
Medical Billing Services in Florida
Running a practice in Florida should be about patients not paperwork. Between changing payer rules, EHR friction, and staffing shortages, revenue can be trapped in denials, miscoding, and slow reimbursements. At Sirius Solutions Global, we pair Florida-savvy payer intelligence with specialty coding expertise and modern automation so your team spends less time chasing claims and more time caring for patients

Why Florida providers choose Sirius Solutions Global
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Local payer intelligence: Florida payers, Medicare pilots, and regional trends change fast we track them and adjust playbooks.
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Specialty-focused coding: Certified coders & billers for 40+ specialties (Orthopedics, Cardiology, OBGYN, Oncology, ASC, DME/HME).
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Tech + people: Deep EHR and PMS integrations, automated claim scrubbing, and a dedicated Florida account manager for fast answers.
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Proven outcomes: Clean-claim strategies, targeted appeals, and AR recovery workflows that reduce days-in-A/R and improve net collections.
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Transparent pricing & KPIs: Clear fee models and measurable dashboards no surprise fees.

What makes Us different
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Florida payer playbook: a live knowledge base of local payer denials and rule changes we update weekly.
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Hybrid tech + humans: automated claim scrubbing handles repetitive edits; experienced billers and certified coders handle nuanced denials and appeals.
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Transparent KPIs: monthly dashboards with collection rate, days-in-AR, first-pass clean claim %, denial root causes, and action plans.
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Risk-reduction onboarding: audit & cleanup plan before full takeover so you start from a clean baseline.
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No hidden fees: percentage or flat-fee pricing with ROI projection before you sign.
Our Florida medical billing services
We never offer “one-size-fits-all” plans. We partner with your team, learn your workflows, and tailor services to your revenue and patient experience goals.
End-to-end RCM & billing
From charge capture and coding to patient statements and payment posting, we own the full cycle so your front desk and clinicians can focus on care.
Coding & Clinical Documentation Improvement (CDI)
Board-certified coders and clinical documentation teams reduce miscoding risk while ensuring every legitimate revenue opportunity is captured.
Denial prevention & appeals
We don’t only resubmit claims we analyze root causes, correct the workflow, and appeal with clinical evidence to recover lost revenue.
Eligibility, prior authorization & credentialing
Florida is seeing evolving prior authorization activity (including CMS demo expansions); proactive eligibility and PA management prevents service delays and denials.
AR recovery & aging reduction
Targeted A/R workflows, stratified aging buckets, and compassionate patient collection programs reduce outstanding receivables without damaging patient relationships.
Patient billing & payments
Modern patient portals, flexible payment plans, and clear statements increase patient collections and lower confusion.
Reporting & analytics live KPIs you can act on
Custom dashboards surface denial trends, payer lag, CPT-level performance, and revenue leakage so leadership can make informed decisions.
Specialty offerings
We staff specialty teams for high-complexity areas: Oncology, Cardiology, Pain Management, DME/HME, Behavioral Health, Anesthesia, Wound Care, and ASC billing.
What we found
Florida market & competitor research
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Many local and national players compete in Florida.
I-Med Claims, Transcure and several boutique Florida firms (MediBillMD, BillingParadise, Gables Medical Billing, Premium Billing Solutions, and regional RCM platforms) actively market state-specific services. These vendors emphasize low rates, broad specialty coverage, and 50-state reach. To win, your content should highlight specific outcomes, Florida payer intelligence, and security practices.
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RCM trends shaping 2025–2026
AI augmentation, denial prevention as a systems problem, payer adoption of AI, cybersecurity as a business risk, and the rise of patient financial responsibility require RCM partners to be nimble and secure. Position Sirius as a tech-enabled, security-first partner.
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Regulatory signals
CMS demonstration projects and evolving prior auth requirements (including projects affecting ASCs in Florida) mean practices must be prepared for new pre-service workflows you can capture traffic by publishing how your team handles these changes.
Quick Helpful Answers
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Get Started Today
We treat medical billing as clinical continuity not a separate backlog. Florida’s mix of private, Medicare, and Medicaid payers, plus evolving prior authorization rules, creates unique friction. Our Florida team combines real-world payer experience with automated validations and certified coders to deliver measurable financial improvements. Whether you run a single-provider family practice in Tampa, a multi-specialty clinic in Miami, or an ASC in Orlando, our tailored workflows reduce denials, shorten AR cycles, and make patient billing simpler and fair. We start with a baseline audit, deliver quick wins in the first 30 days, and keep improving month after month with transparent KPIs you actually use.
