Overview
Continuity Specialist – Dental Jobs in Islāmābād, Pakistan at Edge
Title: Continuity Specialist – Dental
Company: Edge
Location: Islāmābād, Pakistan
Who We Are
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. Learn more about us at onedge.co.
Position Overview
The Continuity Specialist is a flexible, cross-functional role designed to provide temporary coverage when an Edge talent is unavailable due to planned or unexpected leave, such as maternity leave, medical leave, vacation, or other extended absences.
Continuity Specialists remain available within the Continuity Talent Pool and may be assigned to temporary client engagements based on their experience, skills, and the specific requirements of each opportunity.
When not assigned to a temporary coverage role, Continuity Specialists support Edge operations, Marketplace, and Edge EDU initiatives while remaining prepared for future continuity assignments.
Key Responsibilities
Temporary Coverage & Client Support
- Step into temporary client assignments when an existing Edge talent is unavailable due to leave or other extended absences.
- Quickly adapt to the client’s workflows, systems, processes, and communication standards.
- Perform the responsibilities and daily tasks associated with the temporary assignment while maintaining expected quality and productivity standards.
- Ensure a smooth transition into and out of temporary assignments.
- Communicate proactively with Edge and client stakeholders regarding workload, priorities, and handover requirements.
- Maintain confidentiality and professionalism across different client environments.
- Remain flexible and prepared to support different dental functions based on experience and business needs.
Insurance Verification & Eligibility
- Verify dental insurance eligibility and benefits prior to patient appointments.
- Review PPO, HMO, Medicaid, and other dental insurance plans and determine patient coverage.
- Calculate patient financial responsibility, including deductibles, copays, coinsurance, and annual maximums.
- Document insurance information accurately within the practice management system.
Dental Billing & Claims
- Prepare and submit dental claims to insurance companies.
- Review claims for accuracy and required documentation before submission.
- Follow up on outstanding, rejected, and denied claims.
- Post insurance payments and adjustments accurately.
- Assist with claim corrections, appeals, and outstanding balances when required.
Prior Authorizations & Pre-Determinations
- Prepare and submit dental prior authorization and pre-determination requests.
- Review treatment plans and supporting documentation before submission.
- Track pending requests and follow up with insurance carriers.
- Communicate authorization status and requirements with the dental team and patients.
Scheduling & Patient Communication
- Schedule, reschedule, and confirm patient appointments.
- Manage provider calendars and optimize appointment availability.
- Handle inbound and outbound patient calls.
- Communicate treatment, insurance, and appointment information professionally.
- Conduct patient follow-ups and appointment reminders as required.
Additional Dental Operations
- Support treatment plan coordination and follow-up.
- Assist with referrals to specialists and coordinate required documentation.
- Support patient account updates, payment processing, and basic administrative tasks.
- Assist with other dental administrative workflows based on client requirements.
Relationship Management & Talent Support
When not assigned to a temporary client engagement, the Continuity Specialist may support Relationship Management operations, including:
- Responding to talent questions and support tickets.
- Assisting Relationship Managers with talent-related requests and follow-ups.
- Supporting Marketplace operational projects and administrative tasks.
- Maintaining accurate talent information and documentation.
- Supporting other operational priorities based on business needs.
Edge EDU & Learning & Development Support
Continuity Specialists may also support Edge EDU and Learning & Development initiatives based on their area of expertise.
- Support final certification assessments by evaluating candidate demos, roleplays, and practical assessments.
- Participate as a panelist or assessor for certifications aligned with their expertise.
- Support live training sessions as a subject matter expert or guest speaker.
- Share real-world knowledge, best practices, and client experience.
- Provide constructive feedback during assessments and learning activities.
Requirements
- Previous experience working with US-based clients is mandatory.
- Availability to work full-time on any US timezone: PST, EST, CST, or MST.
- Strong professional English communication skills.
- Experience with dental insurance verification, billing, claims, scheduling, or prior authorizations.
- Ability to quickly learn new systems, workflows, and client processes.
- Strong organizational skills and attention to detail.
- Ability to work independently and manage priorities effectively.
- Comfortable working across different teams, clients, and dental functions.
- Strong adaptability and willingness to take on temporary assignments based on business needs.
- Reliable availability to transition into temporary assignments when required.
Work Model
This is a full-time position within Edge’s Continuity Talent Pool.
Continuity Specialists may be temporarily assigned to client accounts when coverage is required. Assignment duration and responsibilities may vary depending on the leave period and client requirements.
When no temporary client assignment is active, the Continuity Specialist will support Marketplace, Edge EDU, Learning & Development, or other Edge operational initiatives based on business priorities.
The role requires flexibility, adaptability, and readiness to transition between assignments while maintaining a high standard of service and performance.
