Business Office Manager Jobs in South Carolina
Business Office Manager jobs in South Carolina are consistently active, with steady demand concentrated in healthcare systems, senior living communities, and multi-site medical practices, at every level from front-office supervisor to regional operations manager. The heaviest hiring is in Columbia, Greenville, and Charleston, where large employers such as Prisma Health, MUSC Health, and Bon Secours have lasting footprints across the state. The most in-demand specialties are healthcare revenue cycle management, billing compliance, and administrative operations for outpatient clinics. See the openings below and apply to the ones that match your experience.
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LFP - West Columbia
Full Time
Day Shift
8am - 5pm
Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Assists patients, visitors, providers and office staff in a courteous and friendly manner. Performs all duties efficiently and timely, while maintaining a positive patient flow. Serves as an office liaison when required.
Minimum Qualifications
Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 6 months in a related field involving administrative support and customer service activities
Substitutable Education & Experience: Experience can be substituted for successful completion of a Medical Office Administrative Assistant certificate program
Required Certifications/Licensure: None.
Required Training: None.
Essential Functions
- Maintains positive attitude. Has contact by phone, correspondence or in person meetings with persons in other departments or outside the practice. Tact is required in all communication and the employee is responsible for harmonious relationships.
- Demonstrates the following:
- Appropriate communication of information to all ages.
i. Infant - birth to 1 year
ii. Child - 1 year through 12 years
iii. Adolescent - 13 years through 17 years
iv. Adult - 18 years through 65 years
v. Geriatric - over 65 years - Responsiveness to all patients and office staff requests.
- Performance of duties assigned by authorized personnel or as required in an emergency, i.e., fire or disaster.
- Appropriate communication of information to all ages.
- Provides/Performs
- Communication
- Telephone (Answer, Transfer)
- Orders/Messages - Accurate and timely relay of information
- Scheduling
- Referrals
- Appointments
- Ancillaries
- Surgeries
- Hospital Admissions
- Medical Records
- Documentation
- Forms - Chart structure
- Electronic chart maintenance
- Image files
- Faxing
- Copying
- Mail - In and Out
- Office Operations
- Enter/Verify/Correct patient demographics and insurance information
- Obtain necessary signatures and consents as appropriate
- Post charges/payments
- Collect payment for office visits
- Daily updates
- Deposits
- Maintain cash drawer
- Screening and collecting unpaid balances
- Financial counseling when needed
- Work accounts receivable
- Precertification/Authorization
- Communication
- Operation of and responsibility for equipment (including, but not limited to, routine maintenance, ordering of supplies, log sheets and cleaning)
- General Office Equipment, i.e., fax machine, copier, etc.
Duties & Responsibilities
- In-service/Education
a. Department Orientation
b. Annual Training - Clerical log sheets/auditsa. Samplesb. Equipment
- Other
- Coding
- E&M/basic visits
- Office procedures/complex visits
- Surgeries
- Hospital Services
- Correspondence
- Statistical reports
- Accounts payable
- Payroll
- Chaperone
- Provides support and guidance for clerical policies and procedures
- Coding
- All other duties as assigned
We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families:
- Day ONE medical, dental and life insurance benefits
- Health care and dependent care flexible spending accounts (FSAs)
- Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
- Employer paid life insurance – equal to 1x salary
- Employee may elect supplemental life insurance with low cost premiums up to 3x salary
- Adoption assistance
- LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
- Tuition reimbursement
- Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.
See All 21 Business Office Manager Jobs in South Carolina
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Find Business Office Manager JobsBusiness Office Manager Jobs by City in South Carolina
Where South Carolina roles are concentrated, by current openings.
Business Office Manager Job Market in South Carolina
A snapshot from current South Carolina openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
What South Carolina Employers Look For
The qualifications that appear most often in business office manager jobs across South Carolina.
- Bachelor's degree in healthcare administration, business, or a related field required
- Minimum three to five years of medical or healthcare office management experience preferred
- Demonstrated proficiency in medical billing, coding, and revenue cycle management processes
- Experience with electronic health records platforms such as Epic or Meditech
- Strong knowledge of HIPAA compliance and healthcare regulatory requirements
- Certified Medical Manager or Certified Medical Practice Executive credential is a plus
Business Office Manager Jobs in South Carolina: Frequently Asked Questions
How do you become a business office manager in South Carolina?
Most business office manager roles in South Carolina require a bachelor's degree in business administration, healthcare administration, or a related field, along with several years of supervisory experience in a medical or corporate office setting. South Carolina does not require a state-issued license for business office managers, but healthcare employers strongly favor candidates who hold credentials such as the Certified Medical Manager designation through the Professional Association of Health Care Office Management.
How much do business office managers make in South Carolina?
Business office managers in South Carolina earn a median of about $62,920 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $43,570 for the lowest 10% to over $99,680 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire business office managers in South Carolina?
Companies currently hiring business office managers in South Carolina include Heartland Dental, CarMax, and Lexington Health, per current listings on Migrate Mate as of September 2026. South Carolina's large healthcare networks, senior living operators, and multi-specialty medical groups account for the majority of sustained hiring across the state.
Which South Carolina cities have the most business office manager jobs?
Greenville, Greenwood, and Columbia consistently post the most business office manager openings in South Carolina. Columbia leads as the state capital and home to major healthcare anchors like Prisma Health, while Greenville's growing Upstate medical corridor and Charleston's expanding hospital and outpatient network drive demand in those metros as well.
Are there remote business office manager jobs in South Carolina?
Yes, but they're limited. About 0% of business office manager openings tied to South Carolina are remote or hybrid as of September 2026, reflecting the role's typically on-site operational demands. The functions most likely to allow remote or hybrid arrangements are medical billing oversight, revenue cycle analysis, and insurance claims management rather than daily front-office or staff supervision duties.
How can I get hired as a business office manager in South Carolina with little or no experience?
The most realistic entry path is moving up from a medical receptionist, patient access coordinator, or billing specialist role within a South Carolina healthcare system or physician group. Large employers like Prisma Health and MUSC Health regularly promote from within and run structured development programs for administrative staff. Earning a Certified Medical Manager credential early and gaining hands-on experience with revenue cycle software can accelerate the transition into a manager-level role.
Where can I find and apply to business office manager jobs in South Carolina?
You can find and apply to business office manager jobs in South Carolina on Migrate Mate, which lists current openings across the state. Search the roles that match your background and experience level, then apply directly to the ones that fit.
See All 21 Business Office Manager Jobs in South Carolina
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