Payer Enrollment Specialist

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🔥 0 minutes ago

🏄 California, Colorado, +5 more states – Remote

🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $22 - $28 / 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 new provider enrollments with Medicare, Medicaid, and major commercial payers (e.g., BCBS, UHC, Aetna, Cigna) • Proactively track provider enrollment and credentialing statuses with Medicare, Medicaid, and major commercial payers (e.g., BCBS, UHC, Aetna, Cigna) • Request and follow up on payer fee schedules to support internal planning • Maintain and update CAQH, PECOS, NPPES, and state portals; resolve discrepancies and follow-up requests quickly • Maintain up-to-date payer status logs; report in real time on turnaround times, expirations, and pending items utilizing tracking tools • Collaborate with credentialing team members and liaise with payer representatives to escalate issues, unblock delays, and shorten approval timelines

🎯 Requirements

• 2+ years’ recent, hands-on experience with payer enrollment • Documented success credentialing providers with health plans in NY, NJ, CA, TX, FL, PA and CO (please list payers) • Fluency with credentialing databases, spreadsheets, and document-management tools • Strong written communication, follow-through, and problem-solving skills

🏖️ Benefits

• Remote—work from anywhere in the U.S. (reliable high-speed internet required) • Competitive hourly rate, commensurate with experience • Consistent weekly workload