Healthcare Billing & Contracting Specialist

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 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 don’t 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 We’re 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 #J-18808-Ljbffr Oakwoodcreativecare