Payer Billing & Collections Specialist
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Payer Billing & Collections Specialist is responsible for managing day-to-day billing, reconciliation, and collections processes for Datavant's payer-focused lines of business, with a primary focus on Apixio. This role will report directly to Manager, Payer Billing & Collections, and will collaborate cross-functionally with teams in Accounting, Finance, and Operations. The specialist will also provide support to other payer business units as needed, ensuring consistent and accurate billing practices across Datavant's broader payer portfolio. This is a fully remote position that requires strong analytical skills, attention to detail, and the ability to manage multiple priorities in a fast-paced, evolving environment.
Key Responsibilities
- Prepare, finalize, and transmit weekly and monthly client invoices in accordance with established billing schedules.
- Manage billing processes for the Apixio line of business, ensuring accuracy, compliance, and timely submission.
- Reconcile billed amounts against supporting data and resolve discrepancies or billing errors promptly.
- Maintain and manage contract and pricing documentation, including scanning, version control, and retrieval as requested.
- Partner with internal teams (Accounting, Operations, and Client Success) to resolve pricing and reconciliation issues.
- Support cross-functional billing activities for additional payer lines of business as needed.
- Complete billing month-end close and assist with reconciliation within prescribed deadlines.
- Monitor and follow up on outstanding receivables; support collections efforts and client correspondence.
- Identify and recommend process and system improvements to enhance billing accuracy and efficiency.
- Maintain organized, accurate billing records that meet audit and compliance standards.
- Contribute to reporting, trend analysis, and ongoing data validation for payer billing operation
Basic Qualifications
Bachelor's degree in Accounting, Finance, Business Administration, or related field preferred.24 years of experience in healthcare billing, revenue cycle management, or financial operations.Familiarity with medical coding and retrieval services strongly preferred.Experience with accounting or billing systems (NetSuite or similar) preferred.Skills & Competencies
Strong understanding of billing, collections, and account reconciliation processes.Intermediate to advanced Excel and Word skills (pivot tables, formulas, and reporting functions).Proficient in Microsoft Office Suite and capable of working with large data sets.Highly analytical, detail-oriented, and comfortable interpreting complex billing data.Effective verbal and written communication skills with strong interpersonal and collaboration abilities.Demonstrated ability to work independently and meet deadlines in a remote, fast-paced environment.Excellent organizational and problem-solving skills.Desired Qualifications
Familiarity with healthcare billing for payers, risk adjustment, and value-based reimbursement.Experience collaborating cross-functionally between billing, operations, and finance.Working knowledge of AI-driven platforms and reporting dashboards