Job Summary

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

The Healthcare Collections Specialist will support reimbursement efforts for behavioral health, mental health, and substance abuse services by investigating denied claims, correcting billing issues, and working directly with insurance companies. This is a strong opportunity to join a collaborative healthcare revenue cycle team where accuracy, follow-through, and problem-solving directly contribute to financial recovery and patient service support.

This onsite position offers a consistent Monday through Friday schedule, hands-on experience with denials and appeals, and the potential to transition into a permanent role after 640 hours. Candidates who enjoy structured work, supportive teamwork, and measurable goals will be well positioned for success.

Key Responsibilities

- Review insurance denials and Explanation of Benefits documents to identify issues related to coding, eligibility, documentation, medical necessity, and payer requirements.
- Prepare and submit appeals with supporting medical records and documentation while meeting payer deadlines.
- Identify billing errors, coordinate claim corrections, and resubmit claims to insurance companies for payment consideration.
- Contact insurance carriers 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 accounts receivable and escalate complex claims when needed.
- Support departmental recovery goals by working toward a production goal of approximately 800 to 1,000 claims per month.

Compensation and Benefits

- Pay: $19.00 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

- Manage insurance claim follow-up, denials resolution, and accounts receivable recovery.
- Prepare written appeals using medical records and payer documentation.
- Correct billing issues and resubmit claims using appropriate claim forms and payer guidelines.
- Communicate with insurance companies to resolve claim status issues, reconsiderations, recoupments, and takebacks.

- At least 1 year of medical billing experience.
- Experience using 837I and/or 837P claim formats, UB-04 forms, and/or CMS-1500 forms.
- Experience with insurance denials, appeals, claim follow-up, or healthcare accounts receivable.
- Knowledge of CPT, ICD-10, and HCPCS coding.
- Understanding of insurance reimbursement guidelines and payer policies.
- Ability to review medical records and identify documentation needed for appeal support.
- Strong written and verbal communication skills for working with insurance companies and internal teams.
- High attention to detail, organization, time management, and ability to meet production goals.

Preferred Qualifications

- Behavioral health, mental health, or substance abuse billing experience.
- Experience working with Medicare, Medicaid, and commercial insurance claims.
- Familiarity with payer portals and healthcare revenue cycle systems.

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.