Payer Fee Schedule Specialist

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🕒 Junho 24

🏄 California, Colorado, +9 estados a mais – Remoto

🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🦀 Maryland – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $20 / hora

⏳ Contrato/Temporário

🟢 Júnior

🟡 Pleno

🚫👨‍🎓 Sem graduação necessária

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Big Leap Health

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1 - 10 funcionários

🏥 Saúde

🏪 Marketplace

⚕️ Seguro de Saúde

Healthcare • Marketplace • Healthcare Insurance

A Big Leap Health é um marketplace de saúde digital que conecta pacientes a tratamentos de saúde mental oferecidos em clínicas e cobertos por seguros—principalmente a Estimulação Magnética Transcraniana (EMT) e a esketamina (Spravato). A plataforma ajuda os usuários a encontrar clínicas certificadas na rede, comparar programas por meio de tours virtuais e depoimentos, completar breves avaliações de sintomas e coordenar os próximos passos com consultórios parceiros. A Big Leap Health enfatiza o acesso a tratamentos aprovados pela FDA, supervisionados por psiquiatras e cobertos por seguros, oferecendo suporte tanto a pacientes quanto a clínicas parceiras.

Descrição

• Submit fee schedule requests to Medicare, Medicaid, and commercial payers (e.g., BCBS, UHC, Aetna, Cigna) across NY, NJ, CA, TX, FL, PA, CO, WI, WA, MD, and MO. • Follow up persistently with payer representatives by phone and email to obtain written copies of confirmed rates and resolve information gaps. • Verify that all requests include the correct CPT codes, provider NPIs, tax IDs, and any other payer-required identifiers to ensure accurate and timely fee schedule retrieval. • Log detailed, accurate status updates in our tracking systems in real time so the internal team always has current visibility. • Flag discrepancies, missing rates, or unusual findings clearly, with enough context for the team to act. • Collaborate with credentialing and billing team members to prioritize requests and escalate stalled items.

🎯 Requisitos

• 2+ years of hands-on experience in payer enrollment, credentialing, or revenue cycle operations with direct exposure to fee schedule requests. • Documented experience working with health plans in NY, NJ, CA, TX, FL, PA, CO, WI, WA, MD, and/or MO — please list payers in your application. • Strong oral communication skills for payer phone calls; confident navigating automated systems and reaching live representatives. • Strong written communication skills for follow-up emails and internal status logging — your notes need to stand on their own. • Meticulous attention to detail, especially around CPT code sets and payer-specific data requirements. • Fluency with credentialing databases, spreadsheets, and document management tools.

🏖️ Benefícios

• Flexible hours with a consistent weekly workload • Growth potential into expanded operations or enrollment roles as the team scales