Recruiting and HR
Hire a medical assistant: recruiting for Florida medical practices
To hire a medical assistant in Florida, start with the duties, not a license: the statute defines a medical assistant by the "direct supervision and responsibility of a physician," and "certified medical assistant" is a designation earned through certification (s. 458.3485, F.S.). We assist with recruitment, candidate screening and pre-qualification for direct hire: the person you choose joins your own payroll.
The short answer
How do I hire a medical assistant in Florida?
Start from the duties s. 458.3485(2) lists; Florida issues no medical assistant license. Before the offer, verify the certification behind a "certified" title, the DOH certificate for X-ray work and the OIG exclusion list, and set pay against the Miami-metro median of $21.60 an hour (May 2025). The Advixor Group assists with recruitment, candidate screening and pre-qualification for direct hire, onto your own payroll.
Sourcess. 458.3485s. 468.30242 CFR 1001.1901BLS wage statistics
Direct Hire
How we help you hire a medical assistant: direct hire onto your payroll
You keep final authority over every employment decision: hiring, compensation, classification, discipline and termination. We recruit medical assistants for the specialties and markets you need and screen each candidate against your job description before presenting anyone.
Medical assistant recruiting
For your direct hire, we:
- Assist with recruitment, candidate screening and pre-qualification
- Develop and update the job description
- Provide onboarding and orientation support
- Coordinate the training the role needs (HR and staff training)
Duties and Supervision
Before you hire a medical assistant: Florida’s duty list and who supervises
Section 458.3485(2) lists what a medical assistant may do “under the direct supervision and responsibility of a licensed physician”:
- Aseptic procedures
- Taking vital signs
- Preparing patients for the physician’s care
- Venipunctures and nonintravenous injections
- Observing and reporting patients’ signs or symptoms
- Basic first aid
- Assisting with patient examinations or treatments
- Operating office medical equipment
- Collecting routine laboratory specimens and administering medication “as directed by the physician”
- Basic laboratory procedures
- Office procedures including all general administrative duties the physician requires
- Dialysis procedures, including home dialysis
Write the job description from that list.
| Task | What Florida says | What else it takes |
|---|---|---|
| Vital signs, preparing patients, aseptic procedures | Listed duties ((2)(a)) | Medicare pays only incident to a practitioner, generally under direct supervision (42 CFR 410.26(b)(5)) |
| Venipuncture, nonintravenous injections, medication | Listed ((2)(a)4., (2)(f)) | The physician’s direction; IV injections aren’t listed |
| Lab tests | “Performing basic laboratory procedures” ((2)(g)); the statute doesn’t define the term | A CLIA certificate; documented training for moderate complexity (42 CFR 493.15(e), 493.1423(b)(6)) |
| X-rays | Not on the list | A DOH radiologic technology certificate, such as Basic X-ray Machine Operator (s. 468.302) |
| Front desk, scheduling, billing | Office procedures ((2)(h)) | An OIG exclusion check: federal programs pay for no item or service an excluded person furnishes (42 CFR 1001.1901(b)(1)) |
Sources ss. 458.3485 and 468.302, F.S.; 42 CFR 410.26, 493.15 and 493.1423, read Oct 20, 2026; 42 CFR 1001.1901, read Oct 17, 2026.
A physician assistant “may supervise medical assistants” (s. 458.347(4)(j)). We found no matching clause for APRNs in ss. 464.012 or 464.0123 (NP and PA credentialing). Rule 64B9-14 lets nurses delegate tasks to unlicensed assistive personnel, never assessment, nursing diagnosis, care planning or evaluation. Who supervises in a practice led by nurse practitioners, and whether a task is a nursing delegation or a physician-directed duty, are questions for your attorney.
Certification
What a medical assistant recruiter should verify: a certificate, not a license
A candidate who calls themself a “certified medical assistant” should hold the certification the statute names.
Ask for the certificate and confirm it with the body that issued it; for X-ray work, ask for the DOH certificate, and for lab work, the training record. We run those checks before we present a candidate.
“To obtain the designation of a certified medical assistant, the medical assistant must receive certification from a certification program accredited by the National Commission for Certifying Agencies, a national or state medical association, or an entity approved by the board.”
X-Rays and Labs
Medical assistant recruiters and the X-ray and lab questions
- X-rays. Only a licensed practitioner, or a certificate holder under a licensed practitioner’s direct or general supervision, may use radiation on a person (s. 468.302(1)). A Basic X-ray Machine Operator works under a licensed practitioner’s direct supervision and control in that practitioner’s office (s. 468.302(3)(a)) and may not work in walk-in emergency centers, which the statute says “shall not include a physician-operated walk-in clinic which operates with or without appointments and with extended hours and which does not hold itself out to the public as an emergency center” (s. 468.302(3)(b)). Whether yours qualifies is for your attorney.
- Lab tests. A waived-test lab must “Follow manufacturers’ instructions for performing the test.” For moderate-complexity tests, a high school graduate needs “documentation of laboratory training appropriate for the testing performed prior to analyzing patient specimens,” and the standard asks for a state license where the state requires one.
For billing, see the ancillary services guide.
Screening
Screening before you hire a medical assistant: Level 2 and exclusions
Screening follows the practice, not the title. An AHCA-licensed clinic (AHCA licensing) runs Level 2 on staff who give personal care or have access to clients’ funds, property or living areas, and a practice enrolled in Florida Medicaid on anyone rendering services to recipients; the AHCA background screening guide has the table. In a screened role, a new hire may train but may have no direct contact with vulnerable persons until Level 2 clears (s. 435.06(2)). For everyone, check OIG’s exclusion list before the offer; for clinical work billed incident to a practitioner, Medicare counts only auxiliary personnel who have “not been excluded from the Medicare, Medicaid and all other federally funded health care programs by the Office of Inspector General” (42 CFR 410.26(a)(1)).
Miami Pay
What to pay when you hire a medical assistant in Miami
In May 2025, the median Miami-metro medical assistant earned $21.60 an hour ($44,930 a year). Florida’s minimum wage rose to $15.00 on Sept 30, 2026, $2.14 below the medical assistant 10th percentile in the chart, which also shows nearby roles.
Source U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, read Oct 20, 2026 through its API.
First 20 Days
The first 20 days after you hire a medical assistant
As the employer of a direct hire, these clocks are yours.
- At initial assignment to tasks with occupational exposure: bloodborne pathogens training (29 CFR 1910.1030(g)(2)(ii)(A)).
- Within 3 business days of the first day of paid work: Form I-9, Section 2 (8 CFR 274a.2(b)(1)(ii)), and E-Verify if you have 25 or more employees (s. 448.095(2)).
- Within 10 working days of initial assignment: the hepatitis B vaccine made available (29 CFR 1910.1030(f)(2)(i)).
- Within 20 days of the hire date: the new-hire report (s. 409.2576(4)(a)).
- Within a reasonable period after joining: HIPAA training (45 CFR 164.530(b)(2)(i)(B)).
- In a screened role: the Clearinghouse roster status within 5 business days (s. 435.12(2)(c)2.).
We coordinate the training through compliance training; see the OSHA guide and the HIPAA checklist.
What’s included
What our support includes when you hire a medical assistant
HR and staff training
Job descriptions, onboarding and orientation support, and staff training coordinated to your needs.
Learn moreRecruiting and HR
Recruitment, candidate screening and pre-qualification for direct hire: the person you choose joins your payroll.
Learn moreCompliance training
HIPAA and OSHA courses and other workforce compliance training, coordinated to your needs.
Learn moreScope of practice
What a medical assistant may do under Florida law, who supervises, and which tasks need a certificate.
Learn moreAHCA background screening
Which practices screen staff through AHCA, and what a new hire may do before the result clears.
Learn moreOIG exclusion checks
How to run and document OIG exclusion checks before an offer and after the hire.
Learn moreQuick answers
What practices ask when they hire a medical assistant
How recruiters charge, whether Florida licenses medical assistants, how many work in Miami, CLIA for blood draws and scribing. Bring the rest of your hiring questions to a consultation.
How do medical assistant recruiters charge, and who pays?
Do medical assistants need a license in Florida?
How many medical assistants are there to hire in Miami?
Does my practice need a CLIA certificate if a medical assistant only draws blood?
Can a medical assistant scribe my notes or use AI transcription?
Talk to an advisor
You care for patients. Who’s taking care of the business?
Tell us where your practice is today. We will tell you what we would do first.
Official sources
- Florida Statutes (2026), read Oct 20, 2026: ss. 409.2576, 435.06, 435.12, 448.095, 458.3485, 458.347, 468.302 and 468.311
- eCFR (current as of Oct 19, 2026), read Oct 20, 2026: 8 CFR 274a.2; 29 CFR 1910.1030; 42 CFR 410.26, 493.15 and 493.1423; 45 CFR 164.530
- eCFR, 42 CFR 1001.1901, scope and effect of exclusion, read Oct 17, 2026
- Florida Administrative Code, Rule 64B9-14, read Oct 20, 2026
- CMS, Program Integrity Manual, chapter 3, §3.3.2.4, read Oct 20, 2026
- AHCA, Clinical Laboratories, read Oct 20, 2026
- BLS, Occupational Employment and Wage Statistics (May 2025) and Job Openings and Labor Turnover Survey (August 2026, preliminary), read Oct 20, 2026 through its API; FloridaCommerce, Florida Minimum Wage, read Oct 20, 2026