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TYPE OF WORK
Full Time
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SALARY
5.00 USD/ Hour
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HOURS PER WEEK
40
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DATE UPDATED
Aug 8, 2026
# Remote Medical Biller – Appeals & Denials
**Cardiothoracic Specialty Practice | Full-Time | Remote | $5.00/hour**
Ameriton Workforce Solutions is seeking an experienced **Medical Biller specializing in appeals and denial management** to support a busy multi-physician cardiothoracic practice.
This position requires someone who can go beyond simply following up on claims. The ideal candidate understands **CPT codes, modifiers, diagnosis coding, payer requirements, and why claims deny**, and can independently determine the appropriate correction or appeal.
### Responsibilities
* Review and work denied, rejected, and unpaid claims
* Identify the reason for denials and determine appropriate corrective action
* Prepare and submit appeals, reconsiderations, and corrected claims
* Review CPT codes, ICD-10 diagnosis codes, and modifiers when investigating denials
* Identify coding or billing issues contributing to recurring denials
* Follow up with insurance companies on outstanding claims
* Work clearinghouse rejections and claim issues
* Review claims for potential errors before submission when needed
* Assist with insurance eligibility and benefit verification
* Document all billing follow-up and payer communications
* Escalate coding or documentation concerns when appropriate
* Help improve the practice's billing workflow and reduce preventable denials
### Practice Systems
The practice currently uses:
* **UltraMed Medical System** for billing/practice management
* **Office Ally** as its clearinghouse
* **DrChrono** as its EMR
### Requirements
* Previous U.S. medical billing experience required
* Strong **denial management and appeals experience required**
* Must understand CPT codes, modifiers, ICD-10 codes, and claim billing
* Must be able to determine **why a claim denied**, not simply follow a scripted workflow
* Experience working with Medicare, Medicare Advantage, HMOs, Medi-Cal HMOs, and IPAs
* Strong experience communicating with insurance companies
* Ability to research payer policies and independently resolve claims
* Excellent attention to detail
* Strong written and spoken English
### Highly Preferred
* **Cardiothoracic surgery billing experience**
* Cardiovascular or cardiology billing experience
* Surgical billing experience
* **UltraMed Medical System experience**
* **Office Ally experience**
* DrChrono experience
* Experience reviewing operative documentation and understanding surgical CPT coding
### Schedule
Full-time remote position working during **U.S. Pacific Time business hours**.
### Compensation
**$5.00 USD per hour**
### How to Apply
Please submit:
* Your current **CV/resume**
* A short **introductory video**
* A brief description of your appeals and denial experience
* The medical specialties you have billed for
* Billing software and clearinghouses you have used
* Whether you have experience with **UltraMed, Office Ally, or DrChrono**
* Whether you have experience with cardiothoracic, cardiovascular, cardiology, or surgical billing
**Candidates with direct appeals/denials experience and strong CPT and modifier knowledge will receive priority consideration.**
