Job Summary

We are seeking a Healthcare Collections Specialist for a temp-to-hire opportunity in Orlando, FL. This role is ideal for a revenue cycle professional with hands-on experience in insurance collections, denial management, claim corrections, appeals, and reimbursement follow-up.

The Collections Specialist will support a high-volume healthcare billing environment with a strong focus on behavioral health, mental health, and substance abuse services. This is not a patient collections or call center collections role. The position is focused on insurance claims, payer denials, appeals, reconsiderations, and AR recovery.

This opportunity offers a structured Monday through Friday schedule, steady full-time hours, and the chance to work with a collaborative revenue cycle team. Candidates who enjoy researching complex denials, resolving claim issues, and contributing directly to reimbursement results will be well aligned with this position.

Key Responsibilities

- Review EOBs, denial letters, insurance claim details, and payer documentation to determine denial reasons and next steps.
- Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation within payer deadlines.
- Identify and correct claim issues related to coding, eligibility, medical necessity, documentation, provider information, taxonomy, NPIs, and billing discrepancies.
- Follow up with insurance companies by phone and payer portals to resolve outstanding claims and disputed reimbursement issues.
- Collaborate with Billing, BOS, UR, and internal teams to resolve complex denials, takebacks, recoupments, and AR recovery items.
- Maintain accurate documentation of calls, portal activity, appeals, claim corrections, outcomes, and account resolution progress.

Compensation and Benefits

- Pay Rate: $19.00 per hour.
- Job Type: Temp-to-Hire.
- Schedule: Monday through Friday, 8:00 AM to 5:00 PM.
- Work Location: Maitland, FL on site 
- Dress Code: Business casual.

Required Qualifications and Skills

- Manage healthcare insurance collections, denial review, appeals, and reimbursement follow-up.
- Research and resolve denied, underpaid, corrected, and outstanding insurance claims.
- Prepare claim corrections, appeal letters, reconsiderations, and payer portal submissions.
- Support monthly production goals of approximately 800 to 1,000 claims.

- 1+ year of healthcare billing, denial management, insurance collections, claims follow-up, or revenue cycle experience required.
- 3 to 5 years of related experience preferred based on role level.
- Experience working with CPT, ICD-10, and HCPCS codes.
- Experience with 837I and/or 837P claim formats.
- Familiarity with UB-04 and/or CMS-1500 claim forms.
- Understanding of insurance reimbursement guidelines, payer requirements, Medicare, Medicaid, and commercial payer processes.
- Ability to read and interpret EOBs, denial letters, medical records, payer policies, and insurance documentation.
- Strong written communication skills for preparing effective appeal letters and claim correspondence.
- High attention to detail with the ability to manage a high-volume, production-focused workload.
- Strong organizational, research, follow-up, and time-management skills.
- Professional communication skills for working with insurance representatives and internal departments.

Preferred Qualifications

- Experience with behavioral health, mental health, or substance abuse billing and reimbursement.
- Background in healthcare AR, revenue cycle, insurance verification, reimbursement, appeals, and reconsiderations.
- Experience identifying denial trends and helping reduce future denials.
- Experience supporting takebacks, recoupments, and complex insurance reimbursement reviews.

Equal Opportunity Employer / Disabled / Protected Veterans

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The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

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https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.