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Credentialing Representative

TransUnion LLC

Crum Lynne, PA · HybridJobSeen todaySeen in employer's feed today

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At a glance

Compensation
No compensation found
Location
Crum Lynne, PAHybrid
Work Authorization
Not specified

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Job overview

The Credentialing Representative manages complex credentialing and recredentialing cases for U.S. and international applicants. The role verifies permissible purpose, authorized use, and business legitimacy through due diligence and research, while supporting compliant onboarding and customer experience. It handles escalated inquiries, advises and mentors team members, identifies process improvements, and partners with Sales, business units, and customers. This is a hybrid position with at least two days per week at an assigned office.

Skills & qualifications

RequiredNice to have

Skills

Client Escalation ManagementCredentialingDue DiligenceRegulatory VerificationPermissible Purpose AssessmentBusiness Legitimacy AssessmentPolicy ApplicationInvestigative ToolsOnline ResearchDocumentation ReviewRecordkeepingRecommendation WritingSubject Matter ExpertiseMentoringCoachingTrainingInternational CredentialingProcess Improvement

Qualifications

3+ Years Client Experience3+ Years Credentialing ExperienceDue Diligence ExperienceBusiness Investigation ExperienceComplex Case ExperienceMulti-Region Applicant ExperienceInternational Regulatory KnowledgeInternational Credentialing ExposureProcess Improvement ExperienceTraining Materials Experience

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
401(k) Match
Paid Time Off
Parental Leave
Tuition Assistance

Full job description

TransUnion's Job Applicant Privacy Notice Personal Information We Collect Your Privacy Choices Team Overview The Membership and Credentialing team is responsible for ensuring that applicants and end users meet applicable business, regulatory, and TransUnion credentialing requirements before gaining access to TransUnion products and services. The team conducts due diligence, verifies permissible purpose and business legitimacy, and partners with Sales and business units to support compliant onboarding and a positive customer experience. This role reports to Consumer Operations Support Lead.This is a hybrid position and involves regular performance of job responsibilities virtually as well as in-person at an assigned TU office location for a minimum of two days a week. Role Overview and Core Responsibilities 1. Manage complex credentialing and recredentialing cases, including applicants located in the United States and international markets. 2. Authenticate end users and confirm their permissible purpose and authorized use of TransUnion products and services in accordance with applicable laws and regulations. 3. Evaluate the intended use of requested products and services, including complex packages and requests involving geographic areas outside the United States. 4. Conduct due diligence examinations and investigations using approved third-party tools, online resources, and other appropriate research methods. 5. Assess applicant business legitimacy based on federal, state, city, municipal, and applicable international regulatory requirements. 6. Respond to escalated client inquiries through both verbal and written communication in a timely and professional manner. 7. Serve as a subject matter expert on credentialing matters and provide guidance, updates, and direction to team members and business partners. 8. Mentor, coach, and support team members by sharing process knowledge, prior experience, and credentialing best practices. 9. Identify recurring process or communication concerns and recommend improvements that enhance efficiency, compliance, training, and customer satisfaction. 10. Partner with Sales, business units, potential customers, and other impacted groups to resolve issues and support effective credentialing decisions. Required Knowledge and Experiences 1. At least 3 years of experience working directly with clients, handling escalations, and managing credentialing or recredentialing requirements. 2. Experience conducting due diligence examinations or investigations involving complex business cases and applicants from multiple geographic regions. 3. Knowledge of federal, state, city, municipal, and international regulatory requirements used to verify and authenticate applicant businesses. 4. Experience assessing permissible purpose, authorized use, business legitimacy, and compliance with established credentialing policies. 5. Ability to apply credentialing policies consistently and recommend policy or process amendments based on practical experience and identified business needs. Required Technical Skills 1. Experience using third-party investigative, business-verification, or due diligence tools to research applicants and validate business information. 2. Strong online research skills, including the ability to identify reliable sources that can supplement approved third-party resources. 3. Ability to review and interpret business documentation, regulatory records, transactional information, and credentialing requirements. 4. Ability to document findings clearly, maintain accurate records, and make informed recommendations on complex credentialing cases. We're also looking for the preferred skills below. Whether you are proficient or could use some brushing up, we're happy to support your career development and growth in: 1. Experience serving as a subject matter expert or providing day-to-day guidance in the absence of a anager. 2. Experience mentoring, coaching, or training team members on processes and best practices. 3. Exposure to international credentialing, due diligence, regulatory verification, or business legitimacy reviews. 4. Experience participating in projects, process-improvement initiatives, or the development of training materials. Benefits that support every part of your life: At TransUnion, we design benefits to help youfeel well, do well, and plan well-from day one. For Your Health: Enjoyday-one eligibilityfor medical, dental, and vision coverage, plus supplemental plan options. Spousal, domestic partner, and other eligible dependent coverage is available on select plans. Choose taxadvantagedHSAandFSAaccounts to make everyday care more affordable. For Your Protection: We've got your back withcompanypaid basic life and AD&D, optionalvoluntary life and AD&Dfor you and your family, andshort and longterm disability. You can also opt into alegal plan,pet insurance, andtravel accident coverage. For Your Family: Fromadoption assistance and fertility planning coveragetocaregiver support, we're here for every chapter. AccessDependent Care FSA for possibility of an employer match, a complimentaryCare@Workmembership, andup to 12 weeks of paid parental leavewith eligibility for a thoughtful, gradual return. For Your Future: Build toward what's next with our401(k) with employer matchandEmployee Stock Purchase Plan (ESPP). Tapfinancial wellness resources,career coaching, and optionallongterm care insuranceto plan confidently. For You: Grow and recharge withtuition reimbursement,flexible time off for exempt employees or paid time off for nonexempt employees, up to 12 paid holidays per year, commuter benefits, employeediscounts,charitable gift matching, andpaid volunteer time off, plus corporate volunteer events that make it easy to give back. For Your Wellness: Access24/7 supportincluding professionaltherapy,coaching, and emotional wellbeing programs alongside guided meditation and resources that supportphysical, mental, social, and financial wellness. We are committed to being a place where diversity is not only present, it is embraced. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability status, veteran status, genetic information, marital status, citizenship status, sexual orientation, gender identity or any other characteristic protected by law. Additionally, in accordance with Section 503 of the Rehabilitation Act of 1973 and the Vietnam Era Veterans' Readjustment Assistance Act of 1974, TransUnion takes affirmative action to employ and advance in employment qualified individuals with a disability and protected veterans in all levels of employment and develops annual affirmative action plans. Components of TransUnion's Affirmative Action Program for individuals with disabilities and protected veterans are avail

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