Healthcare Billing & Contracting Specialist

Oakwood Creative Care • Mesa, AZ

5d

About The Position

Oakwood Creative Care is seeking a Healthcare Billing & Contracting Specialist to manage billing operations and navigate reimbursement for their non-traditional, community-based care model. This role involves working within Medicare/Medicaid requirements, critically thinking about service alignment with reimbursement, and building clear, compliant billing pathways. It is a hands-on position where the specialist will own billing processes and collaborate with the CFO to ensure financial sustainability.

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
• 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

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed