Billing Implementation Lead - Payer Onboarding

Color Health, Inc; South San Francisco (CA); On-site; USD 88,000 - 108,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive medical, dental, vision,

401k match

Monthly phone and wifi stipend

Generous vacation policy and holidays

Parental leave for all parents

Free cancer screening resources

Job summary

Color Health, Inc. is seeking a Billing Implementation Specialist to lead payer onboarding and end-to-end billing deployments from kickoff to go-live.

You will collaborate with Customer Success, Revenue Cycle, and Product teams to ensure compliant, efficient billing workflows and successful launches for payer partners. The role emphasizes project leadership, relationship management, and proactive issue resolution across multiple implementations, with a focus on optimizing payers' billing

Qualifications

• 5+ years in revenue cycle management, payer relations, or billing operations.
• Excellent organizational and project management skills.
• Exceptional communication and cross-functional coordination abilities.
• Ability to manage multiple implementations simultaneously.
• Comfortable leading meetings with external partners.
• Strong follow-up and stakeholder management skills.
• Ability to drive work forward and resolve issues.
• Understanding of CPT/HCPCS codes, payer credentialing, and claim lifecycle management.

Responsibilities

• Coordinate end-to-end billing implementations for new payer and health plan launches, from kickoff through billing readiness and go-live.
• Guide payers through Color's standard billing implementation process, including meetings, setup, tests, and milestones.
• Own implementation timelines by tracking progress, coordinating steps, and escalating blockers as needed.
• Identify risks and develop mitigation strategies for successful billing operations.
• Serve as day-to-day contact for payer billing and partner with Customer Success Managers throughout implementation.
• Answer questions, facilitate meetings, and resolve issues with payer billing contacts.
• Track billing KPIs such as first-pass acceptance, denial rates, and payment turnaround times.
• Configure billing integrations through major payer networks (Cigna, Anthem, UnitedHealthcare) via EDI or API.
• Validate member eligibility and ensure accurate payer setup for claim adjudication.
• Troubleshoot billing data or eligibility issues with billing partners, engineering, and client success teams.
• Develop and maintain SOPs for compliant billing practices.
• Investigate and resolve issues related to payer setup, claims processing and denials with internal teams.
• Maintain documentation, trackers, and SOPs to support scalable onboarding.
• Analyze billing workflows to identify opportunities for improvement and automation.

Skills

Billing project management

Stakeholder management

Cross-functional coordination

Meeting leadership

Follow-up/issue resolution

Independent drive

Tools

EDI integration

API integrations

Job description

Color Health, Inc. is seeking a Billing Implementation Specialist to lead payer onboarding and end-to-end billing deployments from kickoff to go-live.

You will collaborate with Customer Success, Revenue Cycle, and Product teams to ensure compliant, efficient billing workflows and successful launches for payer partners. The role emphasizes project leadership, relationship management, and proactive issue resolution across multiple implementations, with a focus on optimizing payers' billing