Orthotic and Prosthetic Medical Biller

CBS Medical Billing & Consulting LLC; Exeter (NH); On-site; USD 60,000 - 95,000; Full time

Job summary

CBS Medical Billing & Consulting LLC is seeking an experienced Prosthetic & Orthotic Medical Biller who thrives on precision and has hands-on experience with orthotic and prosthetic devices billing. You will manage O&P claims, ensure compliance with Medicare/Medicaid guidelines, and handle ADRs and payer audits across multiple systems.

The role emphasizes accuracy, strong documentation, and proactive communication with internal teams to support clinicians and patients in obtaining timely

Qualifications

• Hands-on experience billing orthotic and prosthetic devices.
• 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.
• Navigate multiple billing systems and adapt to client-specific workflows and reporting tools.

Skills

Prosthetic & Orthotic billing

Medicare/Medicaid knowledge

ADR handling

Payer audits

Attention to detail

Multi-system navigation

Proactive communication

Tools

Billing software

Payer portals

Job description

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 Billerwho 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.