Billing Specialist / Fiscal Technician II (Central Office)

State of South Carolina • Lexington County, SC

3d • Onsite

About The Position

The Billing Specialist / Fiscal Technician II works at the South Carolina Department of Behavioral Health and Developmental Disabilities (DBHDD) Central Office in Cayce, South Carolina. The role handles multiple stages of the billing cycle, with a focus on accounts receivable, payment posting, denial follow-up, and appeals. It requires attention to detail, knowledge of medical billing practices, and collaboration across departments to resolve claim issues and improve reimbursement outcomes.

Requirements

• High school diploma and entry-level experience in accounting or bookkeeping; a bachelor's degree with multiple accounting courses may substitute for the required work experience.
• Knowledge of electronic medical records software and Microsoft Office, including Excel and Word.
• Strong attention to detail and 10-key data-entry skills.
• Knowledge of medical coding.
• Customer-service skills and excellent communication skills.
• Understanding of payer rules related to outpatient mental health services.

Nice To Haves

• Bilingual ability in English and Spanish, or another language.

Responsibilities

• Submit and track claims to ensure accuracy and timely payment.
• Navigate insurance portals, electronic medical record systems, and billing software.
• Analyze accounts receivable reports and follow up on unpaid claims and denials.
• Reconcile patient accounts and communicate with insurance carriers about disputes or appeals.
• Identify problems or processes that could affect revenue.
• Support team members as needed to keep the revenue cycle running smoothly.
• Post payments and reconcile monthly payments to the accounting system.
• Maintain compliance with insurance guidelines and HIPAA regulations.

Benefits

• Health, dental, vision, long-term disability, and life insurance for employees, spouses, and children.
• 15 days of annual vacation leave per year.
• 15 days of sick leave per year.
• 13 paid holidays.
• Paid parental leave.
• Access to the South Carolina Deferred Compensation Program.
• Retirement benefit choices through the State Retirement Plan (SCRS) or State Optional Retirement Program (State ORP); enrollment in one listed plan is required for FTE employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED