Lead the resolution of complex prior authorizations, denials, and pharmacy logistics to ensure patient access to interventional psychiatry treatments. Collaborate with payers, PBMs, and clinicians to optimize coverage paths and maintain precise documentation in EHR and CRM systems.
Big Leap Health
3 Remote Job Openings at Big Leap Health
Manage the end-to-end payer fee schedule process by submitting requests and persistently following up with payers to confirm rates. Ensure accurate documentation of CPT codes and provider details while collaborating with credentialing and billing teams.
The Payer Enrollment Specialist will submit new provider enrollments and track their statuses with various payers. They will also maintain and update necessary databases and collaborate with the credentialing team to resolve issues.