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

Excellent written and verbal English communication skills. High attention to detail — accuracy is critical. Strong organizational and multitasking abilities. Proactive and consistent in follow-up. 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 working with therapy providers is a plus. Previous experience in verification, compliance, or documentation review is a plus. Fixed fibre line with a minimum speed of 25 Mbps (upload & download). Ability to support a wired Ethernet connection. Reliable power backup solution to manage load shedding and power outages.

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 all documentation is complete and accurate. Review enrolment requirements and supporting documents to confirm authenticity and validity. Communicate with therapists and providers to hold them accountable for compliance. Log into the HCSIS system and accept assigned cases promptly. Review Individualized Family Service Plans (IFSPs) and Evaluation Reports (ERs) within required timelines. Upload verified documents into the provider portal. Manage and document PEIDs-related emails. Prepare and send welcome letters to clients/families during onboarding.