--- title: 'Billing and Collections Specialist at Understood Care' canonical: 'https://feeny.ai/job/billing-and-collections-specialist-understood-care-irvine-5n3hhgj8ddmy' type: 'job' last_seen: '2026-09-14' --- # Billing and Collections Specialist at Understood Care - **Company:** Understood Care - **Location:** Irvine, CA - **Work type:** remote - **Posted:** 2026-07-02 - **Last confirmed live:** 2026-09-14 - **Apply:** https://job-boards.greenhouse.io/understoodcare/jobs/4305099009 ## Job description 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 ## About Understood Care ## Company Overview - **One-liner**: Understood Care is an AI-native virtual patient advocacy platform that matches Medicare patients with a dedicated human advocate and AI co-pilot to navigate the U.S. healthcare system, at little to no out-of-pocket cost. - **Entity Type**: Private (pre-seed and seed stages; Y Combinator Summer 2025 batch) - **Headquarters**: New York, NY, USA - **Founded**: 2025 - **Founders**: Sam Wu (CEO), Kevin Bailey (CTO), Dr. Adam Bonder (Medical Director) ## Core Business - **Primary industry**: Healthcare IT / Patient advocacy / Medicare navigation - **Target customers**: B2C (Medicare patients) and B2B (Medicare Advantage plans, providers, payers) - **Mission**: To make healthcare navigation accessible for all Medicare patients, transforming patient advocacy from a boutique service into universal healthcare infrastructure. ## Products & Services - **Virtual Patient Advocacy Platform**: A service where each patient is permanently matched with a dedicated human advocate (often a nurse, pharmacist, or social worker) who helps with scheduling, paperwork, insurance claims, transportation, housing, meals, medication management, and chronic care coordination. The advocate follows a 7-day communication cadence during active cases and monthly check-ins thereafter. The service is fully virtual via phone and video, HIPAA-compliant, and covered by Medicare Part B and most Medicare Advantage plans (patients typically pay $0 out-of-pocket). [understoodcare.com](https://understoodcare.com/) - **Ava (AI Co-pilot)**: An AI system that works behind the scenes to help advocates execute administrative tasks such as initiating calls, summarizing medical records, drafting correspondence, suggesting resources, and generating Medicare-compliant claims documentation. Every interaction feeds a proprietary multimodal dataset that improves the platform’s effectiveness over time. [prnewswire.com](https://www.prnewswire.com/news-releases/understood-care-raises-8-4m-to-scale-ai-native-infrastructure-layer-for-patient-advocacy-302713107.html) ## Market Standing - **Valuation**: Not disclosed (private startup) - **Total Funding**: $8.4M raised as of March 2026, comprising a $3.4M pre-seed round led by 1984 Ventures (with participation from Y Combinator) and a $5M seed round led by Rethink Education and Zeal Capital Partners. [prnewswire.com](https://www.prnewswire.com/news-releases/understood-care-raises-8-4m-to-scale-ai-native-infrastructure-layer-for-patient-advocacy-302713107.html) - **Key Metric**: Serving thousands of active patients across all 50 U.S. states since launching patient care in March 2025; on track to support more than 10,000 new patients in 2026. - **Notable Investors/Partners**: Rethink Education, Zeal Capital Partners, 1984 Ventures, Y Combinator. Accepts Medicare, UnitedHealthcare, Humana, and Aetna (top 3 Medicare Advantage plans). [ycombinator.com](https://www.ycombinator.com/companies/understood-care) - **Growth Signals**: - Expanded from first patient in April 2025 to all 50 states within 8 months. - Active patients reach out to advocates an average of 5 times per month; advocates proactively reach out 11 times per month. - Established relationships with three of the largest Medicare Advantage plans. - 4 active job postings (as of July 2026), showing 33.3% monthly growth in postings. [linkedin.com](https://www.linkedin.com/company/understood-care) ## Competitive Advantages - **Dedicated, permanent advocate**: Patients are assigned one advocate who remains their contact even after case resolution – no call-center queues or rotating staff. - **AI-native, not AI-first**: Human advocates are supported by a proprietary AI co-pilot (Ava) that continuously learns from every interaction, improving speed and quality of advocacy. - **Revenue through CMS codes**: The company uses newly available Medicare billing codes for patient advocacy (2024 benefit), making the service mostly free for patients and creating a sustainable payer model. - **Proprietary multimodal dataset**: Growing dataset of calls, transcripts, documents, workflows, and outcomes that strengthens the AI moat over time. ## Strategic Focus - Scale the Ava AI co-pilot across all advocate workflows. - Deepen partnerships with providers, payers, and community organizations. - Ramp to support 10,000+ new patients in 2026. - Continue building the infrastructure to turn patient advocacy into a universally accessible healthcare service. ## Why Work Here - **Culture**: Early-stage YC startup with a small, mission-driven team (currently 7–9 people). Emphasis on using AI and healthcare expertise to solve a massive, costly problem in U.S. healthcare. - **Remote-first**: All current job openings (Billing & Collections Specialist, Contracting/Credentialing & Billing Specialist, Telehealth Physician, Telehealth Psychiatrist) are listed as fully remote. [greenhouse.io](https://job-boards.greenhouse.io/understoodcare) - **Engineering & product culture**: The company was founded by operators with backgrounds at high-growth healthtech startups (Cedar, Finni, SiteRx) and 2x tech founders (Kevin Bailey); there is a strong focus on building proprietary AI and data infrastructure. - **Notable perks**: Not explicitly listed, but employees get to shape a new category of AI-supported healthcare navigation, work directly with founders, and have a direct impact on patient outcomes. ## Sources 1. [understoodcare.com](https://understoodcare.com/) 2. [job-boards.greenhouse.io/understoodcare](https://job-boards.greenhouse.io/understoodcare) 3. [ycombinator.com/companies/understood-care](https://www.ycombinator.com/companies/understood-care) 4. [linkedin.com/company/understood-care](https://www.linkedin.com/company/understood-care) 5. [prnewswire.com](https://www.prnewswire.com/news-releases/understood-care-raises-8-4m-to-scale-ai-native-infrastructure-layer-for-patient-advocacy-302713107.html) ## Other roles at Understood Care - [Patient Advocate Full Time](https://feeny.ai/job/patient-advocate-full-time-understood-care-remote-4w1r1rv5hf67) - [Telehealth Psychiatrist (Remote)](https://feeny.ai/job/telehealth-psychiatrist-remote-understood-care-remote-yfs14yzgf33z) - [Telehealth Physician (Remote)](https://feeny.ai/job/telehealth-physician-remote-understood-care-remote-dqms67hem482)