Billing & Collections Specialist

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

Skills & Competencies

Desired Qualifications

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is : $51,000$60,000 USD.

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and / or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and / or religion.

This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here.