Fiscal Technician II - DoFS (Central Office)

Full Job Description

Are you passionate about making a real difference in people's lives? Join our team at the Office of Mental Health where we are dedicated to providing compassionate and accessible care to our community.

We are seeking a Fiscal Technician II who is 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) - Office of Mental Health, Central Office, 400 Otarre Parkway Cayce, SC 29033.

As the Fiscal Technician II, under general supervision, you will perform all functions to collect private insurance/HMO billing. Perform functions to establish accurate self-pay accounts and maximize collections of self-pay revenue.

Responsibilities for the Fiscal Technician II:

Execute all functions necessary to process private insurance/HMO collections, which includes, but is not limited to: entering claims into the appropriate web portal; processing any rejections received; posting payments from EOB's on a daily basis; correcting discrepancies when discovered!

and updating accounts when needed.

Participate in customer service functions for self-pay client accounts. Includes: financial assessments; daily posting and balancing of accounts; application of hardship reductions to balances per DH policy/procedure; establishment of payment plans with clients for outstanding balances.

In coordination with Reception, Access/Mobile Crisis, School Based services, and Utilization Manager, executes all functions necessary for pre-certification and re-certification of patient services as needed and verifying patient coverage, which includes, but not limited to: checking eligibility and coverage of insurance for patient; providing information regarding coverage to patient or clinician in order for patient to make an informed decision about treatment; entering insurance information into CIS; and making any necessary changes to the patient's account with the addition/deletion of insurance coverage (transferring the service(s) to the appropriate payer source).

In Coordination with QA/QI and AR managers, executes all functions necessary for the certification and credentialing of Center providers for private insurance/HMO provider panels, and assist with Medicare as needed.

Comply with training requirements set forth by BCHC/SCHDD. These may include but are not limited to SCEIS trainings, AAA Driver Improvement training, MAPS training and Ql In-services.

Adhere to Center, DMH and State Corporate Compliance policies, procedures and regulations

Requirements

• A high school diploma and two (2) years of experience in a related trades area or general billing maintenance.

Qualifications

• Bilingual abilities in English and Spanish (or another language) are a plus.
• Certified Medical Biller or Certified Professional Biller Certification.
• Knowledge of medical coding certifications CPT, ICD10CM and HCPCS.
• Proficient in medical billing software.

Additional Information

This position is considered essential and may be called back during crisis/disasters/emergencies.

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.