South Africa Remote (Global) Full-time

ISTA Personnel Solutions is hiring a Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

About the Role

ISTA Personnel Solutions South Africa is seeking a detail-oriented Compliance & Verification Administrator to support a U.S.-based healthcare client. In this role, you will meticulously review, verify, and process client and provider documentation to ensure strict compliance with regulatory and internal requirements. This is a highly task-oriented and repetitive position where consistency, accuracy, and proactive follow-up are paramount.

What You'll Do

  • Verify and review therapist 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.

What We're Looking For

  • 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.
  • Must work EST hours Mon - Fri from 8am to 5pm EST.
  • Must have a fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection.
  • Must have a reliable power backup solution to manage load shedding and power outages.

Nice to Have

  • Experience with healthcare or early intervention documentation, compliance tracking, or working with therapy providers.
  • Previous experience in verification, compliance, or documentation review.

Technical Stack

  • MS Office
  • Outlook
  • HCSIS system
  • Provider portal

Work Mode

This is a fully remote position. You will be required to work Eastern Standard Time (EST) hours.

ISTA Personnel Solutions South Africa is an equal opportunity employer.

Required Skills
MS OfficeOutlookHCSIS systemProvider portalHealthcare ComplianceData VerificationAdministrative SupportProcess DocumentationUS Healthcare SystemsEST Time Zone Adherence
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About company
ISTA Personnel Solutions

ISTA Solutions is home to rockstar professionals who aim to be engaged in defining and building an employee centric culture, focused on long term success, work-life balance, and life-long learnings. From the industries we support, to the functions we perform, ISTA has structured ourselves differently from other outsourcing companies; effectively setting ourselves apart from the rest of the pack.

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Job Details
Category other
Posted 3 months ago