Payer Fee Schedule Specialist
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AI Summary
About Us
We are a fast-growing, multi-state medical and behavioral clinician group focused on interventional mental health treatments (Spravato and TMS). To support our expanding network of providers and payers, we're adding a detail-oriented Fee Schedule Specialist to our remote operations team.
Job Summary
We're looking for an organized, persistent individual to own our payer fee schedule process end to end. You'll be responsible for submitting fee schedule requests to payers, following up until confirmed rates are received, and making sure the right CPT codes and provider details are captured at every step. You'll be a critical part of how our team plans financially and supports our clinician partners, which means accurate documentation and clear, timely communication are non-negotiables.
This is a great fit for someone who's comfortable picking up the phone, meticulous about the details, and knows how to get answers out of payer reps.
Key Responsibilities
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.
Minimum Qualifications
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.
Preferred Qualifications
Experience obtaining fee schedules for behavioral health or specialty practices (Spravato/esketamine, TMS, or similar).
Familiarity with payer portals.
Schedule and Compensation
Contract (1099) position averaging 15-20 hours per week; additional hours available during peak cycles.
Remote — work from anywhere in the U.S. (reliable high-speed internet required).
$20.00 per hour, paid on a regular billing cycle.
Why Join Us
Flexible hours with a consistent weekly workload.
Growth potential into expanded operations or enrollment roles as the team scales.
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