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Credentialing Analyst

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RELX Group

11d ago

  • Job
    Full-time
    Junior & Mid Level
  • Customer Relations
    Sales & Business Development
  • Manila
  • Quick Apply

AI generated summary

  • You must process applications, ensure compliance with regulations, manage workflows, conduct credentialing accurately, communicate effectively, verify information, and document all interactions.
  • You will process applications, ensure compliance with regulations, manage workloads, verify information, communicate with stakeholders, document interactions, and attend training as needed.

Requirements

  • Processing of applications submitted by the Sales or Fulfilment/On-Boarding Teams
  • Fulfills the regulatory (FCRA, GLBA, DPPA, FTC orders, Attorneys General order, etc.), data provider and company requirements for the different business units
  • 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
  • Communicate via phone and email to applicants, customers, and to internal parties such as Sales, Onboarding, Legal, and IADP to obtain needed documentation or information to fulfill the credentialing requirements
  • Ensures accurate verification of applicants and existing customer information to determine a "pass" or "fail" decision
  • Utilizes variety of tools and systems to document all interactions, record the details of research and communications, as well as actions taken while credentialing (using the MBS-ECT tool) for FTC, vendor provider and other audit purposes and data retention requirements
  • Attends required training on policy and procedure updates as scheduled. Accurately applies the new information as trained when performing credentialing

Responsibilities

  • Processing of applications submitted by the Sales or Fulfilment/On-Boarding Teams
  • Fulfills the regulatory (FCRA, GLBA, DPPA, FTC orders, Attorneys General order, etc.), data provider and company requirements for the different business units
  • 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
  • Communicate via phone and email to applicants, customers, and to internal parties such as Sales, Onboarding, Legal, and IADP to obtain needed documentation or information to fulfill the credentialing requirements
  • Ensures accurate verification of applicants and existing customer information to determine a "pass" or "fail" decision
  • Utilizes variety of tools and systems to document all interactions, record the details of research and communications, as well as actions taken while credentialing (using the MBS-ECT tool) for FTC, vendor provider and other audit purposes and data retention requirements
  • Attends required training on policy and procedure updates as scheduled. Accurately applies the new information as trained when performing credentialing

FAQs

What is the primary responsibility of a Credentialing Analyst?

The primary responsibility of a Credentialing Analyst is to process applications submitted by the Sales or Fulfillment/On-Boarding Teams and ensure compliance with regulatory and company requirements while accurately managing a working queue and fulfilling credentialing requirements.

What are some of the regulatory requirements that must be fulfilled?

Some of the regulatory requirements include FCRA, GLBA, DPPA, FTC orders, and Attorneys General orders.

How does the Credentialing Analyst communicate with internal teams and applicants?

The Credentialing Analyst communicates via phone and email to obtain needed documentation or information from applicants, customers, and internal parties such as Sales, Onboarding, Legal, and IADP.

What tools and systems are utilized in this role?

A variety of tools and systems are utilized, including the MBS-ECT tool, to document interactions, record research details and communications, and track actions taken during the credentialing process.

Are there training requirements for this position?

Yes, the Credentialing Analyst is required to attend training on policy and procedure updates and must accurately apply the new information when performing credentialing tasks.

What is the work environment like for a Credentialing Analyst?

The work environment requires managing a working queue and orders to meet productivity, accuracy, and SLA goals while following complex documented policies and procedures.

What is the process for applicants with disabilities or other needs that require accommodation during the application process?

Applicants with disabilities or other needs that require accommodation can complete the Applicant Request Support Form at the provided link or contact the designated phone number for assistance.

Does LexisNexis have a diversity and equal opportunity policy?

Yes, LexisNexis is an equal opportunity employer, and qualified applicants are considered for employment without regard to various protected characteristics.

How does a Credentialing Analyst determine a "pass" or "fail" decision on an application?

A Credentialing Analyst ensures accurate verification of applicants and existing customer information to make a "pass" or "fail" decision based on the credentialing requirements.

A global provider of information-based analytics for professional and business customers across industries.

Technology
Industry
10,001+
Employees
1880
Founded Year

Mission & Purpose

RELX is a global provider of information-based analytics for professional and business customers across industries. We help scientists make new discoveries, doctors and nurses improve the lives of patients and lawyers win cases. We prevent online fraud and money laundering, and help insurance companies evaluate and predict risk. Our events enable customers to learn about markets, source products and complete transactions. In short, we enable our customers to make better decisions, get better results and be more productive. We do this by leveraging a deep understanding of our customers to create innovative solutions which combine content and data with analytics and technology in global platforms. RELX serves customers in more than 180 countries and has offices in about 40 countries. It employs approximately 30,000 people of whom almost half are in North America. We operate in four major market segments: Scientific, Technical & Medical; Risk & Business Analytics; Legal; and Exhibitions. Please note that RELX does not contact people through social media and offer them jobs or contracts. Please contact your local law enforcement agency if you have been victimized by a scammer. For careers, access https://www.relx.com/careers/why-relx