Fiscal Technician II

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, you will ensure that all electronical claims for inpatient psychiatric and physician billing are filed accurately and timely. You will follow up on claims filed and ensure payment is received by all insurance carriers and third-party payors. Assist supervisor with backup poster when needed for insurance and Medicare. Must maintain the 835 Health Care Claim Payment/Advice from the Emedix line. You will need to assist verification on all patient names dates, and number of days against the listing on the Medstat report received from DHHS. Must attend all Inpatient Compliance Committee Meetings quarterly.

Responsibilities for the Fiscal Technician II include:

Create third party claims once charges are closed and accurately allocated. Prepare, and batch all claims in the Avatar system for transmission and processing.

You will need to submit all claims electronically in the Avatar system and FTP them into our clearinghouse for psychiatric and physician billing.

Must process and import claims in our clearinghouse from our Avatar system.

Perform appropriate follow up activities to ensure timely payment and to minimize aged claims. Maintain files to document all work related to claims, process follow up, and payment or denials.

Contact any insurance company or federal or state agency to obtain and/or verify any available benefits or insurance coverage information.

Submit letters for collections to clients for all Medicare and Insurance carriers as needed on a daily basis.

Prepare accurate accounting of client charges, payments and adjustments. Prepare paperwork for any waivers that are required.

Must key all therapy's for the psychiatrics/nursing facilities weekly for billing.

Must assist when request to complete the Treasury Information Report daily from your Supervisor/Director. All must be completed by the end of each fiscal year.

Monthly Medicare/Medicaid Balance credit reports must be done for all facilities for Medicare and Medicaid. Must attend Inpatient Compliance meetings quarterly. Prepare monthly reports of Medicaid billing by summarizing billings, adjustments and revenues received.

Submit the monthly therapy reports to therapist for all facilities, so that the new Medicare charge CAP is maintained to discuss each client and appeal to Medicare as needed.

Key all therapies for psychiatric and nursing homes for billing. Ensure prompt assigning information for all transactions on the ACH report received daily.

Verify Medicare Part B at Forensics for 65+ clients.

Requirements

• 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 experience.

Qualifications

• Experience with claims processing software is preferred.
• Bilingual abilities in English and Spanish (or another language) are a plus.

Additional Information

Post hire, employees must:

• Be detailed oriented and must understand and carry out balancing procedures.
• Have knowledge of State Government fiscal and accounting process.
• Be able to work in an office setting with limited physical requirements beyond basic lifting and climbing as required to access files in a standard filing system.

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.

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