Compliance & Verification Administrator, USA Healthcare

This is a fully remote position, open to applicants in South Africa.

📋 Description

• Verify and assess therapists' session notes for precision and thoroughness.

• Analyze data to detect anomalies or trends that could suggest fraudulent practices.

• Collaborate with internal teams to ensure all documentation is accurate and complete.

• Review enrollment criteria and supporting documents to verify authenticity and validity.

• Communicate with therapists and providers to ensure accountability for compliance.

• Access the **HCSIS system** and promptly accept assigned cases.

• Review **Individualized Family Service Plans (IFSPs)** and **Evaluation Reports (ERs)** within necessary timelines.

• Upload verified documents to the provider portal.

• Manage and document **PEIDs-related emails** effectively.

• Prepare and distribute **welcome letters** to clients and families during the onboarding process.

⛳️ Requirements

• Exceptional written and verbal communication skills in English.

• Strong attention to detail — accuracy is essential.

• Excellent organizational and multitasking skills.

• Proactive and diligent in follow-up actions.

• Basic computer skills, including proficiency with MS Office and Outlook.

• Capability to navigate multiple systems and portals efficiently.

• Experience with healthcare or early intervention documentation, compliance tracking, or collaboration with therapy providers is advantageous.

• Prior experience in verification, compliance, or documentation review is beneficial.

🏝️ Benefits

• Competitive salary and compensation package.

• Comprehensive health and wellness benefits.

• Opportunities for professional development and growth.

• Supportive work environment with a focus on team collaboration.