Billing Implementation Lead: Payer Onboarding

Socotra, Inc.

South San Francisco, Northern (CA, KY)

Hybrid

USD 88,000 - 108,000

Full time

14 days+
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Benefits offered by this job

Medical, dental, vision benefits
401k match
Stipends for phone and wifi
Ergonomic stipend
Generous vacation and holidays
Parental leave
Cancer screening resources

Job summary

Color is hiring a Billing Implementation Specialist to lead payer onboarding and billing setup from kickoff to go-live. You will coordinate end-to-end implementations, guide payers through the process, and drive timelines while mitigating risks, ensuring successful launches and scalable billing workflows.

The role requires 5+ years in revenue cycle, strong communication, and cross-functional collaboration with Customer Success, Revenue Cycle, and Product teams.

Qualifications

  • 5+ years of experience in revenue cycle management, payer relations, billing operations or customer implementation.
  • 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.

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 standard billing implementation processes, including meetings, billing setup, claims testing, and milestones.
  • Own implementation timelines, track progress, and escalate risks or blockers as needed.
  • Identify risks and develop mitigation strategies for successful billing operations.
  • Serve as the primary day-to-day contact for payer billing representatives and collaborate with Customer Success Managers.
  • Answer implementation questions, facilitate meetings, and resolve issues to ensure successful launches.
  • Track billing KPIs (first-pass claim acceptance, denial rates, payment turnaround).
  • Configure billing integrations via major payer networks (EDI or API).
  • Validate member eligibility and ensure accurate payer setup for adjudication.
  • Develop and maintain SOPs for compliant billing practices.
  • Investigate and resolve issues related to payer setup and denials.
  • Maintain implementation documentation and trackers for scalable onboarding.
  • Analyze billing workflows to identify opportunities for automation and optimization.

Skills

Revenue cycle management
Payer relations
Billing operations
Project management
Communication
Stakeholder management
Cross-functional coordination
CPT/HCPCS codes knowledge
Issue resolution

Tools

EDI integrations
API integrations

Job description

Color is hiring a Billing Implementation Specialist to lead payer onboarding and billing setup from kickoff to go-live. You will coordinate end-to-end implementations, guide payers through the process, and drive timelines while mitigating risks, ensuring successful launches and scalable billing workflows.

The role requires 5+ years in revenue cycle, strong communication, and cross-functional collaboration with Customer Success, Revenue Cycle, and Product teams.

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