Orthotic and Prosthetic Medical Biller
About The Position
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. This is not a general medical billing role. Candidates must have hands-on experience billing orthotic and prosthetic devices. 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.
Requirements
- 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
Responsibilities
- 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
- Communicate billing updates, payer changes, and regulatory insights with internal teams
- Confidently navigate multiple billing systems and software platforms
- Adapt quickly to client-specific workflows and reporting tools
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
