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

• 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