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

3 weeks, 1 day ago
Full-time
Junior
Quality Assurance and Testing
ISTA Solutions

ISTA Solutions

ISTA Solutions is a one-stop outsourcing company that provides quality and cost-efficient services and solutions. They offer tailor-made workflow solutions, skilled agents dedicated to clients, global resources for comprehensive support, and a focus on...

Professional Services
251-1K
Founded 2015

Description

  • 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 documentation is complete and accurate.
  • Review enrollment requirements and supporting documents to confirm authenticity and validity.
  • Communicate with therapists and providers to enforce compliance requirements.
  • Log into the HCSIS system and accept assigned cases promptly.
  • Review IFSPs and Evaluation Reports within required timelines.
  • Upload verified documents into the provider portal.
  • Manage and document PEIDs-related emails.
  • Prepare and send welcome letters to clients and families during onboarding.

Requirements

  • Excellent written and verbal English communication skills.
  • High attention to detail and accuracy.
  • Strong organizational and multitasking abilities.
  • Proactive and consistent follow-up habits.
  • 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 therapy providers is a plus.
  • Previous experience in verification, compliance, or documentation review is a plus.
  • Ability to work EST hours Monday to Friday from 8:00am to 5:00pm EST.
  • Reliable fixed fibre internet with a minimum speed of 25 Mbps upload and download and support for a wired Ethernet connection.
  • Reliable power backup solution to manage load shedding and power outages.

Interested in this position?

Apply directly on the company website

Apply Now

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