Strategic Payer Enrollment Specialist

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 40,000 - 64,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking a Payer Enrollment Specialist to ensure accurate enrollment of providers with commercial and government payers. The role supports reimbursement timelines, provider scheduling, and regulatory compliance while coordinating with credentialing and billing teams.

The position requires attention to detail, proactive communication, and a minimum of 2 years in payer enrollment to maintain enrollment across payer portals and CAQH.

Qualifications

• 2 years of payer enrollment experience
• Experience with enrollment documentation and revalidations
• Knowledge of CAQH and payer-specific requirements

Responsibilities

• Verify required provider enrollment documentation with payers
• Submit enrollment applications for new providers and location changes
• Maintain up-to-date provider enrollment records
• Complete timely revalidation through CAQH and portals
• Follow up with payers to ensure timely processing
• Monitor enrollment timelines to avoid delays
• Address inquiries about enrollment status or payer requirements
• Coordinate with credentialing and billing teams
• Stay current on payer enrollment requirements
• Create and maintain enrollment documentation procedures
• Investigate and resolve claim denials related to enrollment issues
• Ensure provider data accuracy in payer systems
• Communicate enrollment status with payers

Skills

Attention to detail

Communication

Problem solving

Education

High School Diploma or GED

Medical Billing or Credentialing/Payer Enrollment certificate

Tools

CAQH

Payer portals

Job description

Baptist Memorial Health Care Corporation is seeking a Payer Enrollment Specialist to ensure accurate enrollment of providers with commercial and government payers. The role supports reimbursement timelines, provider scheduling, and regulatory compliance while coordinating with credentialing and billing teams.

The position requires attention to detail, proactive communication, and a minimum of 2 years in payer enrollment to maintain enrollment across payer portals and CAQH.