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!

• 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.

• 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.

• 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.