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AppleOne
Collections Specialist
Career Insights for Medical Claims Processor / Representative
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Scorecard
Based on Florida data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$41,153 / year median in Florida
-3% projected decline
Job Description
Collections Specialist AppleOne - 3.8 Orlando, FL Job Details Temp-to-hire $19 an hour 22 hours ago Benefits Health insurance Dental insurance 401(k) Vision insurance Paid sick time Qualifications Appeals Insurance dispute resolution Research Mid-level Taxonomy Medical billing and coding communication with insurance companies Medical denial root cause analysis (RCA) Medical insurance appeals management Medical explanation of benefits reviews Insurance provider collaboration Insurance claims appeal handling Healthcare coding investigations Documentation review Medical claim status updates Full Job Description 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.