Medical Billing for Florida Physicians

Florida has more than 70,000 active physicians and one of the most competitive healthcare markets in the country. Between the state’s large Medicare population, aggressive commercial payers, and complex Medicaid managed care landscape, Florida practices face billing challenges that out of state billing companies don’t always understand. Go Medical Billing is headquartered right here in Miramar, Florida. We know your payers because they’re our payers too.

Our office sits at 3350 SW 148th Avenue, Suite 110, Miramar, FL 33027. When you work with us, you’re working with a local team that understands Florida’s healthcare market from the inside.

Why Florida Practices Need Local Billing Expertise

Florida Medicaid Managed Care

Florida’s Statewide Medicaid Managed Care program routes nearly all Medicaid beneficiaries through managed care plans like Sunshine Health, Molina, Humana, Simply Healthcare, and Prestige. Each plan has its own authorization rules, fee schedules, and claims submission requirements. Our team works with every Florida Medicaid managed care plan and knows their specific billing quirks.

Large Medicare Population

Florida has one of the highest percentages of Medicare beneficiaries in the nation. Medicare billing requires strict compliance with CMS rules, correct modifier usage, and documentation that meets Medicare Administrative Contractor (First Coast Service Options) standards. Our coders handle Florida Medicare claims daily.

Commercial Payer Landscape

Florida Blue (BCBS of Florida) dominates the commercial market, but Aetna, Cigna, UnitedHealthcare, Humana, and AvMed all have significant market share. Each payer has different fee schedules, prior authorization requirements, and appeal processes. We maintain updated rule sets for every major Florida payer.

No Surprises Act and Balance Billing

Florida has its own balance billing protections on top of the federal No Surprises Act. Our team stays current on both state and federal requirements so your practice remains compliant.

Services We Provide to Florida Practices

  • Medical billing and coding with AAPC certified coders experienced in Florida payer rules
  • Credentialing and enrollment with Florida Medicaid managed care plans, Medicare (First Coast), and all commercial payers
  • Accounts receivable recovery for aging claims stuck with Florida payers
  • Prior authorization management including Florida Medicaid managed care auth requirements
  • Eligibility verification with real time checks against Florida Medicaid, Medicare, and commercial plans
  • Patient billing with clear statements and professional follow up

Specialties We Serve in Florida

We work with Florida practices across every specialty: cardiology, urology, urgent care, behavioral health, orthopedics, ABA therapy, DME, laboratory, internal medicine, dermatology, pain management, gastroenterology, and more. Whether you’re a solo provider in Tallahassee or a multi location group in South Florida, our team scales to fit your operation.

Pricing That Works for Florida Practices

Our billing services start at 2.49% of net collections. That’s well below the industry average of 4 to 10% and a fraction of what it costs to hire in house billing staff in the Florida job market, where experienced medical billers command $40,000 to $55,000 in salary alone. We only get paid when you get paid. No setup fees, no monthly minimums.

Frequently Asked Questions

Do you work with all Florida payers?

Yes. We submit claims to Florida Blue, Aetna, Cigna, UHC, Humana, AvMed, Sunshine Health, Molina, Simply Healthcare, Prestige, Medicare (First Coast), and all Florida Medicaid managed care plans.

Can you credential me with Florida Medicaid?

Yes. We handle Medicaid managed care enrollment for all Florida plans, including initial enrollment and re credentialing.

How fast can you start?

Most Florida practices are fully transitioned within two to three weeks. We connect to your EHR, learn your workflows, and start submitting claims with no downtime.

Do I need to be in South Florida to work with you?

No. We serve physicians across the entire state, from the Panhandle to the Keys. Our Miramar office is our headquarters but we work with practices in every Florida county.

Call 888 701 6090 or visit us at our Miramar office to get started with a free billing assessment.

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