Qureos Mentor

Edge

<div>
 
 
 Who We Are
 
 
 
 EDGE is building a bridge between Top Global Talent and the US Healthcare &amp; 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
 
 
 
 Our valued partner is seeking a Customer Support Representative (Farsi &amp; English) to deliver exceptional customer service across a multilingual support environment. This role is responsible for assisting customers through inbound and outbound phone interactions, resolving inquiries, documenting customer cases, and ensuring a seamless customer experience across every touchpoint.
 
 
 
 
 
 The successful candidate will primarily support English-speaking customers while also providing assistance to Farsi-speaking customers as needed. Working as part of a global customer support team, you will serve as a trusted point of contact by delivering timely resolutions, navigating multiple systems, and maintaining a high standard of professionalism and empathy throughout every interaction.
 
 
 Success in this position requires excellent communication skills, confidence in handling high call volumes, strong problem-solving abilities, and the flexibility to work rotating shifts aligned with U.S. business hours. The ideal candidate is customer-focused, adaptable, detail-oriented, and passionate about delivering outstanding service.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Customer Support &amp; Communication
 
 
 <ul>
 <li>
 Handle inbound and outbound customer calls in a professional, courteous, and timely manner.
 </li>
 <li>
 Deliver exceptional customer service while resolving customer inquiries, requests, and concerns.
 </li>
 <li>
 Provide clear, accurate, and empathetic support throughout every customer interaction.
 </li>
 <li>
 Build positive customer relationships by demonstrating professionalism, patience, and active listening.
 </li>
 <li>
 Escalate complex customer issues through appropriate internal channels when necessary.
 </li>
 </ul>
 
 
 Multilingual Customer Assistance
 
 
 <ul>
 <li>
 Primarily support English-speaking customers across various customer service scenarios.
 </li>
 <li>
 Provide support in Farsi for customers requiring bilingual assistance.
 </li>
 <li>
 Ensure language support is delivered with accuracy, professionalism, and cultural awareness.
 </li>
 <li>
 Maintain consistent service quality across both supported languages.
 </li>
 </ul>
 
 
 Case Documentation &amp; System Navigation
 
 
 <ul>
 <li>
 Accurately document customer interactions, resolutions, and case details within internal systems.
 </li>
 <li>
 Navigate multiple applications and support platforms while actively assisting customers.
 </li>
 <li>
 Maintain complete and organized customer records in accordance with established procedures.
 </li>
 <li>
 Follow all workflows, documentation standards, and client service protocols.
 </li>
 </ul>
 
 
 Operational Excellence
 
 
 <ul>
 <li>
 Meet established productivity, quality, and customer satisfaction goals.
 </li>
 <li>
 Effectively manage back-to-back customer interactions while maintaining attention to detail.
 </li>
 <li>
 Balance multiple priorities in a fast-paced, phone-based support environment.
 </li>
 <li>
 Demonstrate sound judgment and problem-solving skills to deliver efficient customer resolutions.
 </li>
 </ul>
 
 
 Team Collaboration &amp; Compliance
 
 
 <ul>
 <li>
 Collaborate with internal teams to ensure timely issue resolution and a seamless customer experience.
 </li>
 <li>
 Participate in onboarding, training sessions, coaching, and ongoing professional development.
 </li>
 <li>
 Adhere to company policies, security standards, confidentiality requirements, and client procedures.
 </li>
 <li>
 Contribute to a positive, collaborative, and customer-first team culture.
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 
 
 Experience &amp; Education
 
 
 <ul>
 <li>
 High School Diploma or equivalent required.
 </li>
 <li>
 Minimum 1&ndash;2 years of experience in customer service, call center operations, phone support, or a similar customer-facing role.
 </li>
 <li>
 Experience supporting U.S.-based customers is preferred.
 </li>
 <li>
 Previous experience within healthcare, insurance, or service-based industries is considered an advantage.
 </li>
 </ul>
 
 
 Language &amp; Communication Skills
 
 
 <ul>
 <li>
 Excellent spoken and written English with a clear, professional communication style.
 </li>
 <li>
 
 Mandatory fluency in spoken Farsi.
 
 </li>
 <li>
 Strong verbal communication skills with the ability to build rapport and confidently handle customer conversations in both languages.
 </li>
 <li>
 Excellent active listening, interpersonal, and conflict resolution skills.
 </li>
 </ul>
 
 
 Technical &amp; Functional Skills
 
 
 <ul>
 <li>
 Comfortable working across multiple systems while managing live customer interactions.
 </li>
 <li>
 Strong computer literacy and ability to quickly learn new software applications.
 </li>
 <li>
 Ability to accurately document customer interactions while maintaining productivity.
 </li>
 <li>
 Reliable high-speed internet connection and a professional remote work environment.
 </li>
 </ul>
 
 
 Core Competencies
 
 
 <ul>
 <li>
 Customer-first mindset with a passion for delivering exceptional service.
 </li>
 <li>
 Ability to remain calm, composed, and solution-oriented under pressure.
 </li>
 <li>
 Strong multitasking, organizational, and time management skills.
 </li>
 <li>
 Excellent attention to detail and accuracy.
 </li>
 <li>
 Self-motivated with the ability to work independently while contributing effectively within a team.
 </li>
 <li>
 Adaptable and comfortable in a fast-paced, performance-driven environment.
 </li>
 </ul>
 
 
 
 
 
 What We Offer
 
 
 
 At Edge, we believe our greatest innovation is our people. When you join our globally minded team, you'll thrive in a supportive, forward-thinking environment where your growth and well-being are our top priorities.
 
 
 
 
 
 We protect your peace of mind by offering a competitive starting base salary of
 
 USD 750 for the first three months
 
 , with an increase upon successful completion of the probationary period. You'll also receive comprehensive health and life insurance, along with a balanced leave package designed to support you and your family. This includes 14 annual vacation days with leave encashment options, 12 calendar weeks of paid maternity leave, 2 calendar weeks of paid paternity leave, and all mandated public holidays by Pakistani Law.
 
 
 Discover a career where you can truly push boundaries, fully backed by a team that invests in your future and respects your rights.
 
 
 
 
 
 
 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 and 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.
 
 
 
 
 
 
 Why Choose Edge?
 
 
 <ul>
 <li>
 Be part of a dynamic, global community that values your skills.
 </li>
 <li>
 Work on projects that make a real difference in people's lives.
 </li>
 <li>
 Enjoy a clear path for career growth and development.
 </li>
 <li>
 Be a part of a people-first and talent-centric culture.
 </li>
 </ul>
 
 
 
 
 
 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.
 
</div>

Customer Support Representative - Farsi

<div>
 
 
 About Edge
 
 
 
 Edge helps medical, dental, and insurance organizations scale faster by providing pre-vetted global talent for mission-critical administrative work. We are building a Talent Marketplace that connects skilled professionals with structured, remote opportunities.
 
 
 
 
 
 
 About the Role
 
 
 
 The Talent Enablement (TE) Associate is responsible for executing candidate engagement and qualification activities to ensure talent is properly assessed, guided, and prepared for interviews.
 
 
 This role sits directly under the TE Lead and focuses on conducting qualifying interviews, engaging candidates in the pipeline, and ensuring accurate documentation and communication throughout the enablement process.
 
 
 The TE Associate plays a critical role in maintaining pipeline quality and ensuring only well-prepared candidates move forward into matching and placement stages.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Candidate Engagement &amp; Outreach
 
 
 <ul>
 <li>
 Reach out to candidates in the talent pipeline (active and inactive)
 </li>
 <li>
 Follow up to ensure candidate responsiveness and engagement
 </li>
 <li>
 Support reactivation of dormant candidates
 </li>
 <li>
 Maintain consistent communication via email, WhatsApp, and platform tools
 </li>
 </ul>
 
 
 Qualifying Interviews
 
 
 <ul>
 <li>
 Conduct structured qualifying interviews with candidates
 </li>
 <li>
 Assess candidate experience, skills, and role fit based on job descriptions
 </li>
 <li>
 Apply standard evaluation criteria provided by the TE Lead
 </li>
 <li>
 Document interview outcomes accurately in systems (SF / Sheets / Radius)
 </li>
 </ul>
 
 
 Candidate Readiness Support
 
 
 <ul>
 <li>
 Provide candidates with clear guidance on next steps in the process
 </li>
 <li>
 Support candidates in understanding interview expectations and requirements
 </li>
 <li>
 Flag readiness gaps or concerns to the TE Lead
 </li>
 <li>
 Help improve candidate preparedness through feedback communication
 </li>
 </ul>
 
 
 Data &amp; Pipeline Management
 
 
 <ul>
 <li>
 Maintain accurate candidate records across CRM systems and spreadsheets
 </li>
 <li>
 Update interview statuses and pipeline stages in real time
 </li>
 <li>
 Ensure data integrity and consistency across all tracking tool
 </li>
 </ul>
 
 
 
 
 
 Cross-functional Support
 
 
 <ul>
 <li>
 Coordinate with TA and MP teams for candidate scheduling and updates
 </li>
 <li>
 Escalate complex cases or edge cases to TE Lead
 </li>
 <li>
 Support execution of enablement initiatives and campaigns
 </li>
 </ul>
 
 
 What Success Looks Like
 
 
 <ul>
 <li>
 High completion rate of qualifying interviews
 </li>
 <li>
 Strong candidate engagement and response rates
 </li>
 <li>
 Accurate and up-to-date pipeline data
 </li>
 <li>
 Improved candidate readiness before matching stage
 </li>
 <li>
 Smooth execution of TE workflows with minimal escalation
 </li>
 </ul>
 
 
 
 
 
 What We&rsquo;re Looking For
 
 
 
 
 Experience
 
 
 <ul>
 <li>
 2-3 years in HR, recruiting, customer success, operations, or similar roles
 </li>
 <li>
 Experience in interviewing or candidate screening is a strong plus
 </li>
 </ul>
 
 
 Skills
 
 
 <ul>
 <li>
 Strong communication and interpersonal skills
 </li>
 <li>
 Ability to conduct structured conversations and interviews
 </li>
 <li>
 High attention to detail and organizational discipline
 </li>
 <li>
 Comfortable working with CRM tools, spreadsheets, or ATS systems
 </li>
 <li>
 Ability to follow structured processes and guidelines
 </li>
 </ul>
 
 
</div>

Talent Enablement Associate

<div>
 
 
 Who We Are
 
 
 
 EDGE is building a bridge between Top Global Talent and the US Healthcare &amp; 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 virtual healthcare professional for US-based healthcare providers.
 
 The ideal candidate will possess a healthcare-related degree and a solid foundation in the US healthcare ecosystem.
 
 
 
 Operating as a key member for US based clinics and healthcare practices, this professional will act as a critical liaison between patients, healthcare providers, and insurance companies. The position requires a meticulous, tech-savvy individual capable of navigating complex insurance portals and electronic health records, while ensuring patients receive timely access to the care they need.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 1. Insurance Verification &amp; Eligibility
 
 
 <ul>
 <li>
 Conduct comprehensive
 
 eligibility checking
 
 and
 
 benefits verification
 
 for patients prior to their scheduled appointments.
 </li>
 <li>
 Accurately interpret complex insurance policies, differentiating between
 
 PPO, HMO, and Medicare/Medicaid
 
 guidelines.
 </li>
 <li>
 Determine patient financial responsibilities, including
 
 deductibles, copays, and coinsurance
 
 , and clearly document these findings within the practice management system.
 </li>
 </ul>
 
 
 2. Prior Authorization Management
 
 
 <ul>
 <li>
 Prepare, compile, and
 
 submit prior authorization requests
 
 to insurance companies via web portals, fax, or phone.
 </li>
 <li>
 Review clinical documentation (progress notes, lab results, physician orders) to ensure medical necessity criteria are met before submission.
 </li>
 <li>
 Proactively track the status of pending authorizations, manage appeals for denied claims, and expedite urgent requests to prevent delays in patient care.
 </li>
 </ul>
 
 
 3. Data Integrity &amp; Compliance
 
 
 <ul>
 <li>
 Review and interpret
 
 Explanation of Benefits (EOB)
 
 to identify and resolve authorization-related billing discrepancies.
 </li>
 <li>
 Maintain strict confidentiality and ensure full compliance with
 
 HIPAA regulations
 
 and US healthcare data privacy laws.
 </li>
 <li>
 Accurately update Electronic Health Records (EHR) and Practice Management Systems with approved authorization numbers, effective dates, and covered service codes.
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 <ul>
 <li>
 
 Education:
 
 A healthcare-related degree (e.g., Nursing, Pharmacy, Healthcare Administration, Public Health) is highly preferred.
 </li>
 <li>
 
 Experience:
 
 Must have
 
 1&ndash;2 years of direct experience
 
 in the US Healthcare industry, with a proven track record in prior authorizations and insurance verification.
 </li>
 <li>
 
 Core Knowledge:
 
 Deep understanding of US insurance concepts, including
 
 PPO, HMO, EOBs, copays, and patient benefits
 
 .
 </li>
 <li>
 
 Technical Skills:
 
 Proficiency in navigating insurance portals (e.g., Availity, Optum, Covermymeds) and electronic health record/practice management systems (e.g., ECW, Tebra, Dentrix etc).
 </li>
 <li>
 
 Competencies:
 
 Exceptional attention to detail, strong analytical skills,
 
 excellent written and verbal English communication
 
 , and the ability to work independently in a fast-paced environment.
 </li>
 </ul>
 
 
 
 
 
 What We Offer
 
 
 
 At Edge, we believe our greatest innovation is our people. When you join our globally minded team, you&rsquo;ll thrive in a supportive, forward-thinking environment where your growth and well-being are our top priorities.
 
 
 We protect your peace of mind by offering a competitive starting base salary of
 
 USD 750
 
 , comprehensive health and life insurance, and a balanced leave package designed to support you and your family. This includes 14 annual vacation days with leave encashment options, 12 calendar weeks of paid maternity leave, 2 calendar weeks of paid paternity leave, and all mandated public holidays by Pakistani Law.
 
 
 Discover a career where you can truly push boundaries, fully backed by a team that invests in your future and respects your rights.
 
 
 
 
 
 
 Our Hiring Process
 
 
 <ol>
 <li>
 
 Application Review:
 
 Submit your application and resume. Our team carefully evaluates all candidates to ensure a good fit.
 </li>
 <li>
 
 Edge Interview:
 
 You'll be invited to connect with a representative from Edge to present a detailed and tailored fit to your profile.
 </li>
 <li>
 
 Client Interviews:
 
 Successful candidates finish an onboarding &amp; training phase and are placed in client interviews to showcase their skills and align with specific client needs.
 </li>
 <li>
 
 Final Selection:
 
 Once a good match is made, you&rsquo;ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.
 </li>
 </ol>
 
 
 
 
 
 Why Choose Edge?
 
 
 <ul>
 <li>
 Be part of a dynamic, global community that values your skills.
 </li>
 <li>
 Work on projects that make a real difference in people's lives.
 </li>
 <li>
 Enjoy a clear path for career growth and development.
 </li>
 <li>
 Be a part of a people-first and talent-centric culture.
 </li>
 </ul>
 
 
 
 
 
 Talent Boilerplate
 
 
 
 At Edge, we&rsquo;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&rsquo;s why we&rsquo;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&rsquo;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.
 
</div>

Healthcare Virtual Assistant

<div>
 
 
 Who We Are
 
 
 
 EDGE is building a bridge between Top Global Talent and the US Healthcare &amp; 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
 
 
 
 Our valued partner is seeking a Clinical Readiness Specialist to support clinical teams in delivering high-quality, efficient, and well-coordinated patient care through strong pre-visit preparation, care gap identification, and population health support.
 
 
 
 
 
 This role is focused on ensuring that patient visits are fully prepared in advance by reviewing charts, identifying missing clinical information, and supporting outreach efforts that improve preventive care completion and chronic care management.
 
 
 The successful candidate will work closely with providers, care coordination teams, and scheduling staff to improve visit efficiency, close care gaps, and enhance continuity of care across the patient population.
 
 
 
 
 
 This position is fully remote and operates as a non-clinical support role, meaning no hands-on patient care is involved. Instead, it plays a critical operational and population health function within the clinical ecosystem.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Clinical Chart Preparation &amp; Visit Readiness
 
 
 <ul>
 <li>
 Review upcoming provider schedules to ensure patient charts are complete, accurate, and ready prior to appointments.
 </li>
 <li>
 Identify care gaps including preventive services, chronic condition monitoring, and health maintenance requirements.
 </li>
 <li>
 Review prior labs, referrals, imaging, and clinical documentation to ensure continuity of care.
 </li>
 <li>
 Flag missing or incomplete clinical information and route it to appropriate clinical teams for resolution.
 </li>
 <li>
 Support the preparation of efficient clinical workflows that improve provider productivity and patient experience.
 </li>
 </ul>
 
 
 Patient Outreach &amp; Care Gap Closure
 
 
 <ul>
 <li>
 Conduct outbound patient outreach to support completion of preventive care services, screenings, and follow-ups.
 </li>
 <li>
 Encourage scheduling of annual wellness visits, chronic care appointments, labs, imaging, and referrals.
 </li>
 <li>
 Reinforce patient engagement around preventive health and continuity of care.
 </li>
 <li>
 Document outreach activities and outcomes in electronic systems and tracking tools.
 </li>
 <li>
 Coordinate with scheduling and care teams to ensure timely follow-up actions are completed.
 </li>
 </ul>
 
 
 Care Coordination &amp; Workflow Support
 
 
 <ul>
 <li>
 Support care coordination teams in tracking outstanding patient care needs and follow-up requirements.
 </li>
 <li>
 Assist in closing referral loops and ensuring completion of provider-ordered diagnostics and services.
 </li>
 <li>
 Maintain tracking systems to monitor patient progress toward care gap closure and visit readiness.
 </li>
 <li>
 Act as a liaison between clinical, operational, and scheduling teams to ensure smooth patient flow.
 </li>
 </ul>
 
 
 Data Management &amp; Quality Reporting
 
 
 <ul>
 <li>
 Perform accurate data entry and documentation within electronic health records and clinical systems.
 </li>
 <li>
 Maintain care gap tracking tools, outreach logs, and follow-up records.
 </li>
 <li>
 Support reporting on outreach activity, care gap closure, and population health metrics.
 </li>
 <li>
 Assist in quality improvement initiatives focused on access, preventive care, and clinical performance.
 </li>
 <li>
 Contribute to audit readiness including HRSA, Joint Commission, and other regulatory reviews.
 </li>
 </ul>
 
 
 Compliance &amp; Organizational Support
 
 
 <ul>
 <li>
 Maintain strict compliance with HIPAA, privacy, and confidentiality requirements.
 </li>
 <li>
 Follow organizational policies, procedures, and clinical governance standards.
 </li>
 <li>
 Participate in Patient-Centered Medical Home (PCMH) activities and training programs.
 </li>
 <li>
 Engage in ongoing learning, meetings, and professional development activities.
 </li>
 <li>
 Support the mission of improving equitable access to high-quality healthcare.
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 
 
 Experience &amp; Education
 
 
 <ul>
 <li>
 High School Diploma or GED required.
 </li>
 <li>
 Minimum 1 year of experience in healthcare settings such as medical assisting, care coordination, patient outreach, population health, or community health.
 </li>
 <li>
 Experience in FQHC or PCMH environments is strongly preferred.
 </li>
 </ul>
 
 
 Technical &amp; Functional Skills
 
 
 <ul>
 <li>
 Experience working with electronic health records (NextGen preferred).
 </li>
 <li>
 Strong ability to manage documentation, tracking tools, and clinical data workflows.
 </li>
 <li>
 Familiarity with care gap closure, preventive care measures, or population health support is preferred.
 </li>
 <li>
 Ability to work independently in a remote, productivity-driven environment.
 </li>
 </ul>
 
 
 Communication &amp; Interpersonal Skills
 
 
 <ul>
 <li>
 Strong written and verbal communication skills.
 </li>
 <li>
 Ability to coordinate effectively with clinical, operational, and administrative teams.
 </li>
 <li>
 Comfortable engaging patients in structured outreach conversations.
 </li>
 <li>
 Strong interpersonal skills with a patient-centered approach.
 </li>
 </ul>
 
 
 Core Competencies
 
 
 <ul>
 <li>
 High attention to detail and strong organizational skills.
 </li>
 <li>
 Ability to manage multiple workflows and deadlines simultaneously.
 </li>
 <li>
 Analytical thinking with the ability to interpret clinical and operational data.
 </li>
 <li>
 Adaptable, collaborative, and service-oriented mindset.
 </li>
 <li>
 Strong accountability and ability to work with minimal supervision.
 </li>
 </ul>
 
 
 Additional Preferences
 
 
 <ul>
 <li>
 Medical Assistant training or certification (non-clinical role).
 </li>
 <li>
 Experience supporting quality measures or healthcare performance metrics.
 </li>
 <li>
 Bilingual English/Spanish is strongly preferred.
 </li>
 </ul>
 
 
 
 
 
 What We Offer
 
 
 
 At Edge, we believe our greatest innovation is our people. When you join our globally minded team, you&rsquo;ll thrive in a supportive, forward-thinking environment where your growth and well-being are our top priorities. We protect your peace of mind by offering a competitive starting base salary of USD 750, comprehensive health and life insurance, and a balanced leave package designed to support you and your family. This includes 14 annual vacation days with leave encashment options, 12 calendar weeks of paid maternity leave, 2 calendar weeks of paid paternity leave, and all mandated public holidays by Pakistani Law. Discover a career where you can truly push boundaries, fully backed by a team that invests in your future and respects your rights.
 
 
 
 
 
 
 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 &amp; 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&rsquo;ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.
 
 
 
 
 
 
 Why Choose Edge?
 
 
 
 Be part of a dynamic, global community that values your skills.
 
 
 Work on projects that make a real difference in people's lives.
 
 
 Enjoy a clear path for career growth and development.
 
 
 Be a part of a people-first and talent-centric culture.
 
 
 
 
 
 
 Talent Boilerplate:
 
 
 
 At Edge, we&rsquo;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&rsquo;s why we&rsquo;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&rsquo;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.
 
</div>

Clinical Readiness Specialist

<div>
 
 
 Who We Are
 
 
 
 EDGE is building a bridge between Top Global Talent and the US Healthcare &amp; 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
 
 
 
 Our valued partner is seeking an Insurance &amp; Billing Coordinator to manage end-to-end insurance verification, billing support, and patient financial coordination within a high-volume dental practice.
 
 
 This is a hybrid role combining insurance coordination, billing administration, and patient communication. The ideal candidate will ensure accurate eligibility verification, timely claim support, efficient collections, and clear communication with both patients and insurance carriers.
 
 
 Success in this role requires strong attention to detail, deep familiarity with dental insurance workflows, and the ability to manage multiple systems and priorities in a fast-paced clinical environment. The role also requires a proactive, solutions-oriented mindset and the ability to support both administrative and front-office operations as needed.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Insurance Verification &amp; Eligibility Management
 
 
 <ul>
 <li>
 Verify patient insurance eligibility prior to appointments, including coverage status, benefit limits, deductibles, exclusions, frequency rules, and annual maximums.
 </li>
 <li>
 Identify non-covered services and ensure accurate documentation for treatment planning and financial transparency.
 </li>
 <li>
 Maintain up-to-date and accurate insurance records within practice management systems.
 </li>
 </ul>
 
 
 Benefits Coordination &amp; Carrier Communication
 
 
 <ul>
 <li>
 Communicate directly with insurance carriers to confirm benefit details, clarify coverage rules, and obtain missing or unclear information.
 </li>
 <li>
 Submit and track prior authorizations for procedures, including hospital and IV sedation cases.
 </li>
 <li>
 Follow up on pending authorizations to ensure approvals are obtained before scheduled treatment.
 </li>
 <li>
 Manage Coordination of Benefits (COB) for patients with multiple insurance plans.
 </li>
 </ul>
 
 
 Billing &amp; Revenue Cycle Support
 
 
 <ul>
 <li>
 Post insurance payments (including EFTs) accurately into patient accounts.
 </li>
 <li>
 Generate and send patient statements and billing communications.
 </li>
 <li>
 Track outstanding balances and support collection efforts prior to appointments.
 </li>
 <li>
 Assist with Medicaid claims, including denial management and resubmissions.
 </li>
 <li>
 Maintain daily and weekly financial tracking reports related to deposits, collections, and outstanding balances.
 </li>
 </ul>
 
 
 Patient Financial Communication &amp; Front Office Support
 
 
 <ul>
 <li>
 Guide patients through insurance coverage details, expected out-of-pocket costs, and payment options using clear and empathetic communication.
 </li>
 <li>
 Handle inbound patient calls related to billing, insurance, scheduling, and follow-ups.
 </li>
 <li>
 Support appointment confirmations, rescheduling, cancellations, and missed appointment follow-ups.
 </li>
 <li>
 Assist with new patient intake information gathering and documentation.
 </li>
 </ul>
 
 
 Data, Systems &amp; Administrative Operations
 
 
 <ul>
 <li>
 Use dental practice management systems and payer portals to verify benefits, manage documentation, and track claims.
 </li>
 <li>
 Maintain organized, HIPAA-compliant records across all insurance and billing workflows.
 </li>
 <li>
 Clean and maintain billing and insurance datasets, spreadsheets, and reporting systems.
 </li>
 <li>
 Support administrative staff with data entry, reporting, and workflow optimization tasks.
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 
 
 Experience &amp; Education:
 
 Minimum 1&ndash;2 years of experience in dental insurance verification, dental billing, or revenue cycle support. Experience in a dental clinic or multi-provider practice is strongly preferred.
 
 
 
 
 
 
 Technical Knowledge:
 
 Strong understanding of dental insurance plans, coverage rules, prior authorizations, and payer workflows. Familiarity with dental PMS systems and insurance portals (e.g., DentalXChange, NEA or similar tools) is required.
 
 
 Communication Skills: Excellent English communication skills with a clear, neutral, and professional tone. Ability to explain insurance details to patients in simple, empathetic language.
 
 
 
 
 
 
 Core Competencies:
 
 Highly organized, detail-oriented, and capable of managing multiple workflows simultaneously. Strong problem-solving skills with a proactive, solution-oriented mindset. Ability to handle high-volume administrative work with accuracy and consistency.
 
 
 
 
 
 
 Soft Skills:
 
 Professional demeanor, emotional intelligence, patience, and the ability to handle sensitive patient interactions with care and empathy. Strong sense of ownership and accountability in day-to-day operations.
 
 
 
 
 
 
 Work Ethic:
 
 Comfortable working in a fast-paced clinical environment with shifting priorities and cross-functional responsibilities.
 
 
 
 
 
 
 What We Offer
 
 
 
 At Edge, we believe our greatest innovation is our people. When you join our globally minded team, you&rsquo;ll thrive in a supportive, forward-thinking environment where your growth and well-being are our top priorities. We protect your peace of mind by offering a competitive starting base salary of USD 750, comprehensive health and life insurance, and a balanced leave package designed to support you and your family. This includes 14 annual vacation days with leave encashment options, 12 calendar weeks of paid maternity leave, 2 calendar weeks of paid paternity leave, and all mandated public holidays by Pakistani Law. Discover a career where you can truly push boundaries, fully backed by a team that invests in your future and respects your rights.
 
 
 
 
 
 
 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 &amp; 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&rsquo;ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.
 
 
 
 
 
 
 Why Choose Edge?
 
 
 
 Be part of a dynamic, global community that values your skills.
 
 
 Work on projects that make a real difference in people's lives.
 
 
 Enjoy a clear path for career growth and development.
 
 
 Be a part of a people-first and talent-centric culture.
 
 
 
 
 
 
 Talent Boilerplate:
 
 
 
 At Edge, we&rsquo;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&rsquo;s why we&rsquo;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&rsquo;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.
 
 
 
 
 
 
 Don't want to wait? Create your profile to increase your chances!: https://talent.onedge.co/
 
 
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