Pre-Authorization Data Coordinator - EST Hours (Remote)

Overview

ISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U.S.-based companies. We are not a recruitment agency—we are a dedicated extension of our clients\' teams, delivering high-quality service with precision, efficiency, and a personal touch.

We are seeking a Pre-Authorization Data Co-ordinator for our US-based client providing dental care to residents in nursing home facilities. The role is focused on data entry and accuracy, supporting the team in turning facility data into usable resources for the marketing department.

Responsibilities

• Review full building data provided by Krystal DMS and organize it into structured information on eligibility and current / past patient enrolment.
• Prepare a comprehensive building attachment for each nursing home facility to share with the assigned representative.
• Generate a marketing spreadsheet by processing building data through the AHCA portal to confirm eligibility.
• Create an enrolled list by extracting currently enrolled patients / individuals from the database.
• Compile all required materials (building attachment, marketing spreadsheet, enrolled list, and authorization form) into a complete email package for each nursing home facility and distribute to the representative and direct supervisor.
• Update the database by opening enrolments for all eligible individuals and ensuring the representative has access to uploaded face sheets, POA contact information, and other relevant eligibility details.
• Maintain accuracy and attention to detail while managing multiple nursing home facilities simultaneously.

Requirements

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

Job details

Location : Soweto, Gauteng, South Africa; Pretoria, Gauteng, South Africa; Midrand, Gauteng, South Africa; Alberton, Gauteng, South Africa; Mokopane, Limpopo, South Africa; Aggeneys, Northern Cape, South Africa; Graaff-Reinet, Eastern Cape, South Africa

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