Job Description Summary

The Credentialing team focuses in determining if the submitted application is within legal and regulatory compliance based on the approved interpretations from our monthly updated Credentialing Manual.

Description (External/ Internal)

Log, maintain and track all credentialing application for the business unit.
Access appropriate tracking tool to log applications and maintain application status based on daily activity
Analyze organizational credentials, including; initial review of application to verify all required sections are completed and ensure appropriate documents for requested access have been attached and are accurate/current. (ie: business licenses, articles of incorporation, vendor reference, etc)
Conduct credentialing of applications and/or change requests following established credentialing procedures.
Conduct verification calls to the customers prior to completing a credentialing request.
Conducts verification calls to state/ issuing agencies, vendor reference, landlords and others as deemed necessary.
Receives inbound/ call backs from the customer on the tickets they are working on.
Respond to inquiries from internal business units and external customers regarding status of applications in credentialing.

Qualifications (External)

Bachelor's degree holder or completed at least 2 years level in college (no back subjects/incomplete units)
Ability to quickly learn and apply enterprise AI tools and technologies to support technical workflows and business objectives
1-2 years general business experience preferred
Experience with customers, and account set-up preferred
Basic computer skills (MS Office)
Possess sense of urgency while being able to focus and pay attention to detail
Ability to prioritize and learn quickly in a production based environment
Investigative oriented; strong attention to detail
Good organizational skills
Strong decision making ability

Qualifications (Internal)

Bachelor's degree holder or completed at least 2 years level in college (no back subjects/incomplete units)
Ability to quickly learn and apply enterprise AI tools and technologies to support technical workflows and business objectives
1-2 years general business experience preferred
Experience with customers, and account set-up preferred
Basic computer skills (MS Office)
Possess sense of urgency while being able to focus and pay attention to detail
Ability to prioritize and learn quickly in a production based environment
Investigative oriented; strong attention to detail
Good organizational skills
Strong decision making ability
Must be in current role for 1 year with a PDP rating of at least 3.0
No attendance issues and disciplinary actions within the last 12 months
Must be willing to work on night shift and rotating shift (if needed)

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Customer Due Diligence Analyst