Payer Fee Schedule Specialist

🔥 1 hour ago

🏄 California, Colorado, +9 more states – Remote

🏄 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 / hour

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Big Leap Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏪 Marketplace

⚕️ Healthcare Insurance

👥 B2C

Marketplace • Healthcare Insurance • B2C

Big Leap Health is a digital health marketplace that connects patients with insurance-covered, clinic-based mental health treatments—primarily Transcranial Magnetic Stimulation (TMS) and esketamine (Spravato). The platform helps users find in-network certified clinics, compare programs via virtual tours and testimonials, complete brief symptom assessments, and coordinate next steps with partner practices. Big Leap Health emphasizes access to vetted, psychiatrist-overseen, FDA-approved treatments covered by insurance and supports both patients and clinic partners.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

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