Payer Enrollment Specialist - Full Time jobs in United States
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Big Leap Health · 1 month ago

Payer Enrollment Specialist - Full Time

Big Leap Health is a fast-growing medical and behavioral clinician group dedicated to delivering high-quality outpatient and tele-health services. They are seeking a proactive Payer Enrollment Specialist to manage the clinician payer enrollment process, track statuses, and resolve issues, ensuring efficient paneling for clinicians across multiple states.

Health CareInsuranceMental Health

Responsibilities

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 our tracking tools.spreadsheet
Collaborate with credentialing team members and liaise with payer representatives to escalate issues, unblock delays, and shorten approval timelines

Qualification

Payer enrollment experienceCredentialing providersCredentialing databasesDocument-management toolsWritten communicationProblem-solving skills

Required

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

Preferred

Experience with payer enrollments for behavioral practices

Benefits

Work from anywhere in the US.
Consistent weekly workload.

Company

Big Leap Health

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Big Leap Health operates in insurance, developing tools for health coverage selection, enrollment, and claims support.

Funding

Current Stage
Early Stage
Company data provided by crunchbase