Talent.com
Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

ISTA SolutionsWorkFromHome, Free State, South Africa
30+ days ago
Job type
  • Remote
Job description

Overview

ISTA Personnel Solutions is a dynamic and fast-growing BPO company. We are not a recruitment agency — we operate as a dedicated extension of our U.S.-based clients' teams, delivering high-quality service with precision, efficiency, and a personal touch.

We are seeking a Compliance & Verification Administrator to support one of our U.S.-based healthcare clients who provides early intervention services i.e. Speech Therapy, Occupational Therapy, Physical Therapy, Special Instruction, Nutrition and Social Work.

This is a highly task-oriented and repetitive role that requires strong attention to detail, consistency, and proactive follow-up.

Role Overview

Each therapist must comply with certain tasks to ensure that services being rendered are documented accurately and billed effectively. The Compliance & Verification Administrator will be responsible for reviewing, verifying, and processing client and provider documentation to ensure compliance with regulatory and internal requirements. This role involves repetitive tasks, so candidates must be comfortable with routine work while maintaining accuracy and focus. The ideal candidate will be proactive, organized, and able to hold providers accountable for compliance requirements.

PLEASE NOTE :

  • Working Hours : This role requires you to work EST hours Mon - Fri from 8am to 5pm EST (14h00 to 23h00 South African time - subject to change in accordance with daylight savings in the United States).
  • You will be required to work on both South African and US 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 the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
  • Power Backup : A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
  • Work Environment : This is a fully remote working role.

Key Responsibilities

  • 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

    Soft Skills

  • 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.
  • Technical Skills

  • 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
  • If you are not contacted within 14 working days, please consider your application unsuccessful.

    Get notified about new Compliance Administrator jobs in South Africa .

    #J-18808-Ljbffr

    Create a job alert for this search

    Administrator • WorkFromHome, Free State, South Africa

    Related jobs
    • Promoted
    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    ISTA SolutionsWorkFromHome, Free State, South Africa
    Remote
    We are not a recruitment agency — we operate as a dedicated extension of our U.Compliance and Documentation Coordinator.ABA therapy services in the state of Florida. This position involves preparing...Show moreLast updated: 29 days ago
    • Promoted
    Healthcare Compliance Coordinator (ABA Therapy) - EST hours (Remote)

    Healthcare Compliance Coordinator (ABA Therapy) - EST hours (Remote)

    ISTA SolutionsWelkom, Free State, South Africa
    Remote
    STA Personnel Solutions South Africa — a global BPO partnering with a USA-based client offering ABA Therapy — is seeking a diligent Compliance Coordinator to ensure timely submission and verificati...Show moreLast updated: 30+ days ago
    • Promoted
    Contract Administrator (UK Insurance)

    Contract Administrator (UK Insurance)

    The Legends AgencyWorkFromHome, Free State, South Africa
    About the job Contract Administrator (UK Insurance).Contract Administrator (UK Insurance).Join an Award-Winning Property Management Company with a Prestigious Client Base.Remote | Market Related De...Show moreLast updated: 30+ days ago
    • Promoted
    Sales Administrator (VA) - Remote

    Sales Administrator (VA) - Remote

    ReefWorkFromHome, Free State, South Africa
    Remote
    Sales Administration (VA) – Remote, Full-Time.Reef connects elite sales talent with high-growth B2B companies building world-class revenue teams. We work with the top 3% of candidates and match you ...Show moreLast updated: 30+ days ago
    • Promoted
    Insurance Administrator

    Insurance Administrator

    The Legends AgencyWorkFromHome, Free State, South Africa
    Join a dynamic UK property services team from Cape Town, and support residential insurance processes end-to-end.Remote (Cape Town) | R25,000- R30,000 | Full-time | 37. Our client is a fast-growing p...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller (USA Healthcare) - EST Working Hours (Remote)

    Medical Biller (USA Healthcare) - EST Working Hours (Remote)

    ISTA SolutionsWorkFromHome, Free State, South Africa
    Remote
    Medical Biller (USA Healthcare) - EST Working Hours (Remote).ISTA Personnel Solutions South Africa is a global BPO company partnering with a U. We are seeking an experienced and highly professional....Show moreLast updated: 30+ days ago
    • Promoted
    AVP, Compliance BSA / AML / OFAC Model Governance (L10)

    AVP, Compliance BSA / AML / OFAC Model Governance (L10)

    SynchronyWorkFromHome, Free State, South Africa
    Role Title : AVP, Compliance BSA / AML / OFAC Model Governance (L10).Synchrony (NYSE : SYF) is a premier consumer financial services company delivering one of the industry’s most complete digitally enabl...Show moreLast updated: 1 day ago
    • Promoted
    Compliance Administrator

    Compliance Administrator

    FROGG RecruitmentWorkFromHome, Free State, South Africa
    Compliance Administrator - Remote.Our UK financial services client is looking for Compliance Administrators with UK experience. Position Type : 6 months fixed term contract.Must be able to start imme...Show moreLast updated: 1 day ago
    • Promoted
    Medical Billing Administrator (USA Healthcare) - Half day EST Hours (Remote)

    Medical Billing Administrator (USA Healthcare) - Half day EST Hours (Remote)

    ISTA SolutionsWorkFromHome, Free State, South Africa
    Remote
    ISTA Personnel Solutions is a dynamic and fast-growing BPO company.We are not a recruitment agency — we operate as a dedicated extension of our U. You'll work closely with their operations and custo...Show moreLast updated: 1 day ago
    • Promoted
    Medical Billing Administrator (USA Healthcare) - Half day EST Hours (Remote)

    Medical Billing Administrator (USA Healthcare) - Half day EST Hours (Remote)

    ISTA Personnel SolutionsWorkFromHome, Free State, South Africa
    Remote
    As the Medical Billing Administrator & Customer Service specialist, you’ll play a key role in managing patient intake, scheduling deliveries, communicating with medical insurance companies, and han...Show moreLast updated: 1 day ago
    • Promoted
    USA Medical Billing Collections - EST hours (Remote)

    USA Medical Billing Collections - EST hours (Remote)

    ISTA SolutionsWorkFromHome, Free State, South Africa
    Remote
    USA Medical Billing Collections - EST hours (Remote).USA Medical Billing Collections - EST hours (Remote).ISTA Personnel Solutions South Africa. BPO company partnering with a U.We are looking for an...Show moreLast updated: 30+ days ago
    • Promoted
    Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

    Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

    ISTA Personnel SolutionsWorkFromHome, Free State, South Africa
    Remote
    Each therapist must comply with certain tasks to ensure that services being rendered are documented accurately and billed effectively. The Compliance & Verification Administrator will be responsible...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Accounts Receivable Administrator - EST Working Hours (Remote)

    Medical Accounts Receivable Administrator - EST Working Hours (Remote)

    ISTA Personnel SolutionsWorkFromHome, Free State, South Africa
    Remote
    ISTA Personnel Solutions South Africa.BPO company, partnering with a U.We are seeking a detail-oriented, tech-savvy.Medical Accounts Receivable Agent. The primary responsibility of this role is to r...Show moreLast updated: 1 day ago
    • Promoted
    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    ISTA SolutionsWorkFromHome, Free State, South Africa
    Remote
    Case Manager & Billing (USA Healthcare) - EST hours (Remote).ISTA Personnel Solutions, South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts R...Show moreLast updated: 30+ days ago
    • Promoted
    CRM & Automation Specialist (HubSpot) - EST Hours (Remote)

    CRM & Automation Specialist (HubSpot) - EST Hours (Remote)

    ISTA SolutionsWorkFromHome, Free State, South Africa
    Remote
    ISTA Personnel Solutions is a dynamic and fast-growing BPO company.We are not a recruitment agency — we operate as a dedicated extension of our U. HubSpot to design, implement, and manage automation...Show moreLast updated: 30+ days ago
    • Promoted
    Manager of Financial Clearance - Patient Access - Remote - Days

    Manager of Financial Clearance - Patient Access - Remote - Days

    VCU HealthWorkFromHome, Free State, South Africa
    Remote
    Remote : For the state of Virginia only.The Manager of Financial Clearance is responsible for managing performance, which encompasses operational performance, financial performance, and cost efficie...Show moreLast updated: 30+ days ago
    • Promoted
    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    ISTA Personnel SolutionsWorkFromHome, Free State, South Africa
    Remote
    ISTA Personnel Solutions is a dynamic and fast-growing BPO company.We are not a recruitment agency — we operate as a dedicated extension of our U. We are hiring a Compliance and Documentation Coordi...Show moreLast updated: 19 days ago
    • Promoted
    Compliance Administrator REMOTE

    Compliance Administrator REMOTE

    Frogg RecruitmentWorkFromHome, Free State, South Africa
    Remote
    Compliance Administrator – South Africa (Remote).Our UK financial services client is looking for Compliance Administrators with UK experience. ITS A 6 MONTHS FIXED TERM CONTRACT !!!!.MUST HAVE UK Ex...Show moreLast updated: 9 days ago