Pre-Authorization Data Coordinator

6 days ago


South Africa ISTA Personnel Solutions Full time R250 000 - R400 000 per year

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

We are seeking a Pre-Authorization Data Co-ordinator for our US-based client providing dental care to residents in nursing home facilities. The role is focused on data entry and accuracy, supporting the team in turning facility data into usable resources for the marketing department.

PLEASE NOTE:

  • Working Hours: This role requires you to work EST hours Mon - Fri from 9am to 6pm EST (15h00 to 24h00 South African time - subject to change in accordance with daylight savings in the United States).
  • Public Holidays: This role requires you to work on both South African and US 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 the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
  • Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
  • Work Environment: This is a fully remote working role.

Responsibilities

  • Review full building data provided by Krystal DMS and organize it into structured information on eligibility and current/past patient enrolment.
  • Prepare a comprehensive building attachment for each nursing home facility to share with the assigned representative.
  • Generate a marketing spreadsheet by processing building data through the AHCA portal to confirm eligibility.
  • Create an enrolled list by extracting currently enrolled patients/individuals from the database.
  • Compile all required materials (building attachment, marketing spreadsheet, enrolled list, and authorization form) into a complete email package for each nursing home facility and distribute to the representative and direct supervisor.
  • Update the database by opening enrolments for all eligible individuals and ensuring the representative has access to uploaded face sheets, POA contact information, and other relevant eligibility details.
  • Maintain accuracy and attention to detail while managing multiple nursing home facilities simultaneously.
Requirements
  • Prior experience in data entry, administrative support, or healthcare-related roles is preferred but not required.
  • Strong attention to detail with the ability to maintain accuracy and consistency across large datasets.
  • Comfortable working with electronic systems and able to learn new computer programs quickly.
  • Strong organizational skills with the ability to manage multiple nursing home / healthcare facilities and priorities at once.
  • Ability to follow structured processes and ensure all required documentation is complete.
  • Professionalism in handling sensitive information with confidentiality.
  • Dependable, task-focused, and able to work independently while supporting the team.

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



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