ISTA Personnel Solutions is looking for a Medical Aid Authorizations Specialist to manage the full recertification and funding eligibility process for residents within supported healthcare facilities in the United States. You will work remotely on EST hours, collaborating with a team that delivers administrative, financial, and operational support to nursing homes and long-term care facilities.
What You'll Do
- Manage the full medical aid and funding recertification process, including tracking timelines and submission deadlines
- Review resident files to ensure all documentation meets funding and compliance standards
- Coordinate with facility staff to obtain required supporting documentation and outstanding information
- Prepare and submit recertification documentation accurately and timeously
- Communicate with U.S. state funding agencies and facility billing departments where required
- Maintain accurate and up-to-date records within internal systems
- Identify documentation gaps and proactively resolve compliance issues
- Ensure recertifications are completed before eligibility expiration to prevent funding disruptions
- Provide additional administrative and operational support to facilities as needed
What We're Looking For
- Minimum 2+ years’ experience working within medical aid or medical scheme administration, medical authorization, hospital admissions, patient funding, or healthcare billing environments
- Experience with eligibility verification, funding authorizations, or scheme compliance processes
- Experience handling high-volume case files or time-sensitive administrative processes
- Strong understanding of compliance-driven environments and regulatory documentation standards
- Highly detail-oriented with the ability to manage strict deadlines and multiple files simultaneously
- Comfortable working within digital systems and maintaining accurate electronic records
- Proficient in MS Office and Outlook
- Excellent written and verbal English communication skills
Nice to Have
- Familiarity with U.S. Medicaid and Medicare processes
- Experience working with long-term care facilities, rehabilitation centers, or hospital environments
Technical Stack
- MS Office
- Outlook
Team & Environment
You will be working alongside a team delivering administrative, financial, and operational support to our partner facilities.
Benefits & Compensation
- Compensation for South African public holidays in accordance with the BCEA
Work Mode
This is a fully remote position requiring you to work EST hours.
