Payor Enrollment Specialist

WHO WE ARE & WHAT WE DO

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. We are a career destination with over 6,000 colleagues who reflect the diversity of our community. 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 
• The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. 

Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices. 

HOW YOU'LL MAKE AN IMPACT

TMH Physician Partners is looking for a Payor Enrollment Specialist to join our growing medical group.

Position SummaryResponsible 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.

Key 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

WHAT YOU’LL NEED TO APPLY

Required Education:

• Qualifications

  • 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

Required Experience:

• One (1) year of payer enrollment or provider credentialling experience
• Excellent written and oral communication skills.  
• Computer skills.  
• Web-based products proficiency.

• Preferred

  • Knowledge of delegated contracts and commercial payer submission
  • Experience with payer portals and systems
  • Revenue cycle knowledge for recognition of down stream impact

   

Required Certification/License/Registry:

None

Preferred Certification/License/Registry: Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) credential(s) from the National Association Medical Staff Services (NAMSS). 

Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.

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Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.