Billing Implementation Specialist

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.

Apply to join Color and do the most meaningful work of your career. If you are not sure that you’re 100% qualified but are up for the challenge - we want you to apply!

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 setup 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.