Credentialing Analyst
📋 Role Overview & Responsibilities
About The Business
LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business Services vertical, we offer a multitude of solutions focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies, and improve customer experience. Our solutions help our customers solve difficult problems in the areas of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis Risk at the link below, risk.lexisnexis.com
About Our Team
A lean team of super-smart, super-hard working, local and Hybrid colleagues who collaborate closely to produce a valuable service.
About The Role
The role involves assessing submitted applications for adherence to legal and regulatory requirements, utilizing the approved interpretations outlined in our regularly updated Credentialing Manual.
Role can be Hybrid to Dayton, OH, Boca Raton, FL and Alpharetta, GA locations.
Responsibilities
Managing a working queue and orders being processed so that productivity, accuracy and SLA goals are met.Conducting credentialing based on the type of request or order, accurately following the complex documented policies and procedures.Responding to inquiries from internal business units and external customers regarding status of applications in credentialing.Communicating with applicants and customers daily to obtain needed documentation or information to complete the credentialing process and communicates the final decision, via phone and/or email.Utilizing multiple products and tools to verify and document that credentialing standards are met.Making an accurate final “pass” or “fail” decision.Documenting all interactions and documentation, recording details of findings and communications as well as actions taken while credentialing in the credentialing tool (MBS-ECT) for FTC, vendor provider and other audit purposes and data retention requirements.Maintaining a high standard of communication quality by using clear and concise language, adapting communication style to the customer's preferences, and ensuring accuracy in information shared.Attending required training on policy and procedure updates as scheduled, usually quarterly, and a refresher training annually. Accurately applies the new information as trained when performing credentialing. 40 – 45 updates per year on average.
Requirements
Have proven experience in a customer-facing role with a focus on delivering exceptional customer experiences.Bachelor’s degree or college undergraduates handling both back-office and voice call support1-2 years of general business experience preferred.Must have excellent verbal and written communication skills with the ability to convey complex information clearly.Have well- developed proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)Possesses a sense of urgency while maintaining focus and attention to detail.Ability to prioritize tasks and adapt quickly in a production-based environment.Investigative oriented with a strong attention to detailDemonstrates good organizational skills.Exhibits strong decision-making ability.Willingness to work during BU aligned hours (EST)
Frequently Asked Questions
How do I apply for the Credentialing Analyst position at LexisNexis Risk Solutions? ▼
Click the “Apply for this Position” button on this page to submit your application directly to LexisNexis Risk Solutions without recruitment intermediary fees.
Is this position eligible for remote work or visa sponsorship? ▼
This position is located in Miamisburg, OH with potential relocation and sponsorship assistance depending on candidate qualifications.
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