Intake Verification Specialist (US Healthcare) - EST Hours (Remote)

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

We are seeking an Intake Verification Specialist to support our US-based healthcare client. In this role, you will ensure accuracy and compliance in client intake and session documentation, verifying details and escalating any discrepancies. This position is ideal for detail-oriented professionals who enjoy structured tasks and maintaining high standards of quality.

PLEASE NOTE:

• Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (4:00 PM – 01:00 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.

Job Responsibilities (not limited to):

• Receive insurance requests and cross-reference all intake documents and session notes.
• Ensure the correct modifiers and codes are applied in documentation.
• Maintain systems and trackers to monitor and manage verification tasks.
• Escalate discrepancies or issues to management as needed.
• Support operational efficiency by following standardized processes accurately.
• Collaborate with other team members to ensure consistent and high-quality verification.

Requirements:
• Previous experience in auditing, documentation verification, or compliance roles preferred.
• Strong attention to detail and ability to manage repetitive or time-consuming tasks efficiently.
• Excellent organizational skills and ability to follow processes accurately.
• Basic computer skills, including MS Office and Outlook.
• Experience in healthcare or ABA services is a plus, but not required.
• Ability to maintain confidentiality and handle sensitive information professionally.

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