What are the responsibilities and job description for the Healthcare Billing & Contracting Specialist position at Oakwood Creative Care?
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