Billing Specialist

• Submit and manage USA insurance claims accurately and timeously.
• Follow up on unpaid, denied, or rejected claims.
• Work with insurance remits/EOBs and payment postings.
• Investigate and resolve billing discrepancies.
• Communicate with insurance companies regarding claims and denials.
• Maintain accurate billing records and documentation.
• Ensure payer requirements and authorisation guidelines are followed.
• Work across multiple insurance portals and systems.
• Escalate unresolved billing issues where necessary.
• Assist with revenue cycle and claims management processes.

Billing Specialist – EST Working Hrs

• - Handle refunds and transfer requests on a day-to-day basis, retaining a high percentage of saved students and cash paid.
• - Engage with customers to resolve concerns, improve satisfaction, and encourage loyalty.
• - Handle chargeback cases (US,UK, APAC markets) promptly, providing necessary documentation and resolutions.
• - Actively work in the CRM to keep track of cases and maintain the Refunds Report and the Monthly KPI report to improve refund-related processes.
• - Attend weekly production meetings with Program Managers and Instructional Designers to address concerns and align on strategies.
• - Manage the Welcome Back Credits process for re-engaging former customers.
• - Manage payment recovery, including failed payments and second deposit collections, ensuring timely follow-ups and compliance with payment plans.
• - Handle and resolve student billing inquiries, providing clear, accurate, and efficient support.
• - Hold monthly cross-functional meetings to assess the general picture, identify patterns, and propose process improvements.
• - Assist with additional operational tasks as needed, ensuring smooth workflows and team efficiency.
• - Improve internal processes and offer solutions.

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Billing Specialist – EST Working Hrs

Refunds and Billing Specialist