Healthcare Billing & Contracting Specialist

Job Description

Job Description

Salary:

About Us

Oakwood Creative Care is a growing nonprofit reimagining how communities support older adults and families navigating cognitive and physical challenges. Our model blends clinical services with community-based programs, creating a more holistic, relationship-centered approach to care.

About the Role

We are seeking a Healthcare Billing & Contracting Specialist, on-site,to manage billing operations and help us navigate reimbursement for a non-traditional, community-based care model.

This is not a typical clinic billing role.

Our services span both clinical and community-based programs, which means billing is not always straightforward. We need someone who can:

• Work within Medicare/Medicaid requirements
• Think critically about how services align with reimbursement
• Help us build clear, compliant pathways for billing in a non-traditional setting

This is a hands-on role where you will own billing processes while working closely with the CFO to ensure our programs are financially sustainable.

Key Responsibilities

Billing & Revenue Cycle

• Submit and manage claims (Medicare, VA, AAA, Community based programs, and Medicaid)
• Track and resolve denials and follow up on unpaid claims
• Post payments and ensure accurate reconciliation
• Maintain clean, compliant billing practices

Contracting & Credentialing Support

• Assist with payer enrollment and credentialing
• Support contract setup and maintain organized records
• Track reimbursement rates and contract details
• Partner with CFO on payer-related processes

Navigating a Non-Traditional Model

• Help align services with billing and reimbursement requirements
• Identify where services may or may not be billable
• Support development of clear, compliant billing processes for new programs
• Bring practical problem-solving to situations that dont fit standard models

Process & System Support

• Help improve billing workflows and documentation processes
• Identify issues and suggest practical improvements
• Work with clinicians to ensure documentation supports billing

Qualifications

Required

• Direct, hands-on experience with Medicare billing
• Experience managing claims, denials, and collections
• Strong attention to detail and organization
• Ability to think critically and solve problems

Preferred

• Medicaid billing experience (AHCCCS strongly preferred)
• CPB or CPC certification
• Experience with credentialing or payer enrollment
• Experience in outpatient or community-based healthcare settings

What Were Looking For

• Someone who is comfortable working in a
  less traditional healthcare environment
• A practical problem-solver who can navigate ambiguity
• Detail-oriented and reliable
• Able to work independently and follow through
• Interested in mission-driven work

Why Join Oakwood

• Be part of a model that is rethinking how care is delivered
• Work closely with leadership in a small, collaborative team
• Opportunity to help shape systems in a growing organization
• Meaningful work that directly supports individuals and families