Payor Enrollment Specialist

Tallahassee Memorial Healthcare • Tallahassee, FL

7d • Onsite

About The Position

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only Level II Trauma Center, Primary Stroke Center, Level III Neonatal Intensive Care, Pediatric Intensive Care, and the most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. The system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices. TMH Physician Partners is looking for a Payor Enrollment Specialist to join our growing medical group. This position is responsible for managing provider and facility enrollment with a strong focus on government payers (Medicare/Medicaid), roster submissions, and accurate tracking and data management to support timely onboarding.

Requirements

• High School Diploma required
• Minimum 2 years of payor enrollment or credentialing experience
• Proven experience with facility enrollments and government payers (Medicare/Medicaid)
• Strong skills in tracking, reporting, and data management
• One (1) year of payer enrollment or provider credentialling experience
• Excellent written and oral communication skills.
• Computer skills.
• Web-based products proficiency.

Nice To Haves

• Knowledge of delegated contracts and commercial payer submission
• Experience with payer portals and systems
• Revenue cycle knowledge for recognition of down stream impact
• Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) credential(s) from the National Association Medical Staff Services (NAMSS).

Responsibilities

• Submit and manage facility and provider enrollments with government and commercial payers
• Complete and maintain payer roster submissions in alignment with contract requirements
• Track application status, follow up with payers, and ensure timely approvals
• Maintain accurate provider data across systems and payer portals
• Support high-volume onboarding through strong organization and follow-through

Benefits

• drug screen
• background check
• reference verification
• health assessment
• credential/license verification

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED