Summary: “The best medical billing companies in Miami include Transcure, which runs seven AI agents across every step of RCM. Those agents clear the prior authorizations and referrals that Medicare Advantage HMOs require. Other top Miami companies include OZ Medical Consulting, Modern Medical Billing, Medical Billing Miami Beach, and RCM Workshop.”
Medicare Advantage is not a segment of the Miami market. It is the market. Per CMS enrollment data, Miami-Dade offers 46 Medicare Advantage plans in 2026, and 31 of them are HMOs holding roughly 94% of county MA enrollment.
HMO means referrals, assigned primary care physicians, and narrow networks. It also produces denials that barely exist in a PPO-heavy market, alongside prior authorization volume and risk-adjustment coding that feeds plan revenue. UnitedHealthcare and Humana carry the largest books here.
Add Florida’s 16% marketplace denial rate, per KFF, and the margin for a coding error gets thin. Practices that outsource medical billing services in Miami recover what the plans hold back. Here are the 10 best billing companies in the metro:
| Company | Rating | Best For |
|---|---|---|
Transcure
|
Best For: Full RCM, Medicare Advantage and HMO Denials | |
OZ Medical Consulting
|
Best For: Medical and Dental Under One Roof | |
Modern Medical Billing
|
Best For: Air Ambulance, Birthing, and DME | |
Medical Billing Miami Beach
|
Best For: Practices Wanting Published Pricing | |
RCM Workshop
|
Best For: Prior Authorization at Volume | |
Resilient Medical Billing Services
|
Best For: Chronic Care and Remote Monitoring | |
BC Medical Billing
|
Best For: Aged A/R Recovery | |
South Bill Care
|
Best For: Pediatric Therapy Practices | |
My Billing Company
|
Best For: Small Practices and Soft Collections | |
MDinTouch
|
Best For: Transcription and Scribes with Billing |
1. Transcure
★★★★★ 5.0
Transcure is a medical billing company in Miami, Florida, billing for practices across Miami-Dade from our Florida office. Most of your Medicare patients sit on an HMO Advantage plan, which puts a referral or an authorization between the visit and the payment.
PRIA handles prior authorizations with over 97% accuracy, so your front desk stops losing afternoons to payer hold music. CODIN reads the clinical note and applies the diagnosis codes risk adjustment depends on, which protects the plan revenue your contract is priced against.
When Idaho Kidney Institute came to us, $300,000 was stuck past 60 days, most of it from medical necessity rejections and invalid modifiers. We cleared two thirds of it in 90 days. That same denial work applies whether the payer is Humana, UnitedHealthcare, or Florida Blue.
| Category | Details |
|---|---|
| Best For | Miami practices with heavy Medicare Advantage HMO panels where referrals and prior authorizations drive denials. |
| Key Highlights |
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| Location | Oviedo, FL |
2. OZ Medical Consulting
★★★★★ 4.9
OZ Medical Consulting is a Miami medical billing company based in Aventura, serving small and mid-sized practices. The team holds AAPC, HBMA, and BCOA credentials and works under the infrastructure of ClaimTek Systems. Services run across billing, coding, credentialing, EHR, revenue cycle management, and practice consulting.
Dental sits alongside medical here. The firm bills both, which suits a practice running a dental arm or a periodontist billing medical for implant and surgical cases. Their published client work spans chiropractic, gynecology, reproductive endocrinology, and periodontics.
| Category | Details |
|---|---|
| Best For | Miami-Dade practices running both medical and dental lines who want one billing partner for each. |
| Key Highlights |
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| Location | Aventura, FL |
3. Modern Medical Billing
★★★★★ 4.9
Modern Medical Billing is a Miami-based medical billing company serving providers in all 50 states and internationally. The firm reports a 99% clean claims rate and assigns a dedicated account manager to every practice. Billing runs month to month with no binding terms.
Their specialty list runs into places most billers avoid. Alongside standard physician work, they bill air ambulance, birthing centers, midwifery, DME, HME, and orthotics and prosthetics. Each of those carries its own documentation and modifier rules that a general biller has usually never touched.
| Category | Details |
|---|---|
| Best For | Miami facilities and non-physician providers in transport, birthing, or equipment billing. |
| Key Highlights |
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| Location | Miami, FL |
4. Medical Billing Miami Beach
★★★★★ 4.9
Medical Billing Miami Beach is a Miami medical billing firm that has served Florida providers since 2009. The team is AAPC-certified and holds MGMA membership, covering more than 20 specialties. Credentialing typically runs 60 to 120 days, including CAQH, EDI, ERA, and EFT setup.
Their pricing is published rather than quoted. Billing runs 5.6% to 10% of collected revenue with no setup fees and no monthly retainers, with the exact rate set by practice size and complexity. Published case work includes a family medicine practice that moved from a 15% denial rate to 3% and lifted collections 22% in six months.
| Category | Details |
|---|---|
| Best For | Miami practices that want a rate quoted upfront rather than negotiated after a discovery call. |
| Key Highlights |
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| Location | Miami, FL |
5. RCM Workshop
★★★★★ 4.8
RCM Workshop is a Coral Gables medical billing company in Miami with a second Florida office in Sarasota. The firm publishes a 97% clean claim rate, a 96% net collection rate, and write-offs under 1%. It covers 35+ specialties across physician practices and facilities, and holds HIPAA and ISO 27001 compliance.
They charge per full-time employee rather than per dollar collected. That fixed-fee model changes the arithmetic for a high-volume practice, where a percentage rises with revenue, and a headcount fee does not. Contracts carry a 30-day exit and no setup, IT, or transition charges.
| Category | Details |
|---|---|
| Best For | Higher-volume Miami practices where a percentage fee costs more than dedicated staff would. |
| Key Highlights |
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| Location | Coral Gables, FL |
6. Resilient Medical Billing Services
★★★★★ 4.6
Resilient Medical Billing Services is a Miami medical billing provider on Brickell Avenue, with a second office in Houston. The firm reports collection ratios above 95%, turnaround of 7 to 14 days, and revenue increases of 20 to 25%. Specialty coverage centers on mental health, wound care, OBGYN, oncology, cardiology, dental, ENT, and urology.
Two revenue streams sit outside the claim itself. Resilient runs chronic care management and remote patient monitoring programs, both of which bill as separate recurring services and are commonly left on the table. Their published reviews concentrate heavily on credentialing turnaround.
| Category | Details |
|---|---|
| Best For | Miami practices with chronic-care panels who want CCM and RPM billed alongside standard claims. |
| Key Highlights |
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| Location | Miami, FL |
7. BC Medical Billing
★★★★★ 4.6
BC Medical Billing is a medical billing firm in Miami based in Miramar, led by owner Belinda Caballero, with a second office in Oklahoma City. The firm is BBB accredited and works across billing and coding, insurance contracting, and revenue cycle management for practices, hospitals, and facilities.
Their clients see an average 40% revenue increase in the first year, by the firm’s own account. A/R audit and recovery runs as a separate service line rather than a task inside billing, aimed at aging claims and outstanding balances that have already stalled.
| Category | Details |
|---|---|
| Best For | Miami-metro practices carrying aged receivables from a previous biller. |
| Key Highlights |
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| Location | Miramar, FL |
8. South Bill Care
★★★★★ 4.5
South Bill Care is a medical billing agency in Miami that works only with pediatric therapy practices. Coverage spans speech, occupational, physical, and behavioral therapy, and the firm reports a 99% claim acceptance rate. Clients including DHB Therapy and Speech of Miami have been with them since 2016.
One service on their list is pure Florida. They manage AHCA clinic exemption filings, collecting the documentation and submitting the application, which a practice billing insurance in Florida may need before claims can be paid. Insurance contracting for Medicaid and private payers runs alongside it.
| Category | Details |
|---|---|
| Best For | Miami pediatric therapy practices in speech, OT, PT, or behavioral therapy. |
| Key Highlights |
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| Location | Miami, FL |
9. My Billing Company
★★★★★ 4.2
My Billing Company is a Miami medical billing agency based in Davie with over 20 years in the field, serving providers nationwide. The firm covers billing and coding across every area of medicine, provider enrollment, and EHR system support. Claims go out within 24 hours of receipt.
Soft medical collections is where they differ. Rather than routing past-due patient balances to an agency, the firm acts as a third-party intermediary on those statements, which keeps the patient relationship intact. They report payment landing within 5 to 15 business days.
| Category | Details |
|---|---|
| Best For | Small Miami-metro practices needing patient balance recovery without an outside collections agency. |
| Key Highlights |
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| Location | Davie, FL |
10. MDinTouch
★★★★★ 3.9
MDinTouch is a medical billing provider in Miami founded in 1998, making it the longest-running firm on this list. CEO Kent Wreder leads a US-based team serving small physician practices nationwide. The firm is a Practice Fusion Certified Consultant and supports EMR integration with Care360 and Modernizing Medicine.
They document as well as bill. Alongside claims work, MDinTouch provides US-based EMR transcriptionists, remote scribes, and digital dictation through Dragon Medical, all feeding directly into the chart. Their proprietary workflow system routes claims using rule-based and AI algorithms, with denial cause tracked and fed back into prevention.
| Category | Details |
|---|---|
| Best For | Solo and small Miami practices wanting documentation support bundled with billing. |
| Key Highlights |
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| Location | Miami, FL |
How Did Our Editors Select the Top Medical Billing Companies in Miami?
We built the initial list from Google Business Profile listings, Yelp directories, and Google SERP results for medical billing in Miami. Every company had to show a verified address in the Miami metro, active client reviews, and providers it currently serves locally. Companies serving Miami from outside the metro were removed.
Each surviving company was then scored against five factors. We weighted Medicare Advantage capability highest, because Miami-Dade runs one of the most MA-saturated payer mixes in the country.
- Documented handling of Medicare Advantage HMO rules, including referrals, prior authorization, and risk-adjustment coding
- Verifiable performance data such as clean claim rate, A/R days, and collection rate, confirmed on company-owned sources
- Specialty or provider-type depth matched against the practices actually operating in Miami-Dade
- Florida-specific compliance handling, including AHCA requirements and Florida Medicaid managed care
- Client review volume and recency across Google, Yelp, and BBB
Ranking order reflects the combined score across all five factors, not the star rating alone. Where ratings tie, review volume breaks the tie. Star ratings show aggregate client sentiment only, and most practices weigh client references more heavily than star counts.
Which Is the Best Medical Billing Company in Miami?
Across the ten companies above, one stands out on breadth and measurable performance. Transcure is the best medical billing company in Miami. Seven AI agents cover every RCM step, first-pass clean claims hold at 98%, A/R runs 24 days, and the flat 5% includes credentialing and old A/R recovery rather than billing them separately. That scope matters most in a market where prior authorization volume is the main drag on cash. Our billing support for Florida practices extends statewide from the same team.
Why Does Medicare Advantage Make Miami Billing Different?
Miami-Dade runs one of the most Medicare Advantage-saturated markets in the country, and the large majority of that enrollment sits in HMO products rather than PPOs. HMO design requires an assigned primary care physician and a referral for specialty care, so claims deny for network and referral reasons that rarely appear elsewhere. Prior authorization volume is higher, and diagnosis coding feeds plan risk adjustment, which makes documentation quality a revenue issue rather than a compliance one.
What Is an AHCA Clinic Exemption and Does My Miami Practice Need One?
Florida’s Health Care Clinic Act requires many clinics that bill insurance to hold a license from the Agency for Health Care Administration. Certain practices qualify for an exemption, most commonly those wholly owned by licensed physicians. Billing insurance without either a license or a valid exemption can make those claims unpayable, so the filing is worth confirming before a new Miami clinic submits its first claim.
What Changed for Prior Authorization in 2026?
The CMS Interoperability and Prior Authorization Final Rule took operational effect on January 1, 2026. Impacted payers must now decide standard requests within 7 calendar days and expedited requests within 72 hours, and must give a specific denial reason. The rule reaches Medicare Advantage plans, Medicaid and CHIP managed care, and marketplace plans, which covers nearly all of Miami’s payer mix.
What Does It Cost To Outsource Medical Billing in Miami?
Published rates in Miami run from roughly 2% to 10% of collections, but the range is not comparable without scope. Lower percentages are usually large-client rates covering core billing only, with pre-authorization, patient statements, and credentialing billed separately. Some firms charge a fixed fee per full-time employee instead. Transcure charges a flat 5% regardless of practice size, covering end-to-end RCM, complimentary credentialing, and old A/R recovery.
What Are the Best Medical Billing Companies in Florida?
Florida’s leading billing companies reach well past Miami-Dade. Transcure leads the statewide list with a 98% first-pass clean claim rate and a Florida office in Oviedo. PracticeForces and MGSI both work out of Tampa Bay, while One Source Medical Billing serves South Florida from Coconut Creek.
