Accounts Receivable Specialist

Company Description

Ambit is a leading medical and dental billing and revenue cycle management company aimed at maximizing revenue and reducing operational costs for healthcare providers. With a focus on client satisfaction, Ambit offers dedicated services, expert personnel, and advanced technology solutions to enhance the efficiency and profitability of practices across medical and dental specialties. The company serves over 500 healthcare providers and employs more than 3,000 professionals, including a physician-led coding team certified in CPT, ICD-10, HCPCS, and DRG codes. Ambit is ISO 27001 certified, HIPAA compliant, and integrates cutting-edge solutions such as the QuickVerify dental eligibility system to streamline operations.

Job Summary

The Accounts Receivable Specialist under the RCM process is responsible for managing and optimizing all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity.

Key Responsibilities

Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients.

Review AR aging reports to identify outstanding or delinquent accounts and take appropriate follow-up actions.

Investigate and resolve claim denials, discrepancies, and underpayments through communication with insurance companies and patients.

Submit and appeal claims to payers, ensuring compliance with payer-specific guidelines and regulatory requirements.

Post payments accurately into the billing system and reconcile accounts to maintain up-to-date financial records.

Communicate effectively with cross-functional teams such as billing, coding, and customer service to resolve complex issues affecting claim payment.

Generate reports on AR performance metrics such as Days Sales Outstanding (DSO), denial rates, and collection efficiency.

Maintain data accuracy and integrity in the AR management system, ensuring all patient information, claims, and payments are properly documented.

Support management during audits and compliance reviews by providing documentation and analysis as required.

Participate in process improvement initiatives to streamline AR workflows and improve overall revenue cycle performance.

Required Qualifications and Skills

Fluent in communication is must

Bachelor's degree in Finance, Accounting, Healthcare Administration, or a related field.

0–4 years of experience in healthcare accounts receivable or RCM operations.

Proficiency with RCM or practice management systems (Epic, Athenahealth, eClinicalWorks, etc.) and Microsoft Excel.

Knowledge of medical billing codes (CPT, ICD-10) and insurance reimbursement processes.

Strong analytical, communication, and problem-solving skills with attention to detail.

Understanding of HIPAA regulations and payer-specific billing protocols.

Performance Indicators

Reduction in AR days and increase in collection ratio.

High percentage of first-pass claim acceptance.

Timeliness and accuracy of payment posting.

Resolution rate of claim denials and rejections.

This role is integral to the overall financial health of healthcare organizations, ensuring that services rendered translate into accurate and timely reimbursements — the core objective of the Revenue Cycle Management function.

Salary:Competitive and commensurate with the candidate's qualifications and experience. No limitations for the right talent.

Note:
In the event we receive more than ten applications for this position — including at least three candidates with relevant experience and the remaining as freshers — the designated work location will be Vijayawada, Andhra Pradesh.