Last Modified: 9/13/2023
Location: FL, PR, USVI
Business: Part A, Part B
• Harvey Dikter, President and CEO
• Deborah Taylor, Vice President and Chief Operating Officer
• Tom Hinkson, Vice President of Operations
• Kim Martin, Vice President of Operations
• Susan Williams, Vice President of Operations
• Eileen Smink, Director and Compliance Officer
• Kimberly Karnes, MAC Contract Program Director
Whether you’re a new or a seasoned Medicare provider, it is sometimes difficult to find your way through the twists and turns of the dynamic Medicare environment. First Coast can help.
First Coast has built a distinguished reputation as one of the nation’s largest and most trusted Medicare administrators since the program’s inception in 1966. First Coast’s exemplary record is founded upon its steadfast philosophy of the right things, the right way
as well as its long history of diligent compliance with CMS guidelines and regulations. Visit our corporate website for additional information .
For more than 50 years, First Coast’s mission has been strongly linked to both the Medicare program and the beneficiaries it serves. Over the years, First Coast has developed a comprehensive knowledge of the intricacies of the Medicare program and has shared the benefits of its collective experience with members of its provider community.
First Coast is the MAC for Florida, Puerto Rico, and the U.S. Virgin Islands, and its services include claims processing, customer service, provider audit and reimbursement, provider enrollment, and the provision of provider education and resources.
First Coast serves a diverse provider community comprised of health care facilities and professionals with different interests due to geographic location, specialty, or language preference. One of the most important facets of First Coast’s reputation is its strong dedication to customer service as well as its commitment to continuous quality improvement. First Coast’s customer-first initiative has resulted in consistently higher levels of customer satisfaction as well as official recognition from CMS.
First Coast’s provider outreach and education (POE) and provider website teams work closely with members of the customer service team as well as other operational areas to ensure that providers have access to the best Medicare training and online resources available and whenever possible, to have that access in the language of their choice.
Throughout its tenure, First Coast has researched industry trends, listened to provider feedback, and utilized the latest technology to ensure that providers not only have the Medicare resources they need but also can choose when and how they will receive them. From scheduling more frequent eNews communications to offering the convenience of a Spanish as well as an English provider website, First Coast consistently strives to offer providers the advantage of convenient access to the most current program information as well as the cutting-edge tools they need to submit Medicare claims efficiently as well as successfully.
offer providers an array of online resources, including the latest Medicare news as well as a comprehensive publications archive, fee schedule and local coverage information, an educational events calendar, forms, tutorials, and a variety of other provider resources available exclusively from First Coast. First Coast’s eNews
service offers providers the advantage of receiving regularly scheduled, email notifications (in English or Spanish) to keep them informed not only of upcoming educational opportunities but also of important changes to the Medicare program itself.
The POE team offers providers several educational opportunities throughout the year, including numerous training webinars, a virtual Medicare Speaks symposium, videos, and access to recordings of most webcasts.
First Coast is always looking forward and continues to enhance the services it furnishes its provider community. Providers’ comments and suggestions drive everything First Coast does.
Tell First Coast’s management team
exactly what you think about your experience with any part of First Coast.
• General inquiry request
-- use this form to submit general inquiries regarding Part A or Part B of the Medicare program.
As it continues to grow, First Coast will never lose sight of its mission: To provide the highest quality service possible for all of its customers and to safeguard the integrity of the Medicare program.
First Coast is dedicated not only to providing the best service to its customers but also to finding the best employees who embrace our company values -- the right things, the right way. First Coast is an equal opportunity employer and offers a wide array of career options including:
• Medicare claims processing and review
• Customer service
• Provider education and outreach
• Medicare appeals: Review and processing
• Medical review
• Human resources
• Information technology (IT)
• Other support areas
As a company, First Coast is committed to promoting a work/life balance and to providing competitive total compensation packages for its employees. Please visit First Coast’s Career Center
to learn about current career opportunities.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.