Patient Services & Insurance Specialist

Edge; Islamabad; Sur place; PKR 900 000 - 1 600 000; Plein temps

Résumé du poste

Edge Pakistan Office is seeking a Patient Services & Insurance Specialist for US-based healthcare providers. The role requires on-site presence in Islamabad and acts as a bridge between patients, providers, and insurers, handling triage, scheduling, insurance verification, and EHR tasks.

You will coordinate telehealth, manage registrations, verify benefits (PPO/HMO/Medicare/Medicaid), and support billing inquiries while maintaining HIPAA compliance and strong English communication.

Qualifications

• Experience in a US healthcare administrative or medical office role is required or highly preferred.
• Must be comfortable working on-site at the Edge Pakistan Office.
• Familiarity with athenahealth (Athena) and Spruce is preferred; proficiency with telehealth platforms, Slack, Teams, and digital document tools.
• Strong understanding of US health insurance basics (PPO/HMO, copays, deductibles, prior auth) and HIPAA regulations.
• Excellent written and spoken English, attention to detail, multitasking, and patient-centered phone manner.

Responsabilités

• Answer and manage incoming patient calls, schedule visits, and confirm upcoming appointments to optimize provider schedules.
• Triage inbound calls, escalate urgent clinical cases appropriately, and log interactions accurately.
• Collect and verify patient registration and insurance details.
• Verify eligibility, benefits, and insurance coverage (PPO, HMO, Medicare, Medicaid).
• Track and follow up on outstanding balances past due (90+ days).
• Handle basic billing, referrals, and prior-authorization inquiries.
• Obtain external medical records, process lab orders, upload test results, and manage prescription refill workflows.
• Monitor EHR inboxes, update patient charts HIPAA-compliantly, maintain clean task queues.

Connaissances

English fluency

Attention to detail

Multitasking

Empathetic communication

HIPAA knowledge

Outils

athenahealth

Spruce

Slack

Teams

Digital document tools

Description du poste

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 Patient Services & Insurance 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.

Don't want to wait?