Payer Enrollment Pro: Streamline Revalidations & Compliance

Baptist Memorial Health Care; Memphis (TN); On-site; USD 42,000 - 64,000; Full time

Job summary

Baptist Memorial Health Care is seeking a Payer Enrollment Specialist in Memphis to ensure timely enrollment of providers with payers and maintain accurate enrollment data. You will coordinate with credentialing, billing, and payer contacts to minimize delays and support regulatory compliance.

The role emphasizes attention to detail, proactive communication, and follow-through on enrollment milestones to enable uninterrupted patient access and efficient reimbursement.

Qualifications

• 2 years focused payer enrollment experience.
• Experience with provider enrollment applications for commercial and government payers.
• Familiarity with CAQH revalidation and credentialing standards.

Responsibilities

• Verify required documentation for provider enrollment with insurance payers (applications, licenses, certifications).
• Submit enrollment applications and docs for new providers, location adds, or practice changes.
• Maintain and update provider enrollment records, ensuring accuracy and timeliness.
• Complete timely revalidation through payer portals and recredentialing profiles.
• Follow up with payers to ensure timely processing and resolve enrollment issues.
• Monitor enrollment timelines to avoid provider participation delays.

Skills

Attention to detail

Communication

Education

High School/GED

Medical Billing or Credentialing/Payer Enrollment certificate

Job description

Baptist Memorial Health Care is seeking a Payer Enrollment Specialist in Memphis to ensure timely enrollment of providers with payers and maintain accurate enrollment data. You will coordinate with credentialing, billing, and payer contacts to minimize delays and support regulatory compliance.

The role emphasizes attention to detail, proactive communication, and follow-through on enrollment milestones to enable uninterrupted patient access and efficient reimbursement.