Insurance Authorizations Specialist (ABA Services) - EST Hours (Remote)

ISTA Personnel Solutions South Africa is a dynamic, fast-growing BPO company providing operational support to U.S.-based healthcare companies. We are not a recruitment agency—we act as a dedicated extension of our clients’ teams, delivering high-quality service with precision and professionalism.

Our client is a U.S.-based healthcare provider specializing in Applied Behaviour Analysis (ABA) therapy for children with autism and developmental needs. They provide structured therapy programs aimed at improving communication, behaviour, and life skills through qualified clinicians.

We are seeking a detail-oriented Insurance Authorizations Specialist to support the insurance authorization process for ABA services. This is a structured, teachable role with comprehensive training, ideal for candidates who are organized, proactive, and comfortable following processes independently while collaborating virtually.

PLEASE NOTE:

• Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 12:00 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.

Key Responsibilities:

• Monitor and track client authorization expirations using the internal tracking system.
• Identify upcoming authorization renewals and ensure timely follow-up.
• Contact insurance providers to verify authorization status and coverage details.
• Assist with obtaining and maintaining authorizations for both new and existing clients.
• Maintain accurate authorization records and documentation.
• Update internal tracking systems, generate reports, and alert teams to upcoming deadlines.
• Communicate with internal teams to ensure services remain authorized and uninterrupted.
• Provide general administrative support to clinical and operational teams as required.
• Follow structured processes while demonstrating initiative and problem-solving in a remote environment.

Requirements:

• Authorization experience required.
• Insurance or healthcare administration background strongly preferred.
• ABA therapy experience is a bonus but not essential.
• Strong organizational, communication, and problem-solving skills.
• Ability to manage multiple authorizations simultaneously with high attention to detail.
• Comfortable communicating with insurance providers by phone and email.
• Professional and confidential handling of sensitive information.
• Proficiency with basic computer systems, email, and tracking software.

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