On-Site Patient Services & Insurance Specialist

Edge; Karachi Division; On-site; PKR 600,000 - 900,000; Full time

Job summary

Edge Pakistan is seeking a Patient Services & Insurance Specialist to support US-based healthcare providers. The role operates on-site at the Edge Pakistan Office and requires handling patient communications, scheduling, and insurance coordination within a fast-paced medical practice.

The ideal candidate will have US healthcare administrative experience, familiarity with athenahealth and Spruce, and strong English communication with HIPAA compliance.

Qualifications

• 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.

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.

Skills

US healthcare administration

English communication

Tools

athenahealth

Spruce

Slack

Teams

Job description

Edge Pakistan is seeking a Patient Services & Insurance Specialist to support US-based healthcare providers. The role operates on-site at the Edge Pakistan Office and requires handling patient communications, scheduling, and insurance coordination within a fast-paced medical practice.

The ideal candidate will have US healthcare administrative experience, familiarity with athenahealth and Spruce, and strong English communication with HIPAA compliance.