Orthotic and Prosthetic Medical Biller

Are you a billing expert who knows your way around L-codes, documentation requirements, and the complexities of orthotic and prosthetic claims? We’re looking for an experienced Prosthetic & Orthotic Medical Biller who thrives on precision, understands the nuances of O&P reimbursement, and takes pride in getting claims right the first time. If you’ve successfully navigated Medicare guidelines, managed ADRs, and worked with specialized DME/O&P billing — we want to talk to you! This is not a general medical billing role. Candidates must have hands-on experience billing orthotic and prosthetic devices. What you'll Do: Insurance Billing and Claims Management Submit primary, secondary, tertiary, and corrected claims via billing software, clearinghouses, payer portals, and paper submission as needed Scrub O&P claims for accuracy and compliance with Medicare, Medicaid, and commercial payer requirements Prepare and submit Additional Documentation Requests (ADRs) and ensure documentation supports medical necessity Monitor claim status and resolve billing discrepancies efficiently Ensure proper use of L-codes, modifiers, and documentation standards Accurately document all activity across billing platforms Collaboration and Client Support Communicate billing updates, payer changes, and regulatory insights with internal teams Technical Proficiency Confidently navigate multiple billing systems and software platforms Adapt quickly to client-specific workflows and reporting tools Our Ideal Candidate Required: Proven experience billing orthotic and prosthetic devices Strong knowledge of Medicare, Medicaid, and commercial insurance reimbursement guidelines Familiarity with L-codes, documentation requirements, and O&P compliance standards Experience handling ADRs and payer audits Detail-oriented with strong organizational and documentation skills Tech-savvy and comfortable working across multiple systems Proactive communicator who takes ownership of their work Why this role matters to our team Behind every successful prosthetic or orthotic fitting is a billing specialist who ensures providers are reimbursed correctly and patients can access the care they need. Your expertise directly supports both the clinical team and the individuals they serve. If you’re ready to bring your O&P billing experience to a team that values accuracy, accountability, and collaboration — we’d love to hear from you. Please Note: We are not working with staffing agencies or third-party recruiters for this position. Direct applicants only.