Talent.com
Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)
Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)ISTA Personnel Solutions • Eastern Cape, ZA
Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

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

ISTA Personnel Solutions • Eastern Cape, ZA
30+ days ago
Job type
  • Remote
  • Quick Apply
Job description

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 ie. 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.

    Create a job alert for this search

    Compliance Administrator • Eastern Cape, ZA

    Related jobs
    Remote Administrative Assistant

    Remote Administrative Assistant

    DevFinders • Fort Beaufort, EC, ZA
    Remote
    Ready to work remotely for a UK-based company and take on a role where your organisational skills shine? We’re looking for a Remote Administrative Assistant who enjoys doing admin, coordinating tas...Show more
    Last updated: 1 day ago
    HubSpot CRM & Automation Coordinator (EST hours) - Remote

    HubSpot CRM & Automation Coordinator (EST hours) - Remote

    ISTA Personnel Solutions • Eastern Cape, ZA
    Remote
    Quick Apply
    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. Client is looking for a motivated and detail-o...Show more
    Last updated: 30+ days ago
    Healthcare Client Support Specialist - EST Hours (Remote)

    Healthcare Client Support Specialist - EST Hours (Remote)

    ISTA Personnel Solutions • Eastern Cape, ZA
    Remote
    Quick Apply
    BPO company, partnering with a USA-based client in the Healthcare sector.Our client is transforming the way nurses connect with healthcare facilities by offering an on-demand staffing platform — th...Show more
    Last updated: 30+ days ago
    Remote Administrative Coordinator

    Remote Administrative Coordinator

    DevFinders • Alice, EC, ZA
    Remote
    Want to work remotely for a UK-based company and put your organisation skills to good use? We’re looking for a Remote Administrative Coordinator who enjoys creating order, supporting a busy team, a...Show more
    Last updated: 1 day ago
    Compliance Support Coordinator (US Healthcare) - EST hours (Remote)

    Compliance Support Coordinator (US Healthcare) - EST hours (Remote)

    ISTA Personnel Solutions • Eastern Cape, ZA
    Remote
    Quick Apply
    ISTA Personnel Solutions South Africa.BPO company, specializing in providing top-tier operational support to U.We are not a recruitment agency — we are a dedicated extension of our clients’ teams, ...Show more
    Last updated: 5 days ago
    Therapy Staffing Coordinator & Recruiter (ABA Care) - EST Hours (Remote)

    Therapy Staffing Coordinator & Recruiter (ABA Care) - EST Hours (Remote)

    ISTA Personnel Solutions • Eastern Cape, ZA
    Remote
    Quick Apply
    BPO company specializing in providing top-tier operational support to U.We are not a recruitment agency—we act as a dedicated extension of our clients’ teams, delivering high-quality service with p...Show more
    Last updated: 30+ days ago
    Nurse Engagement Coordinator (US Healthcare) - EST Hours (Remote)

    Nurse Engagement Coordinator (US Healthcare) - EST Hours (Remote)

    ISTA Personnel Solutions • Eastern Cape, ZA
    Remote
    Quick Apply
    ISTA Personnel Solutions South Africa.BPO company based in South Africa, specializing in providing top-tier operational support to U. We are not a recruitment agency—we are a dedicated extension of ...Show more
    Last updated: 5 days ago
    Remote Company Administrator

    Remote Company Administrator

    DevFinders • Bailey, EC, ZA
    Remote
    Ever thought about working remotely for a UK-based company while doing what you love? We’re looking for someone who’s super organised and loves keeping things running like clockwork.In this role, y...Show more
    Last updated: 4 days ago
    Finance & Admin Assistant

    Finance & Admin Assistant

    DevFinders • Bedford, EC, ZA
    We’re a UK-based company looking for a dependable Finance & Admin Assistant to support different teams with a range of administrative and finance-related tasks. The ideal person will have solid ...Show more
    Last updated: 11 days ago
    Outbound Call Sales Agent (Portuguese-speaking)

    Outbound Call Sales Agent (Portuguese-speaking)

    Neo Group • Angola, Eastern Cape, ZA
    Quick Apply
    Are you ready to shake up the industry with us? One of Neo Group's partners are growing and they're setting new standards, mastering the art of profitability with every bold move.But what's our rea...Show more
    Last updated: 30+ days ago
    B2C Sales Associate

    B2C Sales Associate

    DevFinders • Bedford, EC, ZA
    We are a dynamic Residential and End of Tenancy Cleaning company, committed to delivering exceptional cleaning services to our clients. We are looking for a vibrant, customer-centric.The ideal candi...Show more
    Last updated: 25 days ago
    Operations Administrator | Remote

    Operations Administrator | Remote

    DevFinders • Hewu, EC, ZA
    Remote
    Want to work remotely for a UK-based company while doing what you love? We’re searching for someone who thrives on organisation and enjoys keeping things running smoothly behind the scenes.As our R...Show more
    Last updated: 1 day ago
    Business Support Administrator

    Business Support Administrator

    DevFinders • Tarkastad, EC, ZA
    Looking for a remote role with a UK-based company where your organisational talent truly matters? We’re hiring a Remote Business Support Administrator to keep our operations tight, tidy, and effici...Show more
    Last updated: 1 day ago
    Sales Development Representative

    Sales Development Representative

    DevFinders • Alice, EC, ZA
    Residential and End of Tenancy services.As we continue to grow, we’re looking for a confident and enthusiastic.Sales Development Representative. Reach out to warm leads provided by the company and c...Show more
    Last updated: 25 days ago