iSTA Solutions

Compliance and Verification Administrator – Healthcare

iSTA Solutions

full-time

Posted on:

Origin:  • 🇿🇦 South Africa

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Job Level

Mid-LevelSenior

About the role

  • 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