According to Statista, Florida ranks second among all states for Medicare beneficiaries, with the number reaching close to 5 million. With this huge number, the 16% average denial rate for insurers in Florida is a big problem for practices that lose significant revenue during the billing process.
These denials and delays directly hit cash flow, with AR days stretching past 60, resulting in millions in unrecovered revenue. That’s why outsourcing the hectic task of filling medical bills to top medical billing companies in Florida is very important. A partner delivering 95%+ first-pass claim rates and cutting AR time by 30 to 50% frees you to focus on patient care without worrying about revenue loss.
Best Medical Billing Companies in Orlando, Florida: A Comparison
Here is a simpler breakdown of the best companies in Orlando, FL, that provide medical billing services:
| Company | Clean Claim Rate | AR Days Reduction | Compliance & EHR Integration |
|---|---|---|---|
| Transcure | 98% (RPA-enabled) | 30 to 50% reduction | Covers CS/SB 264, Sec 641; integrates w/ 30+ EHRs |
| Vista Nona Billing | Not disclosed | Manual AR handling | Local compliance focus; custom workflows only |
| Quest National Services | Not disclosed | 19 days faster | HIPAA-focused; supports 15+ EHRs |
| Streamlined Billing | Moderate (pre-scrubbing) | Case-by-case | Compatible with Office Ally, Athena, Kareo, etc. |
| Primrose Health | High (AI-aided) | Not disclosed | HIPAA-secure; in-house clearinghouse |
| AlphaMed Solutions | Moderate (custom audits) | 30% uplift reported | HIPAA; proprietary portal; MRMAA member |
| Medical Billers & Coders | Same-day submissions | 20% avg revenue gain | Covers 10+ EMRs; “HI + AI” model |
| Allied Billing Services | Not disclosed | 10% revenue boost (60d) | Pay-per-collection; clearinghouse setup |
| Emerald Health | <3% denial rate | Denial reduction focused | KPI dashboards; chronic-care compliance |
| Medwave.io | High (auto-scrubbed) | Bulk AR recovery offered | FHIR/HL7 enabled; deep payer integration |
1. Transcure
Transcure is a distinguished medical billing company in Orlando, Florida, offering comprehensive medical billing solutions to healthcare providers of all sizes. With over 12+ years of experience, it specializes in streamlining patient demographic information, eligibility verification, medical coding, and charge entry. They lean on RPA-enabled workflows to achieve 98% first-pass clean claim rates and typically close claims within 48 hours, slashing payment timelines.
Dealing with 40+ specialties, Transcure boasts a team of 1100+ certified billers and coders that address ICD‑10/CPT/HCPCS coding and patient collections. Furthermore, their Florida-specific coverage includes complementary credentialing support, compliance audits, and integration with 30+ EHR platforms, like Epic and Athena. Boasting over $500 M in claims processed, Transcure regularly delivers a 30% reduction in AR days and a 5 to 10% revenue lift for clients.
Why Transcure Should Be Your Billing Partner
- Serving clients across Florida, including in Orlando, Miami, and different counties.
- Compliant with HIPAA and medical billing laws in Florida.
- Billers trained in Florida billing laws, including CS/SB 264, Section 641, Section 456.0575, & more.
- 48 hours turnaround time (TAT)
- Strong 256-bit encryption and two-factor authentication
2. Vista Nona Billing & Coding
Based at Narcoossee Rd in Orlando, Vista Nona specializes in a consultative billing approach for Central Florida practices. Their team (25+ years combined) handles coding, AR follow-up, appeal filing, patient collections, and full practice setup. Every engagement starts with a detailed workflow review to identify bottlenecks, optimize payer-specific coding, and launch tailored denial appeal strategies.
Being a local company, their onshore team is always accessible to provide support to the practices. Similarly, their locality also helps them have a better on-ground idea of the local billing issues and their solutions. Vista Nona customizes documentation templates, trains in-house staff, and monitors compliance. As a full-stack solution with collections and practice setup services included, they deliver measurable cost savings and revenue lift through hands-on partnership.
Key Highlights
- Works with any company size
- Personalized workflows & payer training
- On-site consulting and remote services
- End-to-end: setup, coding, claims, AR, appeals
3. Quest National Services
Quest National Services helps practices increase their medical billing revenue by 15% through their experienced team of Orlando, FL medical billing professionals. With the expertise of their onshore team, the company reports 19 fewer days in recovering A/R for their clients. Licensed and experienced, they adapt to your EMR to avoid system-switch complications, all while speeding reimbursements. The company provides its medical billing services to over 40 states in the United States.
Beyond core billing, Quest provides a “one-stop shop” for practice needs, including EMR/EHR software, contracting, credentialing, accounting, and HIPAA compliance solutions. Due to their services, they have been named among the top 10 RCM providers by HealthcareTech. Apart from that, they offer software choices from more than 15 of the top medical software developers, making it easier to build custom software for specific practice needs.
Key Highlights
- Custom service packages (“pay only for what you need”)
- Dedicated account managers, virtual RNs, and EMR/EHR software compatibility.
- Specialized medical recruiting services
- Medical records management and prescription refills
4. Streamlined Billing Solutions
Streamlined Billing Solutions delivers a modern full‑spectrum RCM offering in Orlando, specializing in medical billing and coding services in Florida. Located at 255 S Orange Ave, they combine expert billing, coding, credentialing, and IT support tailored to practices of all sizes. Their certified coders work with Office Ally, eClinicalWorks, Athena, Kareo, SimplePractice, and more to align billing with tech stacks to reduce errors and accelerate reimbursements.
Additionally, their monthly performance reports track denial trends, credentialing, etc., and ensure provider enrollment. Their targeted services make them ideal for smaller Orlando practices needing both RCM and tech alignment under one provider. With services also involving real‑time IT & technical support, Streamlined adapts to your systems and delivers compliant Florida medical billing company solutions.
Key Highlights
- Pre‑submission claim scrubbing to minimize denials
- Personalized technical support and credentialing
- Hybrid service model: remote billing and onsite workflow optimization
- Client-facing dashboards with practice-level metrics and transparency
5. Primrose Health
With end-to-end healthcare solutions for practices, Primrose Health is one of the best medical billing companies in Orlando, Florida. They also provide VA services for startups that don’t have access to staff yet. Their services include error-free charge entry, precise CPT/ICD‑10 coding, prior authorization management, AR follow‑up, and payment posting. They combine these with an in‑house clearinghouse and HIPAA-compliant processes, achieving high first-pass approval and faster payment cycles.
What truly distinguishes Primrose is their startup-centric platform: they assign virtual front desk assistants, automate eligibility verification and billing workflows via AI. Additionally, they provide a bundled practice management and marketing suite, with two different pricing plans. This includes clearinghouse access and a fully‑featured PM system at no additional cost.
Key Highlights
- AI agents for automated authorizations and front desk support
- No setup fees; onboarding tailored for early-stage or growing practices
- Refund guarantee if targets aren’t met within 3 months
- Enhanced Plan: 5% of collections and Premium Plan: 6% of collections
6. AlphaMed Solutions
Locally owned in Windermere, AlphaMed Solutions offers end-to-end revenue cycle management built around accuracy and compliance. Services range from EHR/PM integration, EFT/ERA/EDI setup, to denial analysis and tailored appeals. With industry roots dating back 25+ years, they’ve empowered 94 providers to improve net revenue and reduce denials while maintaining HIPAA-aligned processes and ethical billing standards.
As an MRMAA member, they enhance workflows across family practice, cardiology, physical therapy, and behavioral health. Furthermore, their tailored iClaim platform provides real-time access to billing status and detailed performance dashboards. Similarly, their monthly performance reporting helps practices identify coding inefficiencies, reduce claim rejections, and improve net collections. With their backgrounds in pharmacy and insurance, the founders deepen their consultative edge and deliver data-driven decision support.
Key Highlights
- Operates across all 50 states, serving 94 Orlando-area providers
- 24/7 tech support team for EHR/PM & payment system integration
- 50% reduction in denials and 30% revenue uplift
- Proprietary iClaim web portal for 24/7 claim status & reporting
7. Medical Billers and Coders
Medical Billers and Coders (MBC) has provided full-service medical billing and coding services in Florida for over 25 years. Known for same-day claim submissions, they streamline workflows across specialties like podiatry, hospitalist billing, dermatology, rheumatology, etc. They deliver weekly/monthly productivity and AR reports, fee-schedule optimization, and HIPAA-compliant EMR support. Their coverage of EMR platforms like GE Centricity, eClinicalWorks, Medisoft, and NextGen ranks them among the best medical billing companies in Orlando, Florida.
Also, their medical billing services mostly suit the hospitalists with multi-tiered appeal systems. Their clients have reported an average of 20% revenue increase after taking advantage of their services. For accuracy and expertise in submitting claims, they use what they call “Human Intelligence (HI)” along with artificial intelligence. Coupling these two things together, Medical Billers and Coders have helped practices get $1 Billion+ in A/R.
Key Highlights
- Understands Medicaid and commercial payer regulations
- Multi-tier appeals and denial elimination programs
- Specialty-specific verticals: podiatry, rheumatology, optometry, hospitalist
- Same‑day claim processing for accelerated cash flow
8. Allied Billing Services
Allied Billing Services is a Florida-based medical billing company with over 30 years of experience. The company mostly serves physician groups and ASCs from Orlando’s hub and locations in Kissimmee, Viera, Clermont, and beyond. They offer comprehensive RCM, which includes medical billing, contracting support, provider credentialing, coding consulting, etc. Apart from that, their AR follow-up system is designed to boost revenue by 10% within 60 days.
As with many competitors, their approach is success-based: they bill only once your claims are collected, ensuring alignment with your cash flow objectives. Allied deploys AAPC-certified CPC coders who perform real-time insurance verification, preauthorization services, soft collection, and refund processing. Their services are tailored to Florida practices’ payer landscape, and they adapt contracts, setup clearinghouse connections, and manage underpayments or overpayment disputes.
Key Highlights
- Pay-per-collection model charges according to the revenue
- Pre-visit insurance preauthorization for high-balance cases
- Refund initiation aligned with client-specific procedures
- Supported multi-site practices across ten Florida markets
9. Emerald Health
Emerald Health in Orlando specializes in medical billing and chronic care management for multidisciplinary practices and healthcare companies. Their RCM suite includes eligibility verification, tailored coding audits, claim submission, denial management, payment reconciliation, and patient statements. Similarly, all these services are HIPAA-compliant and tech-enabled to ensure legal compliance and workflow efficiency. They also advise on chronic care solutions and EHR adoption, reducing denials and enhancing operational efficiency for senior-focused and multi-provider clinics.
By working with Emerald Health, practices enjoy improved cash flow, fewer administrative headaches, and better compliance across federal and Florida-specific standards. With a denial rate under 3% and near-100% client retention, they focus heavily on operational excellence and cash flow consistency.
Key Highlights
- Specialty coverage: physiatry, endocrinology, sleep medicine, behavioral health
- Dedicated staff augmentation and chronic-care billing expertise
- Advanced KPI dashboards covering AR days and net collection
- Multi-channel patient billing: phone, email, print
10. Medwave.io
Medwave.io offers comprehensive medical billing, credentialing, payer contracting, and rate negotiation services to Orlando and other Florida area practices. Their team specializes in handling a wide range of specialties, from behavioral health and oncology to urgent care and teleneurology. Apart from that, they also handle DME, genetic testing, infusion therapy, sleep labs, and telehealth offerings.
They streamline billing through automated claim scrubbing, electronic submissions, denial appeals, and AR recovery. Plus, their services are anchored by HIPAA-compliant operations and HL7/RPA-enabled tech integrations. Additionally, Medwave’s platform delivers real-time dashboards, FHIR/HL7 interoperability, telehealth billing, and bulk AR reprocessing for legacy claims. Serving Orlando as part of a national footprint, they bring regional insurance expertise with scalable infrastructure and deep technical integration.
Key Highlights
- Specializes in niche areas: genetic testing, teleneurology, remote monitoring
- Managing payer contracts and rate negotiations alongside billing
- Full credentialing lifecycle: CAQH and NPI setup, recredentialing, profile upkeep
- Real-time dashboards with FHIR/HL7 data exchange and RPA-enabled workflows
Conclusion
Orlando’s medical billing market is crowded, but only a few companies consistently move the needle on collections and compliance. Whether it’s automation from Medwave.io, chronic care specialization at Emerald Health, or the personalized consults from Vista Nona, each billing partner brings a specific strength. But most still fall short on high clean-claim rates, turnaround time, or multi-specialty adaptability.
If you’re looking for billing results, then the partner leading with automation, local legal fluency, and real-time visibility into your revenue cycle is the smarter choice. A company that can close claims in 48 hours, cut AR by nearly half, and navigate Florida’s complex payer rules is what separates operational chaos from reliable cash flow. Hence, considering all these requirements, Transcure is a more reasonable option among all the medical billing companies in Orlando.
