---
title: 'Payer Fee Schedule Specialist at Big Leap Health'
canonical: 'https://feeny.ai/job/payer-fee-schedule-specialist-big-leap-health-united-states-3xpxdny9ss9x'
type: 'job'
last_seen: '2026-09-11'
---

# Payer Fee Schedule Specialist at Big Leap Health

- **Company:** Big Leap Health
- **Location:** United States
- **Employment:** contract
- **Work type:** remote
- **Posted:** 2026-05-05
- **Last confirmed live:** 2026-09-11
- **Apply:** https://jobs.ashbyhq.com/big-leap-health/f9862159-6db1-4993-bc42-f99e7c245434

## Job description

## 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.

## About Big Leap Health

## Company Overview
- **One-liner**: Big Leap Health enables interventional psychiatry clinics to treat more patients by managing insurance, scheduling, and patient access for TMS, Spravato, and ketamine therapies.
- **Entity Type**: Private (Seed VC)
- **Headquarters**: New Castle, Delaware, United States
- **Founded**: Not publicly available (likely around 2023–2024 based on funding date)
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Mental Health Care (Interventional Psychiatry)
- **Target customers**: B2B – clinics and providers offering TMS, Spravato (esketamine), and ketamine treatments; B2C – patients seeking depression and anxiety care covered by insurance
- **Mission or purpose**: Empower clinics that offer interventional psychiatry services to see more patients, expanding access to evidence-based mental health treatments.

## Products & Services
- **Clinic Enablement Platform**: A technology and operational platform that helps interventional psychiatry clinics manage insurance billing, patient scheduling, and referrals, allowing them to scale their patient volume.
- **Patient Access Services**: Direct-to-patient support including benefits navigation and payer enrollment, ensuring patients can access TMS, Spravato, and ketamine therapies with in-network insurance coverage.

## Market Standing
- **Valuation**: Not disclosed
- **Key Metric**: Total Funding – Seed round closed in 2024 (exact amount not specified)
- **Notable Investors/Partners**: Tabula Rasa Ventures, Everywhere Ventures, Digital Health Venture Partners [cbinsights.com](https://www.cbinsights.com/company/big-leap-health)
- **Growth Signals**: Headcount grew 1000% YoY (to 8 employees); active job postings (8 open roles as of mid-2025); monthly job posting growth of +100% [linkedin.com](https://www.linkedin.com/company/big-leap-health)

## Competitive Advantages
- **Niche focus**: Specifically targets the underserved interventional psychiatry segment (TMS, Spravato, ketamine) rather than general mental health.
- **Insurance integration**: Handles complex payer enrollment and benefits navigation, a major barrier for clinics and patients.
- **Early mover**: Seed-stage company with strong investor backing (healthcare-focused VCs) and rapid hiring, suggesting product-market fit.

## Strategic Focus
- Scaling the platform to more clinics across the United States.
- Building out the engineering and product team (currently hiring a Full-Stack Engineer and Chief of Staff).
- Expanding payer network and specialty benefits navigation capabilities.

## Why Work Here
- **Culture highlights**: Fast-growing startup (8 employees, 1000% YoY headcount growth) with a mission to improve access to advanced depression/anxiety treatments.
- **Remote/hybrid/office**: Some roles (e.g., Spravato & TMS Psychiatrist) are in New York; other roles (e.g., Senior Specialty Benefits Navigator) list New York City. Likely hybrid or in-person for clinical roles, possibly remote for engineering (Full-Stack Engineer location not specified).
- **Notable perks/engineering culture**: Tech stack includes TypeScript, React, Docker, PostgreSQL, Firebase, Python, Google Cloud; early-stage startup gives engineers significant ownership. Roles offer competitive hourly rates (e.g., Psychiatrist $300–800/hr).

## Sources
1. [bigleaphealth.com](https://bigleaphealth.com) – Company homepage
2. [linkedin.com](https://www.linkedin.com/company/big-leap-health) – LinkedIn company page (employees, growth, open roles)
3. [cbinsights.com](https://www.cbinsights.com/company/big-leap-health) – CB Insights profile (funding, investors, headquarters)
4. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/big-leap-health) – Active job postings
5. [big-leap-health.breezy.hr](https://big-leap-health.breezy.hr/) – Additional careers page (psychiatrist role)

## Other roles at Big Leap Health

- [Strategy and Operations Lead](https://feeny.ai/job/strategy-and-operations-lead-big-leap-health-new-york-vrzxsppt9hvr) — New York, NY
- [Strategy and Operations Associate](https://feeny.ai/job/strategy-and-operations-associate-big-leap-health-new-york-z5s2y3ajqv6e) — New York, NY
- [Coding Specialist](https://feeny.ai/job/coding-specialist-big-leap-health-united-states-bafmtgbn0zk7) — United States
- [Payer Enrollment Specialist - Full Time](https://feeny.ai/job/payer-enrollment-specialist-full-time-big-leap-health-united-states-cgbj2f7vnree) — United States
- [Full-Stack Engineer](https://feeny.ai/job/full-stack-engineer-big-leap-health-new-york-yarkqfzw1zec) — New York, NY