Orlando Medical Billing Services

Orlando practices see more out-of-state insurance cards than almost anywhere. Visitors get sick or hurt on vacation, and the clinic nearest the hotel is the one that sees them. Those claims go to payers in every state, with rules your staff may not know.

Who walks in

Urgent care clinics around International Drive and the resort corridor, and out in Kissimmee, see most of the visitor claims. The work is fast, the patient leaves town, and collection depends on getting the insurance details right at the counter. Billing companies that work with urgent care here should have a process for verifying coverage from other states, by phone the same day if possible. A visitor on a week's vacation will not still be around for a callback.

The area's large hospitality and theme park workforce is the other half of the picture. Some are covered by large employer plans, others by Medicaid or marketplace plans. Turnover is high, so insurance changes constantly, and eligibility checks have to be repeated.

Central Florida also draws retirees, and Medicare Advantage is common. Practices in Winter Park and Altamonte Springs deal with the plans' paperwork daily.

Two big systems and Lake Nona

AdventHealth and Orlando Health are the two big hospital systems, and many physicians in the region work with one or the other. Lake Nona, southeast of the airport, has the UCF College of Medicine and Nemours Children's Hospital, and new practices keep opening around them.

Independent practices across Orange and Seminole counties often have hospital privileges at more than one system. That makes billing slightly messier, since you are juggling different facility contracts and different referral expectations.

Florida Blue is a big commercial name here. Medicaid runs through managed care plans with enrollment and authorization rules of their own, so ask how a company has actually worked those plans, since the sales description tells you little.

Growth in the suburbs

Orlando keeps expanding in every direction. Practices in Winter Garden, Oviedo and Saint Cloud open every year, and some are started by physicians leaving a large system. They arrive with patients and a lease and nothing set up for billing.

A new practice needs payer contracts, a clearinghouse connection, a fee schedule, and a billing process before the first patient. Doing that while seeing patients is a recipe for a slow first year. Some billing companies specialize in startups and will help with enrollment and workflow setup. Ask whether they do, and ask what they charge for the setup in the quote, since some roll it into the monthly fee.

Orlando is also a healthcare destination for part of Central Florida. Patients drive in from Lake, Volusia, and Osceola counties, and their coverage and Medicaid plans can vary by county. Whoever does your eligibility check needs to know which plan covers which county.

Behavioral health and substance use treatment have grown here. Those practices bill long visits and often need prior authorization for ongoing care, so find out if the company has handled authorization and utilization review for them.

Orlando practices should also think about workers compensation. With so many hotel and construction jobs, injured workers are a steady source of visits, and claims go to carriers rather than health plans. The forms, timelines, and fee rules are different, and not every billing company is set up for them.

Ask directly. Orlando practices that see injured workers and skip this question tend to find out later that the company sends those claims to the wrong place.

Practices around Lake Nona and Winter Park often send patients to specialists across system lines, so watch which facility a referral lands at. Authorization is frequently tied to the site as well as the doctor.

Hurricane season is a billing issue

A storm that closes your office for a week stops the work: claims pile up, staff cannot get in, and records sit in a building with no power. A billing company that works from outside the region keeps claims moving. Ask about their backup plans, and about how they handle your data in a disaster.

A billing partner should also have access to your system through a secure remote connection, not an email attachment of patient information.

Spanish and Haitian Creole are common at registration desks in Kissimmee and Orlando. Statements and calls in the patient's language raise collections, and a company that treats this as optional will cost you.

Kissimmee and Osceola County in particular have a young, growing population with many Medicaid and marketplace plans. Practices there see churn at the start of every year, when marketplace enrollment resets. The first quarter is when eligibility errors multiply, so find out what the company does about it.

Fit and fees

In Apopka and Ocoee, new providers mean credentialing backlogs, and the practice manager loses hours to payer enrollment applications. Ask who at the company handles that.

Fees are usually a share of collections. Ask how it is calculated and whether it includes the work on older accounts. Short contracts are better than long ones, at least at first.

If a company promises to fix everything in thirty days, be suspicious. Cleaning up a messy accounts receivable takes a few months, and the reports will show it before the cash does.

Medical Billing Cost Costs in Orlando

The cost of a medical billing company in Orlando is most affected by the volume of bills a practice needs to process and collect.

Below are estimated costs for medical billing company costs in Orlando:

Note: Prices subject to change. These costs are based on an average of Alluvit's Orlando medical billing company research.

Medical Billing Companies in Orlando, FL

• Aesthetic Lane

  
  
  

  2909 N Orange Ave # 105
  Orlando, 32804-4639

  (407) 601-0753

• Health Flights Solutions

  
  
  

  1360 Lake Baldwin Ln # B
  Orlando, 32814-6664

  (321) 206-8820

• Innovative Medical Staffing

  
  
  

  100 S Orange Ave # 800
  Orlando, 32801-3226

  (407) 377-0269

• Iron Mountain

  
  
  

  PO Box 590295
  Orlando, 32859-0295

  (407) 851-8557

• Iron Mountain

  
  
  

  3600 Shader Rd
  Orlando, 32808-3124

  (407) 851-6063

• Iron Mountain

  
  
  

  3608 Shader Rd
  Orlando, 32808-3124

  (407) 291-6922

• Iron Mountain

  
  
  

  7466 Chancellor Dr
  Orlando, 32809-6214

  (407) 859-7308

• Iron Mountain

  
  
  

  7558 Southland Blvd # 100
  Orlando, 32809-6985

  (407) 851-8557

• Laser Center Of Orlando

  
  
  

  891 Outer Rd # C
  Orlando, 32814-6605

  (407) 648-8788

• Leidos Inc

  
  
  

  12901 Science Dr
  Orlando, 32826-3014

  (407) 208-1511

• Medusind Solutions Inc

  
  
  

  7083 Grand National Dr # 102
  Orlando, 32819-8942

  (949) 240-8895

• Net Medical Solutions Inc

  
  
  

  2501 N Orange Ave # 505
  Orlando, 32804-4674

  (407) 601-5413

• Orlando Health Info Mgmt Dept

  
  
  

  1414 Kuhl Ave
  Orlando, 32806-2093

  (321) 841-4800

• Orlando Regional Med Ctr Med

  
  
  

  52 W Underwood St
  Orlando, 32806-1110

  (321) 841-5167

• P Phillips Hosp Med Records

  
  
  

  9400 Turkey Lake Rd # R
  Orlando, 32819-8001

  (407) 351-8532

Looking for a different city? Here are some nearby.

Other Orlando business topics.

• Benefits Of Outsourcing Medical Billing