Orthotic and Prosthetic Medical Biller

Remote Full-time
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.

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