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Payer Enrollment Jobs (NOW HIRING)

Guidehouse

Payer Enrollment Specialist

Birmingham, AL · On-site

None The Payer Enrollment Specialist is responsible for ensuring the timely and accurate enrollment of healthcare providers with major insurance vendors for a moderately sized medical group. This ...

University of Rochester

Payer Enrollment Coordinator

$19.04 - $26.63/hr

Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates.

University of Rochester

$19.04 - $26.63/hr

Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates.

StationMD

Payer Enrollment Specialist

Maplewood, NJ · Remote

$20 - $25/hr

We are seeking a Payer Enrollment Specialist to assist with the process of enrolling healthcare providers with insurance companies, re-credentialing, updating databases, and problem-solving ...

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All JobsPayer Enrollment Jobs

Payer Enrollment information

See salary details

$27K

$77.4K

$117.5K

How much do payer enrollment jobs pay per year?

As of Jul 27, 2026, the average yearly pay for payer enrollment in the United States is $77,389.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What is the difference between Payer Enrollment vs Payer Credentialing?

AspectPayer EnrollmentPayer Credentialing
DefinitionThe process of registering with insurance payers to become an approved providerThe verification of a provider's qualifications, licenses, and credentials to ensure they meet payer standards
FocusEstablishing provider eligibility with payersVerifying provider qualifications and credentials
Work EnvironmentAdministrative, insurance, healthcare officesHealthcare facilities, provider offices, credentialing agencies
Required CredentialsLicenses, certifications, provider NPILicenses, certifications, education credentials

While payer enrollment involves registering with insurance companies to get approved as a provider, payer credentialing focuses on verifying the provider's qualifications and credentials. Both roles are essential in the insurance and healthcare industry, often overlapping but serving different purposes in the provider onboarding process.

What are the key skills and qualifications needed to thrive in Payer Enrollment, and why are they important?

To thrive in Payer Enrollment, you need a solid understanding of healthcare credentialing, regulatory compliance, and provider data management, often supported by a background in healthcare administration or related fields. Familiarity with credentialing software, CAQH, PECOS, and payer portals is typically required, along with knowledge of relevant industry standards. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for managing deadlines and coordinating with providers and payers. These capabilities ensure accurate, timely enrollment, minimize claim denials, and uphold provider eligibility—critical for efficient healthcare operations.

What are some common challenges faced in a Payer Enrollment role and how can they be managed?

Professionals in Payer Enrollment often encounter challenges such as navigating complex and varying payer requirements, ensuring timely submission of credentialing documents, and keeping up with frequent regulatory changes. Effective organization, attention to detail, and proactive communication with both internal teams and external payers are crucial for success. Leveraging technology, such as credentialing software, can help streamline workflows and reduce errors, while ongoing training ensures team members stay current on industry best practices.

What is payer enrollment?

Payer enrollment is the process in which healthcare providers apply to become recognized by insurance companies (payers) so they can bill and receive payment for services rendered to insured patients. This involves submitting detailed credentials, licenses, and other required documentation to the payer for approval. Successful payer enrollment is essential for providers to participate in insurance networks and receive reimbursements. The process can vary by payer and often requires ongoing management to keep credentials current and compliant.
More about Payer Enrollment jobs
What are the most commonly searched types of Payer Enrollment jobs? The most popular types of Payer Enrollment jobs are:
What states have the most Payer Enrollment jobs? States with the most job openings for Payer Enrollment jobs include:
What job categories do people searching Payer Enrollment jobs look for? The top searched job categories for Payer Enrollment jobs are:
Payer Enrollment jobs near you
Infographic showing various Payer Enrollment job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, 13% Part Time, 1% Temporary, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $77,389 per year, or $37.2 per hour.
Specialist-Payer Enrollment

Specialist-Payer Enrollment

Baptist Memorial Health Care Corporation

Memphis, TN

Other

Posted 26 days ago

Baptist Memorial Health Care rating

7.2

Company rating: 7.2 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

337th of 890 rated healthcare providers

Job description

Job Summary:

With direct impact on reimbursement timelines, patient satisfaction, and regulatory compliance, the Payer Enrollment Specialist plays a foundational role in healthcare administration. By ensuring timely and accurate enrollment of healthcare providers with commercial and government payers, this position directly contributes to the financial health of the organization and uninterrupted access to care for patients. Effective payer enrollment minimizes delays in reimbursement, supports provider scheduling, and ensures compliance with payer-specific and regulatory requirements. The specialist serves as a liaison between providers, internal departments, and payers to streamline application processing, manage revalidations, and resolve enrollment-related issues. Attention to detail, understanding of credentialing standards, and proactive communication are essential for success in this role.

Job Responsibilities:

Verify all required documentation for provider enrollment with insurance payers (e.g., applications, licenses, certifications).

Submit enrollment applications and documentation required for both new providers, as well as location adds or practice changes

Maintain and update records of provider enrollment status, ensuring that all information is accurate and up-to-date.

Complete timely revalidation through payer portals, recredentialing applications, or profiles such as CAQH to ensure that providers maintain enrollment with commercial and governmental payers.

Follow up with payers to ensure timely and accurate processing of provider enrollments within payer-specific turnaround time metrics, communicating directly with payer representatives to resolve enrollment issues or discrepancies, and escalating trends or new payer requirements to leadership

Monitor payer enrollment timelines and ensure that all required steps are completed in a timely manner to avoid delays in provider participation.

Address provider inquiries regarding enrollment status, billing issues, or payer-specific requirements.

Coordinate with other internal departments (e.g., credentialing, billing) to ensure that enrollment information is aligned across systems.

Research and maintain current knowledge of payer-specific enrollment requirements and changes, ensuring that provider data is compliant with payer guidelines.

Support the creation and maintenance of documentation for payer enrollment processes and procedures.

Monitor and Resolve Enrollment-Related Claim Denials: Investigate and resolve claim denials or rejections related to provider enrollment issues, including missing or incorrect NPI, TIN, or payer ID information.

Maintain Accurate Provider Data: Ensure provider information is accurately reflected in payer systems to prevent claim processing delays or denials.

Follow Up with Payers: Communicate with insurance payers to verify provider enrollment status and resolve any issues affecting claims adjudication.

Experience

2 years focused payer enrollment experience

Education

High School/GED

Medical Billing or Credentialing/Payer Enrollment certificate from an accredited facility.

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Baptist Memorial logo

About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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