tracking progress and escalating risks; Track billing KPIs (first-pass claim acceptance, denial rates, payment turnaround times); Configure billing integrations via EDI or API pathways; Develop and maintain standard operating procedures (SOPs) for consistent, compliant billing practices.
Seniority
Senior, hands-on IC