Orthotic & Prosthetic Billing Expert (Medicare/L-Codes)

DaMar Staffing; United States; On-site; USD 52,000 - 72,000; Full time

Job summary

DaMar Staffing is seeking an experienced Prosthetic & Orthotic Medical Biller in the United States. The role focuses on precise O&P billing, with hands-on experience in L-codes, documentation requirements, and adherence to Medicare guidelines.

You will submit claims, scrub for accuracy, manage ADRs, and support client-specific workflows across multiple billing systems to ensure correct reimbursement for orthotic and prosthetic devices.

Qualifications

• Experience billing orthotic and prosthetic devices.
• Strong knowledge of Medicare, Medicaid, and commercial insurance reimbursement.
• Familiarity with L-codes, documentation requirements, and O&P compliance.
• 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

O&P billing

Medicare/Medicaid knowledge

L-codes familiarity

ADR handling

Payer audits

Billing software

Multiple systems

Attention to detail

Proactive communication

Tools

Billing software

Clearinghouses

Payer portals

Paper submissions

Job description

DaMar Staffing is seeking an experienced Prosthetic & Orthotic Medical Biller in the United States. The role focuses on precise O&P billing, with hands-on experience in L-codes, documentation requirements, and adherence to Medicare guidelines.

You will submit claims, scrub for accuracy, manage ADRs, and support client-specific workflows across multiple billing systems to ensure correct reimbursement for orthotic and prosthetic devices.