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

State of South Carolina
Lexington, SC Full Time
POSTED ON 7/29/2026
AVAILABLE BEFORE 8/28/2026

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 (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 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 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.

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

Salary : $66,400 - $92,900

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