ISTA Personnel Solutions

Role Description ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Clinical Reviewer to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you! - Review and audit patient charts and clinical documentation. - Verify that ICD-10 diagnosis codes appropriately correspond with documented treatments and services. - Evaluate patient care plans to ensure alignment with diagnoses, prescribed treatments, and documented services. - Complete structured audit reports consisting of 140+ audit questions for each patient chart. - Ensure chart reviews are conducted with a high level of accuracy, consistency, and adherence to documentation standards. - Maintain productivity targets by completing patient chart audits within an average timeframe of approximately 30 minutes per chart. - Identify discrepancies, inconsistencies, or documentation gaps and flag them appropriately through the reporting process. - Follow established workflows, auditing procedures, and quality standards for chart review activities. Qualifications - Must have an active Philippine Registered Nurse (PHRN) license. - Familiarity with ICD-10 diagnosis codes. - Experience reviewing or matching clinical documentation, treatments, and care plans. - Experience with EMR Tools (Kantime). - High level of attention to detail and analytical skills. - Proficient in Microsoft tools and web-based forms. - Good verbal and written English skills. - Must be residing within GMA (Greater Manila Area). - Amenable working night shifts. Benefits - Competitive salary and benefits. - Health Insurance with free dependents. - 10%-night differential. - Attendance Bonus. - Paid time off. - Convertible to cash leave credits. - Performance Appraisal. - Work-life balance. - A focus on growing your career path with us. - We encourage you to follow your passions and learn new skills. Company Description - Strong culture and values-driven leadership. - We create opportunities for you to learn and grow at any stage of your career. - Continuous learning and innovation. - We foster an all-inclusive environment where everyone thrives.

Role Description ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you! Roles and Responsibilities - Provide after-hours clinical support to caregivers and patients via phone - Conduct caregiver supervision calls and review patient care plans - Respond to and advise on clinical questions and concerns that arise after hours - Ensure continuity and quality of patient care through appropriate guidance and escalation - Document interactions and communicate important updates to the care team as needed - Maintain professionalism and empathy in all patient and caregiver interactions Qualifications - Registered PHRN and USRN (Must be active) - Must be an Ohio (OH) or New York (NY) license holder - With proven clinical experience (2+ Years) - Must be keen to details - Excellent verbal and written English skills - Must be residing in the Philippines - Amenable working night shift Benefits - Competitive salary and benefits - Health Insurance with free dependents* - 10%-night differential - Attendance Bonus - Paid time off - Convertible to cash leave credits - Performance Appraisal - Work-life balance - A focus on growing your career path with us - We encourage you to follow your passions and learn new skills Company Description - Strong culture and values-driven leadership - We create opportunities for you to learn and grow at any stage of your career - Continuous learning and innovation - We foster an all-inclusive environment where everyone thrives

Role Description ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you! - Provide after-hours clinical support to caregivers and patients via phone - Conduct caregiver supervision calls and review patient care plans - Respond to and advise on clinical questions and concerns that arise after hours - Ensure continuity and quality of patient care through appropriate guidance and escalation - Document interactions and communicate important updates to the care team as needed - Maintain professionalism and empathy in all patient and caregiver interactions Qualifications - Registered PHRN and USRN (Must be active) - Must be an Ohio license holder - With proven clinical experience (2 + Years) - Must be keen to details - Excellent verbal and written English skills - Amenable working night shift Benefits - Competitive salary and benefits - Health Insurance with free dependents* - 10%-night differential - Attendance Bonus - Paid time off - Convertible to cash leave credits - Performance Appraisal - Work-life balance - A focus on growing your career path with us - We encourage you to follow your passions and learn new skills Company Description - Strong culture and values-driven leadership - We create opportunities for you to learn and grow at any stage of your career - Continuous learning and innovation - We foster an all-inclusive environment where everyone thrives

Role Description ISTA Personnel Solutions South Africa is seeking an Inbound Customer Service Agent for a US-based client in the Healthcare sector. The ideal candidate will possess: - Exceptional English communication skills - Dedication and a strong work ethic - Fast learning abilities - Excellent problem-solving skills - A sharp analytical mindset, particularly when interpreting insurance details - Flexibility to adapt to a dynamic work environment - Composure under pressure - Empathy and patience in addressing customer concerns PLEASE NOTE: - Working Hours: 5 day rotating shifts - USA hours (EST) Mon - Sunday (includes night shifts) - Public Holidays: 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. Connections via Rain, LTE, 5G, or similar are not acceptable. - Power Backup: A reliable backup solution is required to manage load shedding and outages (UPS, inverter, solar, etc.). - Work Environment: Fully remote Qualifications - Exceptional English communication skills - Strong work ethic - Fast learner with strong problem-solving skills - Critical thinker, particularly when interpreting insurance details - Familiarity with US Healthcare Insurance (Medicare, Medicaid) is an added benefit Requirements - Ability to remain calm under pressure - Ability to display empathy and patience in addressing customer concerns Benefits - Compensation for South African public holidays in accordance with the BCEA

Role Description We are seeking a detail-oriented Authorization Specialist with experience in healthcare insurance authorizations, ideally within ABA, autism services, behavioural health, or medical billing. This role will support benefit verification, prior authorization submissions, reauthorizations, payer follow-ups, and accurate documentation to ensure ABA therapy services remain approved and uninterrupted. PLEASE NOTE: - Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 12:00 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. Key Responsibilities: - Verify patient insurance eligibility and ABA benefits using Availity and CentralReach, including both commercial and Medicaid payers. - Submit initial authorization and reauthorization requests for ABA therapy services. - Monitor authorization statuses, approved hours, visit limits, and expiration dates. - Follow up with insurance providers regarding pending, denied, or incomplete authorizations. - Work closely with Intake, Scheduling, Clinical, and Billing teams to ensure continuity of care. - Obtain and upload required clinical documentation for authorization submissions. - Maintain accurate records and updates within CRM/EHR systems. - Assist with appeals, denied claims, and authorization discrepancy resolutions. - Communicate professionally with families regarding insurance requirements and authorization updates. - Ensure all authorizations are obtained and renewed before services lapse. - Track payer-specific requirements, documentation guidelines, and turnaround times. - Generate reports and maintain spreadsheets relating to authorization approvals and renewals. - Escalate urgent authorization issues that may impact patient scheduling or treatment delivery. - Support process improvement initiatives to streamline authorization workflows. Qualifications - Previous experience in ABA, behavioural health, healthcare authorizations, medical billing, or insurance verification. - Strong understanding of prior authorizations, referrals, and insurance terminology. - Experience working with Medicaid and commercial insurance providers in the USA. - Experience using Availity and CentralReach systems. - Excellent attention to detail and organizational skills. - Ability to manage high volumes of work while meeting deadlines. - Strong written and verbal English communication skills. Requirements - Must have a fixed fibre line with a minimum speed of 25 Mbps (upload & download). - Reliable power backup to manage load shedding or outages. Benefits - Compensation for South African public holidays in accordance with the BCEA.

Role Description We are seeking a Patient Intake Specialist on behalf of our US-based client, a leading provider of innovative mental health and wellness treatments, including FDA-approved ketamine infusion therapy and Spravato (esketamine) treatments. The clinic serves patients struggling with treatment-resistant depression, anxiety, PTSD, OCD, and chronic pain, offering compassionate, medically supervised care. The Patient Intake Specialist is the warm, empathetic first voice that prospective patients encounter. This is not a traditional call centre role: the person in this seat must balance genuine human connection with clinical awareness and operational efficiency. The intake department is the critical first point of human contact for prospective patients — many of whom are in genuine distress — and plays a pivotal role in the clinical journey. The role is the bridge between a patient in need and life-changing treatment. The Intake Specialist is responsible for converting inbound interest into scheduled consultations with the right patients, while ensuring every caller feels heard, valued, and supported. PLEASE NOTE: - Working Hours: You will be working EST Hours which converts to Monday – Friday | 00:00 AM – 9:00 AM SAST South African time – subject to change in accordance with daylight savings in the United States as well as the operational requirements of the Company. - Salary Range: This position offers between R10 000 - R23 000 GROSS (before deductions), depending on experience. Please note that there are no additional company benefits such as Medical Aid, Provident Fund, etc. - You will be required to work 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 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. Qualifications - Customer service or client-facing experience (minimum 1 year); experience in healthcare, social work, counselling, or mental health settings is a strong advantage. - Excellent verbal communication in English — clear, warm, and professional. - Computer literate with the ability to navigate CRM/patient management systems. - Comfortable managing a high volume of interactions while maintaining quality. - Experience with inbound/outbound phone-based roles is beneficial but not essential. Requirements - Warmth and genuine empathy — patients must feel cared for from the very first hello. - Strong active listening skills, including the ability to pick up on keywords, emotional cues, and unsaid concerns. - Ability to hold a conversation with dual intent: emotional support and clinical qualification, simultaneously. - Confidence to gently steer conversations toward an outcome without ever making a patient feel rushed or dismissed. - High emotional resilience — regular exposure to patients in distress, including those expressing suicidal thoughts. - Self-motivated and able to work independently in a remote environment during evening/night hours. Benefits - A natural night owl who is energised and sharp during evening hours. - Someone who finds deep meaning in helping people access mental healthcare. - Organised, detail-oriented, and reliable. - Able to set and maintain professional boundaries, even with emotionally demanding callers. - A long-term thinker who sees this as a career, not a stepping stone. What Success Looks Like In This Role - Quality Indicators: - Patients feel heard and cared for - High conversion rate (intake to booked consult) - Correct patients scheduled (clinical fit) - Call duration averaging 6–11 minutes - Volume Indicators: - 5–7 calls handled per hour - Follow-up pipeline kept current - CRM tasks and milestones up to date - Minimal “dead on arrival” consultations If you are not contacted within 14 working days, please consider your application unsuccessful.

Role Description ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN Clinical Auditor to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you! - Review ICD-10 codes to ensure correct clinical category mapping - Identify missed reimbursement opportunities across PT/OT, SLP, NTA, Nursing, and Functional Scoring - Ensure therapy services and clinical documentation are properly aligned - Utilize CMS tools, the RAI Manual, and internal protocols to maintain regulatory compliance - Thoroughly scrub assessments prior to submission for completeness and accuracy Qualifications - Current and valid PHRN license - 6 months work experience in a clinical setting - Knowledge with EMR/EHR (Electronic Medical Records/Electronic Healthcare Records) - Knowledge with MDS coding is a PLUS - Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements - Excellent attention to detail and analytical skills - Good Verbal and Written English Communication Skills - Ability to work independently and collaboratively in a team-oriented environment - Commitment to continuous learning and professional development - Willing to work on shifting schedule Benefits - Competitive salary and benefits - Health Insurance with free dependents* - 10%-night differential - Attendance Bonus - Paid time off - Convertible to cash leave credits - Performance Appraisal - Work-life balance - A focus on growing your career path with us - We encourage you to follow your passions and learn new skills Company Description - Strong culture and values-driven leadership - We create opportunities for you to learn and grow at any stage of your career - Continuous learning and innovation - We foster an all-inclusive environment where everyone thrives

Role Description As a Recruiter, you will be the engine behind the company's candidate pipeline. This is a 180-degree recruitment role — meaning it is highly candidate-facing rather than client-facing. You will be: - Conducting back-to-back screening interviews - Proactively sourcing clinicians across multiple platforms - Managing your pipeline with discipline - Building the brand's presence in online communities This is not a commission-based role. Please Note: - Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 12:00 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. Connections via Rain, LTE, 5G, or similar are not acceptable. Applicants without a fixed fibre line will not be considered. - Power Backup: A reliable backup solution is required to manage load shedding and outages (UPS, inverter, solar, etc.). Applicants without a reliable backup solution will not be considered. - Work Environment: Fully remote. Qualifications - Proven experience in recruitment, sourcing, or talent acquisition — inbound and outbound - Experience in a high-volume or fast-paced recruitment environment - A genuine "hunter" mentality with strong proactive sourcing ability - Excellent verbal and written English communication skills - High resilience and the ability to handle rejection without losing momentum - Strong relationship-building skills and a warm, approachable personality - Highly organised with excellent pipeline management and follow-up discipline - Comfortable working flexible hours aligned to U.S. business hours - Tech-savvy and comfortable navigating social platforms and sourcing tools Requirements - Experience in U.S. healthcare or travel therapy staffing (advantageous) - Familiarity with sourcing platforms such as Vivian or Allied Travel Careers (advantageous) - Experience using a CRM or ATS system (advantageous) - Social media content creation for recruitment or employer branding purposes (advantageous) Company Description ISTA Personnel Solutions is a fast-growing, global BPO company. We are not a recruitment agency — we operate as a dedicated extension of our U.S.-based clients' teams, delivering high-quality operational support with precision, efficiency, and professionalism.

Role Description We are seeking a Patient Support Specialist on behalf of our US-based client, a leading provider of innovative mental health and wellness treatments, including FDA-approved ketamine infusion therapy and Spravato (esketamine) treatments. The clinic serves patients struggling with treatment-resistant depression, anxiety, PTSD, OCD, and chronic pain, offering compassionate, medically supervised care. You will be embedded within the client’s operations, serving as a vital point of contact for patients throughout their treatment journey, ensuring they remain supported, informed, and engaged with the care plans designed for them. This role is ideal for someone with a strong healthcare background, excellent communication skills, and a genuine passion for patient care and support. As a Patient Support Specialist, you will be responsible for: - Engaging with patients telephonically to support and encourage adherence to their care plans. - Acting as a compassionate point of contact for patients, helping them understand treatment plans, medication routines, and the importance of following medical guidance. This is not a sales role. We are looking for someone with: - Empathy - Patience - Emotional intelligence - The ability to build trust with patients PLEASE NOTE: - Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 0:00 AM South African time – subject to change in accordance with daylight savings in the United States as well as the operational requirements of the Company). - Salary Range: This position offers between R18 000 - R27 000 GROSS (before deductions), depending on experience. Please note that there are no additional company benefits such as Medical Aid, Provident Fund, etc. - You will be required to work 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 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. Qualifications - Previous healthcare, patient support, or medical administration experience - Excellent verbal and written English communication skills - Strong empathy and bedside manner - Ability to handle sensitive conversations professionally - Comfortable working in a fast-paced remote environment - Computer literate with strong administrative skills Requirements - Proficient in MS Office and general computer navigation - Comfortable working with CRM, EMR, or patient management systems (training will be provided) - Able to accurately capture notes and patient records during and after calls Preferred Background - Medical Practice Management - Nursing - Pharmacist Assistance - Healthcare Coordination - Patient Liaison - Case Management - Psychology or Social Work - Healthcare Administration If you are not contacted within 14 working days, please consider your application unsuccessful.

Role Description ISTA Personnel Solutions is recruiting on behalf of a fast-growing US-based ABA (Applied Behavior Analysis) therapy company, who requires an Onboarding Coordinator to support a structured onboarding team that processes new therapist hires across multiple US states. As an Onboarding Coordinator, you'll be the first point of contact for newly hired ABA therapists from the moment they accept their offer. Your job is to guide them through each step of the onboarding process, keep them moving, and make sure nothing falls through the cracks. It's a high-volume, detail-driven role that requires someone who is organised, proactive, and genuinely good with people. PLEASE NOTE: - Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 12:00 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. Connections via Rain, LTE, 5G, or similar are not acceptable. Applicants without a fixed fibre line will not be considered. - Power Backup: A reliable backup solution is required to manage load shedding and outages (UPS, inverter, solar, etc.). Applicants without a reliable backup solution will not be considered. - Work Environment: Fully remote KEY RESPONSIBILITIES: - Conducting onboarding meetings via Zoom or Teams with newly hired therapists. - Guiding candidates through each stage of the onboarding process and identifying what still needs to be completed. - Following up consistently to ensure candidates are progressing through their onboarding steps on time. - Managing candidate statuses on a shared board and ensuring no one is stuck at a stage for too long. - Completing and tracking tasks accurately within the company's systems (including ClickUp). - Flagging candidates who are not engaging or progressing and following the relevant protocols. - Coordinating with the staffing team once candidates reach the placement stage of onboarding. - Handling approximately 30 onboarding candidates per month per state, with team support during high-volume periods. Qualifications - Previous experience in an onboarding, recruitment coordination, or HR admin role. - Experience working with ClickUp, Microsoft Teams, or similar platforms is an advantage. - Familiarity with the ABA therapy space or a background in healthcare, disability, or mental health services is a plus. - Strong organisational skills and a task-oriented working style — you need to love ticking things off a list. - Excellent follow-up and communication skills — a large part of this role is keeping candidates moving and engaged. - Comfortable working in a high-volume environment with multiple candidates at various stages simultaneously. - Self-driven and able to identify what needs to be done without waiting to be told. Requirements - If you have not been contacted within 14 working days, please consider your application unsuccessful.