Billing Implementation Specialist

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 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.

About the Role:

The Billing Implementation Specialist serves as Color's primary operational point of contact for payer onboarding and billing implementation.

This role is responsible for coordinating payer set-up activities from kickoff through billing readiness, ensuring implementation milestones stay on track and issues are driven to resolution. You’ll work closely with payer representatives, Customer Success Managers, Revenue Cycle, and Product teams to ensure billing processes launch successfully, and that billing workflows and playbooks optimize Color’s billing ability within the constraints of payers’ billing requirements.

Most implementations follow established billing workflows and playbooks. You’ll become the expert in Color’s standard billing process, confidently guiding payer partners through implementation requirements, answering questions, and escalating only complex or non-standard scenarios.

This role is ideal for someone who enjoys managing multiple projects, building relationships, solving operational problems, and keeping work moving forward.

How You'll Contribute:

• Billing Implementation & Project Coordination

  • 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 implementation meetings, billing setup, claims testing, and required milestones.

  • Own implementation timelines by tracking progress, coordinating next steps, proactively following up with stakeholders, and escalating risks or blockers as needed.

  • Identify risks and develop mitigation strategies to ensure successful billing operations.

  Relationship Management with Payer Billing Contacts

  • Serve as the primary day-to-day contact for billing implementation, building strong relationships with payer billing representatives and partnering with Customer Success Managers throughout implementation.

  • Answer implementation questions, facilitate meetings, and work with payer billing contacts to resolve issues and ensure successful launches.

  Billing Operational Support

  • Track billing KPIs (e.g., first-pass claim acceptance, denial rates, and payment turnaround times).

  • Configure billing integrations through major payer networks (e.g., Cigna, Anthem, UnitedHealthcare) 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, and claims denials, partnering with internal teams as needed.

  • Maintain implementation documentation, trackers, and standard operating procedures to support consistent and scalable onboarding processes.

  • Analyze billing workflows to identify opportunities for improvement, automation and process optimization.

Our Ideal Candidate Will Have:

• 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.
• Experience managing implementations with ASOs/TPAs or health plan partnerships is strongly preferred.

What We Offer:

• Competitive salary

• Comprehensive medical, dental, vision, life, and disability benefits

• 401k match

• Monthly phone and wifi stipend for employees, annual ergonomic stipend

• Generous vacation policy, paid holidays and company-wide recharge days

• Equal paid parental leave for birthing and non-birthing parents

• Free cancer screening and prevention resources for employees and their adult dependents

Base Salary Range:

$88,000 - $108,000/year

The actual base pay is dependent upon many factors, such as: work experience, market data, skills, geographic location, and business need. The base pay range is subject to change and may be modified in the future. This role may also be eligible for equity and benefits.

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.