Pediatrics Billing Services for Jacksonville, FL Providers
Jacksonville pediatricians manage everything from preventive well-child visits to chronic disease care, often under tight reimbursement conditions from Medicaid (Florida Healthy Kids), Medicare, and private insurers like Florida Blue and Humana. That makes accurate billing and fast revenue turnaround essential.
At CLICKVISIONBPO, we provide end-to-end pediatrics billing services for Jacksonville-based providers—handling payer-specific rules, CPT/ICD-10 coding for pediatric procedures, and compliance with Florida Medicaid policies. Our team supports pediatric clinics and group practices across Duval, Clay, St. Johns, and Nassau counties.
Our Pediatric Medical Billing Services for Jacksonville Providers
Patient Registration & Insurance Verification
We verify insurance eligibility for Medicaid plans, CHIP, and commercial payers, ensuring clean claims before the visit begins.
Accurate Coding & Claims Processing
Our coders handle age-specific services like developmental screenings, immunizations (e.g., 90460–90474), and ADHD consultations—minimizing denials and maximizing first-pass acceptance.
Payment Processing & Reimbursements
We ensure accurate posting of payments from insurers like Florida Blue, Aetna Better Health, and Sunshine Health. Our team tracks underpayments and follows up proactively.
Denial Management & AR Recovery
We manage claim denials related to modifiers, prior authorizations, and medical necessity—critical for pediatric providers managing multiple payer requirements.
Compliance & Documentation Review
We align all billing practices with CMS, Florida Medicaid, and HIPAA standards, integrating smoothly with your EMR/EHR systems (e.g., eClinicalWorks, Athenahealth).
Why Jacksonville Pediatric Practices Choose CLICKVISIONBPO
Experience with Florida Medicaid & Commercial Plans
We understand the nuances of Healthy Kids, Sunshine Health, and UnitedHealthcare Community Plan—ensuring precise submission and reimbursement.
Pediatric-Specific Coding & Support
From vaccine billing to autism screening codes (e.g., 96110, 96127), our team stays current with pediatric updates and payer rules.
Scalable Support for Small & Large Practices
Whether you're a solo pediatrician in Arlington or part of a multi-location practice in Riverside or Mandarin, we scale with your needs.
RCM That Improves Cash Flow
From eligibility through payment posting, our RCM process shortens AR days and improves collection rates across the board.
Specialized Pediatrics Billing Services for Jacksonville Providers
We partner with independent providers, hospital systems, and specialty provider groups throughout Jacksonville. Our services include:
Newborn & Infant Care Billing
Billing for hospital discharge, neonatal follow-ups, and early immunization schedules—coded accurately to payer guidelines.
Preventive Care & Annual Wellness Billing
Support for EPSDT visits, well-child exams, vision/hearing screening, and immunizations with appropriate age-based CPT codes.
Chronic Pediatric Condition Billing
Claims management for conditions like asthma, ADHD, Type 1 diabetes, and congenital disorders, ensuring proper documentation and modifier use.
Pediatric Behavioral Health Billing
Billing for developmental screening, counseling (e.g., 96127, 90832), and behavioral assessments, often under multiple plans or Medicaid carve-outs.
Vaccine & Immunization Billing
We manage age-specific vaccine codes, VFC compliance, and state registry documentation to support public health program reimbursements.
Help center
Got a question?
Get your answer
Quick answers to questions you may have. Can't find what you're looking for? Get in touch with us.
We offer full-service RCM, including registration, coding, claim submission, payment posting, denial appeals, and compliance for pediatric specialties.
We support pediatricians across Jacksonville and nearby communities like Orange Park, Ponte Vedra, Atlantic Beach, and St. Augustine.