iSTA Solutions
B2B • Healthcare Insurance • SaaS
iSTA Solutions is your remote healthcare operations partner specializing in off-site staffing solutions. With over 20 years of experience, we focus on enhancing operational efficiency for businesses, particularly in the healthcare sector, by providing customized remote teams that take on tasks ranging from customer service to data entry. Our goal is to support organizations in scaling their operations seamlessly while achieving significant cost savings and improved productivity.
Compliance and Verification Administrator – Healthcare
Job not on LinkedIn
September 14
iSTA Solutions
B2B • Healthcare Insurance • SaaS
iSTA Solutions is your remote healthcare operations partner specializing in off-site staffing solutions. With over 20 years of experience, we focus on enhancing operational efficiency for businesses, particularly in the healthcare sector, by providing customized remote teams that take on tasks ranging from customer service to data entry. Our goal is to support organizations in scaling their operations seamlessly while achieving significant cost savings and improved productivity.
📋 Description
• Support a U.S.-based healthcare client providing early intervention services (speech, occupational, physical therapy, special instruction, nutrition, social work) • Review and verify therapists' session notes for accuracy and completeness • Analyze data to identify anomalies or patterns that may indicate fraudulent activity • Coordinate with internal departments to ensure all documentation is complete and accurate • Review enrolment requirements and supporting documents to confirm authenticity and validity • Communicate with therapists and providers to hold them accountable for compliance requirements • Log into the HCSIS system and accept assigned cases promptly • Review Individualized Family Service Plans (IFSPs) and Evaluation Reports (ERs) within required timelines • Upload verified documents into the provider portal • Manage and document PEIDs-related emails • Prepare and send welcome letters to clients/families during onboarding • Maintain accuracy, consistency, and proactive follow-up in repetitive, task-oriented processes
🎯 Requirements
• Excellent written and verbal English communication skills • High attention to detail — accuracy is critical • Strong organizational and multitasking abilities • Proactive and consistent in follow-up • Comfortable with highly task-oriented and repetitive work • Basic computer literacy, including MS Office and Outlook • Ability to navigate multiple systems and portals • Experience with healthcare or early intervention documentation, compliance tracking, or working with therapy providers is a plus • Previous experience in verification, compliance, or documentation review is a plus • Must work EST hours Mon - Fri 8am-5pm EST (14:00-23:00 South African time) and on both South African and US public holidays • Fixed fibre internet line with minimum 25 Mbps (upload & download) and wired Ethernet connection required • Reliable power backup solution required to manage load shedding and power outages
🏖️ Benefits
• Fully remote working role • Compensation for South African public holidays in accordance with the BCEA
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