Intake Verification Specialist (US Healthcare) - EST Hours (Remote)
ISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company, specializing in providing operational support to U.S.-based companies. We are not a recruitment agency—we operate as a dedicated extension of our clients' teams, delivering high-quality service with precision, efficiency, and a personal touch.
Please Note
- Working Hours : Monday - Friday | 9 : 00 AM - 6 : 00 PM EST (4 : 00 PM - 01 : 00 AM South African time - subject to daylight savings)
- Public Holidays : This role requires working on both South African and U.S. public holidays (compensation for SA public holidays in accordance with the BCEA)
- Internet Requirements : A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is mandatory. Applicants without a fixed fibre line cannot be considered.
- Power Backup : Reliable backup required to manage load shedding or outages. Applicants without a power backup cannot be considered.
- Work Environment : Fully remote
Job Responsibilities (not limited to)
Receive insurance requests and cross-reference all intake documents and session notes.Ensure the correct modifiers and codes are applied in documentation.Maintain systems and trackers to monitor and manage verification tasks.Escalate discrepancies or issues to management as needed.Support operational efficiency by following standardized processes accurately.Collaborate with other team members to ensure consistent and high-quality verification.Requirements
Previous experience in auditing, documentation verification, or compliance roles preferred.Strong attention to detail and ability to manage repetitive or time-consuming tasks efficiently.Excellent organizational skills and ability to follow processes accurately.Basic computer skills, including MS Office and Outlook.Experience in healthcare or ABA services is a plus, but not required.Ability to maintain confidentiality and handle sensitive information professionally.If you are not contacted within 14 working days, please consider your application unsuccessful.
Seniority Level
Mid-Senior level
Employment Type
Full-time
Job Function
Customer Service
Industries
IT Services and IT Consulting
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