Billing Lead - Accounting / Fiscal Manager I (Finance - Central Office)

Billing Lead - Accounting / Fiscal Manager I (Finance - Central Office)

Salary

$66,400.00 - $92,900.00 Annually

Location

Lexington County, SC

Job Type

FTE - Full-Time

Job Number

191065

Agency

Department of Behavioral Health and Developmental Disabilities

Division

Central Office

Opening Date

07/28/2026

Closing Date

8/28/2026 11:59 PM Eastern

Class Code:

AN09

Position Number:

60004815

Normal Work Schedule:

Monday - Friday (8:30 - 5:00)

Pay Grade

GEN11

EEO Statement

Equal Opportunity Employer

Agency Specific Application Procedures:

Please complete the state application to include all current and previous work history and education using verifiable dates.

Veteran Preference Statement

South Carolina is making our Veterans a priority for employment in state agencies and institutions.

• Description
• Benefits
• Questions

Job Responsibilities

Are you passionate about making a real difference in peoples lives? Join our team at the SC Department of Behavioral Health and Developmental Disabilities (DBHDD)

where we are dedicated to providing compassionate and accessible care to our community. We are seeking a Billing Lead - Accounting / Fiscal Manager I who are motivated to help individuals and families navigate lifes 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 Lead - Accounting / Fiscal Manager I , you will lead strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements and developmental disability services. You will be driving revenue growth. This position will oversee two (2) of our regional billing teams across the state.

Responsibilities include for the Billing Lead - Accounting / Fiscal Manager I include:

• Maximize the revenue cycle efficiency.
• Responsible for monitoring, coaching and evaluating a medical billing team.
• Supervise daily submission of electronic claims.
• Analyze claim rejections to identify trends and implement corrective actions plans.
• Ensure all billing practices align with HIPPA, CMS and private payer regulations.
• Generate reporting and financial performance to senior management.
• Resolve complex billing workflows, patients compliance, billing disputes and establish working relationships with external stakeholders.

Minimum and Additional Requirements

• A bachelors degree in accounting, finance, business, or a related field and professional experience in a related area, such as accounting, auditing, finance, or banking.

Preferred Qualifications

• 3 - 5 or more years of work experience in medical billing, preferably in behavioral health or with Medicaid
• Strong knowledge of SC DHHS policies
• Bilingual abilities in English and Spanish (or another language) are a plus.

Additional Comments

Post hire, employee must:

• Have proficiency in EHR systems, Excel, and payer portals.

• Have excellent customer service and leadership skills.

• Be able to maintain good working relationships with staff and other departments.

• Respond in a timely manner to emails/questions for both external and internal stakeholders.

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.

Benefits for State Employees

The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.

Insurance Benefits

Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.

Retirement Benefits

State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.

Workplace Benefits

State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.

Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.

01

Have you ever been employed by the SC Dept. of Behavioral Health and Developmental Disabilities - Office of Mental Health (OMH) (formerly SC Department of Mental Health)?

• Yes
• No

02

If you have ever been convicted of a misdemeanor or felony criminal offense (other than in a Juvenile Court), you MUST list this information (unless you have taken steps to expunge your record.) This includes fraudulent checks, driving under suspension, disorderly conduct, shoplifting, etc. *Please note that conviction of a criminal offense does not bar you from employment in all cases; each conviction is evaluated individually. However, failure to list convictions is considered falsification of the application and WILL BE grounds for termination, if hired. It is your responsibility to know what is on your criminal record. If you have charges on your record that appear without a court disposition (result) you may be asked to provide that information if selected for employment. If you have questions, please inquire before you complete your application. PLEASE NOTE THAT NOT ANSWERING THIS QUESTION WILL DEEM YOUR APPLICATION AS INCOMPLETE AND IT WILL NOT BE CONSIDERED. Please indicate your understanding to this statement by checking the box below.

• Checking this box indicates my understanding to the above referenced statement.

03

Do you have a bachelors degree in accounting, finance, business, or a related field and professional experience in a related area, such as accounting, auditing, finance, or banking?

• Yes
• No

04

Have you worked in an electronic health record (EHR) and medical billing software platform?

• Yes
• No

05

Have you submitted medical billing claims for multi-payor mix?

• Yes
• No

06

If requested, can you interpret an insurance explanation of benefits during an interview?

• Yes
• No

07

If requested, can you describe a CPT and Diagnosis Code during an Interview?

• Yes
• No

08

Can you work under deadlines to ensure financial stability for the agency?

• Yes
• No

09

Do you understand payer rules related to outpatient mental health services?

• Yes
• No

10

Do you have direct experience overseeing remote teams or managing billing operations across multiple distinct regions or facilities?

• Yes
• No

11

Do you have experience auditing billing systems and generating KPI/financial reports to track denied claims?

• Yes
• No

12

Please indicate your salary requirements (please be specific and not put "negotiable" or "open").

Required Question

Employer State of South Carolina

Agency Department of Behavioral Health and Developmental Disabilities Address 400 Otarre Parkway

Cayce, South Carolina, 29033

Phone OIDD - (803)898-9600

OMH - (803) 898-8600

The language used in this document does not create an employment contract between the employee and the agency. This document does not create any contractual rights or entitlements. The agency reserves the right to revise the content of this document, in whole or in part. No promises or assurances, whether written or oral, which are contrary to or inconsistent with the terms of this paragraph create any contract of employment.