Pre-Authorization Data Coordinator - EST Hours (Remote)

• 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.

• 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.

• 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.

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