Billing and Collections Specialist (located in Southern CA)

Employment Type: Full-time, On-site (Irvine, CA)
Compensation: $26-33 per hour (based on experience)

About Understood Care

Understood Care was founded by clinicians, patient advocates, and healthcare leaders to make healthcare simpler, safer, and more supportive for older adults. We provide Medicare-covered patient advocacy services and work only for our clients, not hospitals or insurance companies. Each client is paired with a dedicated advocate who helps them navigate care, reduce costs when possible, and make confident healthcare decisions because healthcare should feel human.

Position Overview

Understood Care is seeking a detail-oriented and results-driven Billing and Collections Specialist. This role will focus primarily on billing operations, claims follow-up, and collections to ensure accurate and timely reimbursement. The ideal candidate is organized, proactive, and experienced in managing billing workflows and resolving outstanding balances efficiently.

Key Responsibilities

Billing & Claims Management

• Focus primarily on payment posting, paper denials and A/R

• Submit and track claims accurately and in a timely manner

• Monitor claim status and proactively follow up on unpaid or denied claims

• Identify billing discrepancies and support resolution efforts

• Ensure accurate documentation and compliance with payer requirements

Collections & Reimbursement

• Manage accounts receivable and follow up on outstanding balances

• Communicate with payers regarding claim status and payment issues

• Support reconciliation of payments and remittance posting

• Track and report on billing and collections progress as needed

Administrative Support

• Maintain organized billing records and documentation

• Collaborate with internal teams to ensure accurate provider and patient data

• Support process improvements to strengthen billing workflows

Qualifications

• 5 years of experience in healthcare billing and collections

• Strong understanding of working with in house built systems

• Familiarity with payer portals and claims management processes

• Strong attention to detail and organizational skills

• Ability to manage multiple deadlines independently

• Excellent written and verbal communication skills

• Experience with healthcare administration systems is a plus

What We Offer

• Competitive hourly pay ($26-$33/hour)

• Full-Time position in office in Irvine, CA

• Collaborative and mission-driven team environment