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All postings · South Carolina

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

Department of Behavioral Health and Developmental Disabilities · Lexington County, SC · South Carolina

Role
Performance analyst
First seen
Jul 31, 2026
Closes
Not listed
Salary
Full-Time - $66,400.00 - $92,900.00 Annually
Apply on the South Carolina portal

Applications go through the state’s official system — CivicWorks only tracks the posting.

Summary

The Billing Lead - Accounting / Fiscal Manager I position is located at the SC Department of Behavioral Health and Developmental Disabilities Central Office in Cayce, South Carolina. This role leads revenue cycle optimization and oversees two regional billing teams across the state, managing claim submissions, analyzing rejections, ensuring regulatory compliance, and resolving complex billing disputes. The position requires strategy development and performance monitoring to maximize cash flow and reduce aging accounts while maintaining alignment with HIPAA, CMS, and private payer regulations.

Key qualifications

  • Bachelor's degree in accounting, finance, business, or related field with professional experience in accounting, auditing, finance, or banking
  • 3-5+ years of work experience in medical billing, preferably in behavioral health or with Medicaid
  • Proficiency in EHR systems, Excel, and payer portals
  • Experience managing or overseeing remote teams or billing operations across multiple regions or facilities
  • Strong knowledge of HIPAA, CMS, and private payer regulations
  • Excellent customer service and leadership skills

Summarized by CivicWorks from the state’s posting — check the official listing for full details.

Tracked by CivicWorks from South Carolina’s public career portal. Posting data refreshes daily; this page disappears when the posting closes.