HEC Accounting

Job Description Job Description We are seeking an experienced and detail-oriented Medical Biller to support billing operations for a pharmacy specializing in high-cost specialty medications, with additional exposure to retail pharmacy billing. This role is critical to revenue integrity, compliance, and payer coordination. The ideal candidate is organized, analytical, and experienced with pharmacy claims, third-party payers, and reimbursement workflows. Key Responsibilities Submit, review, and reconcile pharmacy claims for specialty and retail medications Process claims through commercial, Medicare, Medicaid, and other third-party payers Identify, research, and resolve rejected or denied claims Manage prior authorization follow-up, appeals, and payer correspondence Ensure accurate billing in compliance with payer contracts and regulatory requirements Post payments, adjustments, and explanations of benefits (EOBs) Communicate with internal staff, payers, and...