Compliance & Verification Administrator, USA Healthcare

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iSTA Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

⚕️ Healthcare Insurance

☁️ SaaS

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

• Verify and review 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. • 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.

🎯 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. • 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.