Urgent Care Medical Billing Specialist (Athena Ehr Required)

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in urgent care or high-volume outpatient settings. This role requires hands-on expertise in the full revenue cycle, accurate coding, and efficient claims management. The ideal candidate thrives in a fast-paced environment and ensures timely reimbursements while maintaining compliance with payer guidelines.

• Manage the full medical billing cycle, including charge entry, claims submission, payment posting, and denial management
• Review, identify, and resolve denied or rejected claims; resubmit accurately and promptly
• Perform insurance verification, eligibility checks, and prior authorizations
• Ensure accurate use of CPT, ICD-10, and HCPCS codes specific to urgent care services
• Conduct A/R follow-ups and work aging reports to ensure timely collections
• Review documentation for accuracy and compliance with payer requirements
• Communicate with insurance providers regarding claims, discrepancies, and reimbursements
• Maintain detailed tracking and reporting using Excel or Google Sheets
• Handle high claim volumes while maintaining accuracy and efficiency

• Minimum 1–2 years of medical billing experience in urgent care or high-volume outpatient settings
• Strong working knowledge of CPT, ICD-10, and HCPCS coding (urgent care-focused)
• Proven experience in end-to-end medical billing / revenue cycle management
• Hands-on experience with Athena EHR
• Strong understanding of payer guidelines (Medicare, Medicaid, and commercial insurance)
• High attention to detail with strong analytical and problem-solving skills
• Strong English communication skills (written and verbal)
• Ability to work efficiently in a fast-paced, high-volume environment

• Experience with VOIP systems (e.g., Gracetel)
• Proficiency in Excel or Google Sheets for reporting and tracking

• Fully remote role
• Must have reliable internet and a professional work-from-home setup
• Ability to meet productivity and accuracy targets consistently