Analyze credentialing applications ensuring compliance with legal and regulatory requirements at LexisNexis Risk Solutions. Make informed decisions while communicating with applicants and internal stakeholders.
Responsibilities
Manage a working queue to meet productivity, accuracy, and SLA targets.
Perform credentialing reviews based on the specific request type and apply complex, documented policies and procedures accurately.
Respond to inquiries from internal departments and external customers regarding application status.
Communicate with applicants and customers via phone and email to gather required documentation and provide final credentialing decisions.
Use multiple systems, tools, and verification products to confirm credentialing standards are met.
Make accurate final “pass” or “fail” decisions based on regulatory and policy requirements.
Document all findings, actions, and communications in the credentialing system (MBS‑ECT) for FTC, vendor/provider, audit, and data retention purposes.
Maintain high-quality communication using clear, concise, and customer‑appropriate language.
Attend quarterly policy and procedure training sessions, as well as annual refresher training, applying frequent updates (40–45 per year) to daily work.
Ensure all credentialing decisions adhere to legal and regulatory requirements and reflect the approved interpretations outlined in the Credentialing Manual.
Requirements
High School Diploma, Bachelor’s degree (preferred but not required), or current college with experience supporting back‑office and customer-facing tasks.
1–2 years of general business experience preferred.
Experience in a customer-facing role with a strong commitment to delivering excellent customer service.
Strong verbal and written communication skills with the ability to explain complex information clearly.
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
Strong sense of urgency with the ability to maintain accuracy and attention to detail.
Ability to prioritize tasks and adapt quickly in a production-driven environment.
Investigative mindset with excellent attention to detail.
Strong organizational skills and the ability to make sound decisions.
Willingness to work during business-aligned hours (EST).
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