Home › Companies › Fa Ewpe Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 › Specialist-Payer Enrollment
Specialist-Payer Enrollment
Fa Ewpe Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 · Memphis, TN, United States; BMHCC Corporate Office, Memphis, TN, US · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Fa Ewpe Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 |
| Title | Specialist-Payer Enrollment |
| Normalized title | - |
| Department / team | Provider Relations |
| Location | Memphis, TN, United States |
| Work model | - |
| Employment type | - |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-06-03 / 2026-06-04 |
| Changed / last seen | 2026-06-18 / 2026-06-18 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Fa Ewpe Saasfaprod1 Fa Ocs Oraclecloud Com CX 1. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Memphis. | Open |
| Department jobs | Active postings in Provider Relations. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Fa Ewpe Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 |
| Source | 0cead87d-1746-4fa1-903d-b78860bac855 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
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.
Full job record
| Job ID | 8757e90432fea6cbba1091e41b7254ac0e297532 |
| Org ID | df979f94-fc0c-4c58-970a-0978141f9d27 |
| Source ID | 0cead87d-1746-4fa1-903d-b78860bac855 |
| Board ID | 0cead87d-1746-4fa1-903d-b78860bac855 |
| Provider | oracle_hcm |
| Provider Job Key | 41813 |
| Title | Specialist-Payer Enrollment |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Memphis, TN, United States; BMHCC Corporate Office, Memphis, TN, US |
| Department | Provider Relations |
| Team | — |
| Employment Type | — |
| Workplace Type | — |
| Remote Policy | — |
| Country | United States |
| Region | TN |
| City | Memphis |
| Salary Raw | 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. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://fa-ewpe-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/41813 |
| Apply URL | https://fa-ewpe-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/41813 |
| First Seen At | 2026-06-04 10:23:35Z |
| Last Seen At | 2026-06-18 11:08:01Z |
| Last Checked At | 2026-06-18 11:08:01Z |
| Last Changed At | 2026-06-18 11:08:01Z |
| Inactive At | — |
| Source Posted At | 2026-06-03 00:00:00Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=fa-ewpe-saasfaprod1.fa.ocs.oraclecloud.com|CX_1/date=2026-06-18/2026-06-18T11-06-53-319Z-f9dbe0c87940bb5e9bfac7994b24f9bbd661d2fa3ded94ef2b802a16114305a3.json |
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Attention to detail, understanding of credentialing standards, and proactive communication are essential for success in this role.</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">Job Responsibilities:</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; 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color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">· Support the creation and maintenance of documentation for payer enrollment processes and procedures.</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">· 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.</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">· Maintain Accurate Provider Data: Ensure provider information is accurately reflected in payer systems to prevent claim processing delays or denials.</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">· Follow Up with Payers: Communicate with insurance payers to verify provider enrollment status and resolve any issues affecting claims adjudication.</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">Experience</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">· 2 years focused payer enrollment experience</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;\">Education</p><p style=\"-webkit-text-stroke-width: 0px; color: rgb(0, 0, 0); font-family: "Times New Roman"; font-size: medium; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; 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}Get this page with API
Rendered from the bluedoor Job Postings API. Reproduce it:
GET https://api.bluedoor.sh/job-postings/v1/jobs/8757e90432fea6cbba1091e41b7254ac0e297532?include=descriptionJSONGET https://api.bluedoor.sh/job-postings/v1/orgs/df979f94-fc0c-4c58-970a-0978141f9d27JSONGET https://api.bluedoor.sh/job-postings/v1/sources/0cead87d-1746-4fa1-903d-b78860bac855JSONGET https://api.bluedoor.sh/job-postings/v1/jobs/8757e90432fea6cbba1091e41b7254ac0e297532/eventsJSON