Payer Enrollment Specialist - Credentialing

Baptist Memorial Health Care; Memphis (TN); On-site; USD 38,000 - 60,000; Full time

Job summary

Baptist Memorial Health Care in Memphis, TN seeks a Credentialing Specialist to generate enrollment or affiliation applications and ensure accuracy before submission. You will follow established workflows, respond to payer or facility requests, and support credentialing verifications for physicians and mid-level providers joining Baptist Medical Group.

The role involves data entry, primary data source verification, CAQH attestation, and reporting, with emphasis on confidentiality and accuracy.

Qualifications

• 2 years credentialing experience in a medical billing organization.
• Strong verbal and written communication skills.
• Proficient in Microsoft Office; typing 35 wpm.
• Knowledge of CAQH, AMA, NPDB; primary data source verification preferred.
• Payer enrollment experience preferred.

Responsibilities

• Maintains current knowledge of credentialing practices and standards.
• Completes government and commercial insurance enrollment applications for new and established providers within BMG and BMG Foundations.
• Provides excellent service to patients, providers, payers, clinic staff, Physician Revenue Cycle staff, Operations and Administration.
• Maintains current licensure, DEA, certifications, board certifications and all other credentialing documents.
• Reviews EPIC's related to payer enrollment on a daily basis.
• Completes assigned goals.

Skills

Excellent communication

CAQH knowledge

Payer enrollment experience

Education

High School/GED

Medical Billing and Coding Diploma

Tools

Microsoft Office

Job description

Baptist Memorial Health Care in Memphis, TN seeks a Credentialing Specialist to generate enrollment or affiliation applications and ensure accuracy before submission. You will follow established workflows, respond to payer or facility requests, and support credentialing verifications for physicians and mid-level providers joining Baptist Medical Group.

The role involves data entry, primary data source verification, CAQH attestation, and reporting, with emphasis on confidentiality and accuracy.