Job Summary

We are seeking a detail-oriented Healthcare Collections Specialist for a temp-to-hire opportunity in Orlando, FL. This onsite role is ideal for a medical billing or insurance follow-up professional with experience resolving denied claims, preparing appeals, and supporting accounts receivable recovery in a healthcare environment.

The Collections Specialist will play an important role in helping secure reimbursement for behavioral health, mental health, and substance abuse services. This opportunity offers a steady Monday through Friday schedule, a clear path to permanent employment after 640 hours, and the chance to work with a collaborative billing and utilization review team focused on accuracy, compliance, and results.

This is a great fit for someone who enjoys problem-solving, working through payer requirements, and contributing to a team that values organization, accountability, and strong communication.

Key Responsibilities

- Review insurance denials and Explanation of Benefits to identify issues related to coding, eligibility, documentation, medical necessity, and payer requirements.
- Prepare and submit appeals with appropriate medical records and supporting documentation while meeting payer deadlines.
- Identify billing errors, coordinate claim corrections, and resubmit claims to insurance carriers.
- Contact insurance companies by phone and through payer portals to resolve denials, request reconsiderations, and track claim status.
- Collaborate with billing and utilization review teams to resolve outstanding claims and escalate complex issues as needed.
- Support accounts receivable recovery goals by working toward a production target of approximately 800 to 1,000 claims per month.

Compensation and Benefits

- Pay: $19 per hour.
- Schedule: Monday through Friday, 8:00 AM to 5:00 PM.
- Location: 100% onsite in Orlando, FL 32804.
- Employment type: Temp-to-hire after 640 hours.

Required Qualifications and Skills

- Review and resolve healthcare insurance denials, appeals, claim follow-up, and accounts receivable issues.
- Prepare written appeals using medical records, payer guidelines, and supporting claim documentation.
- Coordinate corrected claims and resubmissions for Medicare, Medicaid, and commercial insurance payers.
- Communicate with insurance companies through phone follow-up and payer portals to secure claim status updates and reimbursement.
- At least 1 year of medical billing experience.
- Experience using 837I and/or 837P claim formats, UB-04 forms, and/or CMS-1500 forms.
- Knowledge of CPT, ICD-10, and HCPCS coding.
- Experience with insurance denials, appeals, claim follow-up, or accounts receivable recovery.
- Understanding of insurance reimbursement guidelines, payer policies, and claim requirements.
- Ability to review medical records and prepare accurate, professional appeal documentation.
- Strong attention to detail, organization, time management, and follow-through.
- Effective communication skills for working with insurance companies, billing teams, and internal partners.

Preferred Qualifications

- Behavioral health, mental health, or substance abuse billing experience.
- Experience assisting with insurance reviews involving recoupments and takebacks.
- Familiarity with Medicare, Medicaid, and commercial insurance billing requirements.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

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.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
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.