Healthcare Operations Specialist

Edge; Karachi Division; On-site; PKR 1,200,000 - 1,600,000; Full time

Job summary

Edge Pakistan is hiring a Healthcare Operations Specialist to support US-based providers. The role on-site at Edge Pakistan Office involves triage, scheduling, registration, insurance verification, telehealth coordination and EHR tasks, delivering high-quality patient care.

You will work closely with patients, providers, and insurers, handling appointments, eligibility checks, billing inquiries, and HIPAA-compliant chart updates in a fast-paced medical practice environment.

Qualifications

• Prior experience in a US healthcare administrative or medical office role.
• Comfortable working on-site at Edge Pakistan Office.
• Experience with Athenahealth and Spruce preferred; telehealth platforms and collaboration tools familiar.
• Strong understanding of US health insurance basics and HIPAA regulations.
• Excellent written and spoken English with attention to detail.

Responsibilities

• Answer and manage incoming patient calls, schedule visits, and confirm upcoming appointments to maximize provider schedules.
• Triage inbound calls, elevate urgent clinical cases to the appropriate provider or staff, and log interactions.
• Collect and verify patient registration and insurance card details; verify eligibility and benefits.
• Track and follow up on outstanding balances 90+ days past due; handle basic billing inquiries.
• Obtain external medical records, process lab orders, and manage prescription refill workflows.
• Monitor EHR inboxes and update patient charts in a HIPAA-compliant manner.

Skills

US healthcare admin experience

English proficiency

On-site work

Tools

Athenahealth

Spruce

Telehealth platforms

Slack

Teams

Digital document tools

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, elevate 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

• Application Review: Submit your application and resume. Our team carefully evaluates all candidates to ensure a good fit.
• 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.

Talent Boilerplate

• At Edge, we’re on a mission to create a world where geographic borders are no longer a barrier for people to obtain full-time employment and fair wages. That’s why we’ve created a global hiring network that seamlessly connects exceptional talent from all over the world with businesses in North America that most need to fill positions. The Edge Talent Network is a community of like-minded professionals through which you can unlock your potential, showcase your skills, and earn what you’re worth.

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.

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