Billing Implementation Specialist

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Color

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2014

🏥 Healthcare

🤖 Artificial Intelligence

Healthcare • Artificial Intelligence

Color is a healthcare company that operates a Virtual Cancer Clinic delivering oncologist-led clinical care across the entire cancer journey—from prevention, screening, and diagnosis through active treatment and survivorship. Color combines virtual clinical services, at-home screening and testing, and AI tools to expand oncology expertise, speed decision-making, and improve access and outcomes at scale. It partners with employers, health plans, unions, consultants, and public-sector organizations to provide clinically managed cancer care, Expert Medical Opinion, and care coordination focused on earlier detection, faster follow-up, and cost reduction; the company is ASCO-certified and emphasizes measurable clinical and cost outcomes.

📋 Description

• 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 • Track implementation progress, coordinate next steps, follow up with stakeholders, and escalate risks or blockers • Identify risks and develop mitigation strategies • Serve as the primary day-to-day contact for billing implementation • Build relationships with payer billing representatives and partner with Customer Success Managers • Answer implementation questions, facilitate meetings, and resolve issues with payer billing contacts • Track billing KPIs including first-pass claim acceptance, denial rates, and payment turnaround times • Configure billing integrations through major payer networks such as Cigna, Anthem, and UnitedHealthcare via EDI or API pathways • Troubleshoot billing data or eligibility issues with billing partners, engineering, and client success teams • Develop and maintain standard operating procedures for consistent, compliant billing practices • Investigate and resolve issues related to payer setup, claims processing, billing readiness, and claims denials • Maintain implementation documentation, trackers, and SOPs • Analyze billing workflows for improvement, automation, and process optimization

🎯 Requirements

• 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 • Experience managing implementations with ASOs/TPAs or health plan partnerships is strongly preferred • 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 • Configure billing integrations via EDI or API pathways • Validate member eligibility and ensure accurate payer setup for claim adjudication • Unrestricted right to work in the United States for any employer

🏖️ Benefits

• 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 • 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 • Potential eligibility for equity and benefits