Senior Credentialing Representative

We are looking for a detail-oriented Sr Credentialing Representatives to support clinician enrollment and credentialing operations for a health insurance organization. This Long-term Contract position is ideal for someone who enjoys accurate data work, clear communication, and managing multiple follow-ups in a fast-paced administrative environment. The person in this role will help keep enrollment activities moving by coordinating documentation, maintaining records, and working closely with clinicians, leadership, and partner teams.

Working hours in Pacific Time zone.

Responsibilities:

• Prepare and submit clinician enrollment materials accurately and within established timelines.
• Enter, review, and maintain provider information in the credentialing database to ensure records remain current and complete.
• Monitor shared inboxes and respond professionally to questions from clinicians, managers, and internal stakeholders.
• Track outstanding items, follow up on pending tasks, and keep work queues organized to support timely completion.
• Update SmartSheets and related tracking tools so other departments have visibility into credentialing progress.
• Verify documentation for completeness and identify missing or inconsistent information before submission.
• Coordinate with team members across provider support, credentialing, data management, and leadership to resolve issues efficiently.
• Maintain a high level of quality and accuracy while handling repetitive data entry and application processing work.res
• Prior experience with clinician enrollment, credentialing, or closely related healthcare administrative processes.
• Strong data entry skills with the ability to maintain accuracy across high-volume tasks.
• Clear written and verbal communication skills for interacting with clinicians, management, and cross-functional teams.
• Excellent organizational skills with the ability to manage inboxes, task lists, and multiple deadlines at once.
• Demonstrated attention to detail and a consistent approach to reviewing applications and supporting documents.
• Reliability and professionalism, including punctual attendance at meetings and responsiveness to follow-up requests.
• Comfort working with credentialing databases, tracking tools, and standard business applications.
• Healthcare industry experience, preferably within insurance or provider administration, is strongly preferred.