Billing Specialist / Fiscal Technician II (Central Office)

State of South Carolina; Cayce (SC); On-site; USD 40,000 - 48,000; Full time

Benefits offered by this job

Health, dental, vision, and life ins.

Paid holidays

Vacation and sick leave

Parental leave

Retirement benefits

Job summary

SC Department of Behavioral Health and Developmental Disabilities in Cayce, SC is seeking a Fiscal Technician II to manage the billing cycle, focusing on accounts receivable, posting payments, and denials management. The role requires attention to detail and collaboration across departments to improve reimbursement outcomes.

The position emphasizes knowledge of medical billing practices, use of EMR and billing software, and adherence to HIPAA standards.

Qualifications

• High school diploma or higher; a bachelor’s degree may substitute for required work experience.
• Knowledge of payor rules related to outpatient mental health services is a plus.
• Bilingual abilities in English and Spanish are beneficial.

Responsibilities

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

Skills

Bilingual English/Spanish

10-key data entry

Medical coding knowledge

Customer service

Attention to detail

Communication skills

Education

High school diploma

Bachelor's degree substituted for experience

Tools

EMR software

Microsoft Office

Job description

Are you passionate about making a real difference in people's lives? Join our team at the SC Department of Behavioral Health and Developmental Disabilities (BHDD) where we are dedicated to providing compassionate and accessible care to our community. We are seeking Fiscal Technician II's who are motivated to help individuals and families navigate life's challenges and achieve long-term wellness. If you want to use your skills to build a healthier, more resilient community, we encourage you to apply.

This position is located at the SC Department of Behavioral Health and Developmental Disabilities (DBHDD) - Central Office, 400 Otarre Parkway Cayce, SC 29033.

As the Billing Specialist / Fiscal Technician II, you will be responsible for working on all aspects of the billing cycle specifically in accounts receivable, payment posting, working denials and submitting appeals. This role requires attention to details, focus and knowledge of medical billing practices and the ability to collaboratively across departments to resolve claim Issues and improve reimbursement outcomes.

Responsibilities for the Fiscal Technician II:

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

• A high school diploma and entry-level experience in accounting or bookkeeping.
• A bachelor's degree with multiple accounting courses may be substituted for required work experiences.

• Bilingual abilities in English and Spanish (or another language) are a plus.

Post hire, employee must:

• Have knowledge of Electronic Medical Records software and Microsoft Office (Excel, Word).
• Have strong attention to detail, 10-key data entry skills, knowledge of medical coding, customer service, and excellent communication.
• Understand payor rules related to outpatient mental health services.

The Department of Behavioral Health and Developmental Disabilities is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.

Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position.

The Department of Behavioral Health and Developmental Disabilities offers an exceptional benefits package for full time (FTE) employees:

• Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children. Click here for additional information.
• 15 days annual (vacation) leave per year
• 15 days sick leave per year
• 13 paid holidays
• Paid Parental Leave
• S.C. Deferred Compensation Program available (S.C. Deferred Compensation)
• Retirement benefit choices*
  • State Retirement Plan (SCRS)
  • State Optional Retirement Program (State ORP)

*Enrollment in one of the listed plans is required for all FTE employees; please refer to the contribution section of hyperlinked retirement sites for the current contribution rate of gross pay.