About the Business:
LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Government vertical, our solutions assist government agencies and law enforcement to drive insights from complex data sets, improving operation efficiency, increasing program integrity, discovering, and recovering revenue, and making timely and informed decisions to enhance investigations.
About the Team:
The Credentialing Analyst team is a collaborative group that supports sales representatives and channel partners in administrative areas such as order processing, customer quotes, sales information management, product training and financing.
About the Role:
The Credentialing Analyst fulfills the regulatory (FCRA, GLBA, DPPA, FTC orders, Attorneys General order), data provider and company requirements for the different business units, which reduce the likelihood that accounts will be used for illegal activity or for non-permissible purposes. The Credentialing Analyst also conducts credentialing of applicants and customer updates to existing accounts.
***This is a hybrid role and requires team members to go into either the Alpharetta, GA or Dayton, OH office periodically***
Responsibilities:
Ensures accurate verification of applicants and existing customer information to determine a pass or fail by following documented policies and procedures to uphold regulatory requirements, data provider contractual requirements, and internal policies to ensure legitimate customers and to reduce the likelihood that accounts will be used for illegal activity or for non-permissible purposes within stated service level agreements.
Manage a working queue and orders being processed so that productivity, accuracy and SLA goals are met.
Conducts credentialing based on the type of request or order, accurately following the complex documented policies and procedures.
Utilizes multiple products and tools to verify and document that credentialing standards are met.
Communicates 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.
Makes an accurate final “pass” or “fail” decision.
Documents 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.
Attends 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:
Bachelor’s degree or equivalent experience required.
1-3 years industry experience. Credentialing experience preferred or experience working with relevant regulatory environment (e.g. FCRA, GLBA, DPPA, FTC orders, Attorneys General order, etc.)
Detail oriented with a critical degree of accuracy regarding data entry and analysis, ability to deal with confidential data.
Proficient knowledge of computer-based software such as Windows, Internet Explorer, Microsoft Office and web-based products and tools. Will utilize relevant LexisNexis products and tools (e.g. MBS, Accurint, etc.) and external verification tools (SOS, etc.) on daily basis.
Excellent oral and written communications – experience in customer service environment preferred.
We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer:
● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits
● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan
● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs
● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity
● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits
● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts
● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice
Criminals may pose as LexisNexis Risk Solutions recruiters, a subsidiary of RELX, asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here.
Criminals may pose as LexisNexis Risk Solutions recruiters, a subsidiary of RELX, asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here.