Healthcare Operations Specialist

Edge; Islamabad; On-site; PKR 900,000 - 1,400,000; Full time

Job summary

Edge Pakistan is seeking a Healthcare Operations Specialist to support US-based healthcare providers. You will operate on-site at the Edge Pakistan Office, handling patient calls, scheduling, registration, insurance verification, telehealth coordination, and HIPAA-compliant EHR tasks.

The role requires experience in US healthcare administration, familiarity with Athenahealth and Spruce, and strong English communication.

Qualifications

• Prior US healthcare administrative or medical office experience.
• On-site work at Edge Pakistan Office.
• Knowledge of US health insurance basics and HIPAA compliance.

Responsibilities

• Answer and manage patient calls, schedule visits, confirm appointments.
• Triage calls, escalate urgent cases, log interactions.
• Collect and verify patient registration and insurance details.
• Verify eligibility, benefits, and coverage (PPO, HMO, Medicare, Medicaid).
• Track past-due balances and follow up on collections.
• Handle basic billing, referrals, and prior-authorization inquiries.
• Manage EHR tasks, update charts, and HIPAA-compliant workflows.
• Obtain external medical records and coordinate telehealth activities.

Skills

US healthcare admin experience

English communication

HIPAA/compliance

multi-tasking

Tools

Athenahealth

Spruce

Slack

Teams

Job description

EDGE is building a bridge between Top Global Talent and the US Healthcare & Insurance Industry. We are on a mission to create a borderless network of exceptional talent with people at the center of everything we do. See our values and more on onedge.co.

Role Overview

We are looking for a Healthcare Operations Specialist for US-based healthcare providers. The candidate will operate directly from the Edge Pakistan Office and must be comfortable working on-site to wear multiple hats in a fast-paced medical practice setting.

This role serves as a vital bridge between patients, healthcare providers, and insurance companies. The ideal candidate will handle phone triage, scheduling, registration, insurance verification, telehealth coordination, and administrative EHR tasks while ensuring patients receive smooth, high-quality care.

Key Responsibilities

• Answer and manage incoming patient calls, schedule visits, and confirm upcoming appointments to maximize provider schedules.
• Triage inbound calls, escalation urgent clinical cases to the appropriate provider or staff, and accurately log every interaction.
• Collect and verify complete patient registration and insurance card details.
• Verify patient eligibility, benefits, and insurance coverage (PPO, HMO, Medicare, Medicaid).
• Track and follow up on outstanding patient balances that are 90+ days past due.
• Handle basic billing, referral, and prior-authorization inquiries.
• Obtain external medical records, process lab orders, upload test results, and handle prescription refill workflows.
• Monitor EHR inboxes, update patient charts in a HIPAA-compliant manner, and maintain clean task queues.

Requirements

• Prior experience in a US healthcare administrative or medical office role.
• Must be comfortable working on-site at the Edge Pakistan Office
• Experience with athenahealth (Athena) and Spruce preferred; competency with telehealth platforms, Slack, Teams, and digital document tools.
• Strong understanding of US health insurance basics (PPO/HMO, copays, deductibles, prior auth), ICD/CPT terminology, and HIPAA regulations.
• Excellent written and spoken English, exceptional attention to detail, strong multi-tasking capability, and a patient-centered, empathetic phone manner.

Our Hiring Process

• Edge Interview: You'll be invited to connect with a representative from Edge to present a detailed and tailored fit to your profile.
• Client Interviews: Successful candidates finish an onboarding & training phase and are placed in client interviews to showcase their skills and align with specific client needs.
• Final Selection: Once a good match is made, you’ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.

Equal Opportunity Employer Statement

• Edge is proud to be an equal-opportunity employer. We are committed to fostering a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, physical or mental disability, age, veteran status, or any other legally protected basis.