Healthcare Billing & Contracting Specialist
About The Position
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. 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, and 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.
Requirements
- 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
Nice To Haves
- Medicaid billing experience (AHCCCS strongly preferred)
- CPB or CPC certification
- Experience with credentialing or payer enrollment
- Experience in outpatient or community-based healthcare settings
- Comfortable working in a less traditional healthcare environment
- Practical problem-solver who can navigate ambiguity
- Detail-oriented and reliable
- Able to work independently and follow through
- Interested in mission-driven work
Responsibilities
- 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
- 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
- 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
- Help improve billing workflows and documentation processes
- Identify issues and suggest practical improvements
- Work with clinicians to ensure documentation supports billing
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
