Texas · 16 firms listed
Medical Billing Companies in Texas
The short answer
We list 16 medical billing companies serving practices across Texas, with profiles covering specialties, services, and locations. Listings are alphabetical, with featured firms first.
Texas is one of the biggest markets for outsourced medical billing in the country, and it is easy to see why. There is no state income tax, the population keeps growing, and the big metros of Houston, Dallas-Fort Worth, Austin, and San Antonio keep adding practices. That growth has drawn a lot of billing companies into the state, which is great for choice and a lot to sort through.
This page lists 16 billing firms serving Texas practices, drawn from our directory of 142 verified firms nationwide. Each profile shows the specialties and services a firm covers, so you can shortlist candidates before you ever pick up the phone. Firms appear in alphabetical order, and any featured (paid) listings are clearly labeled.
Medical billing companies in Texas
Verified firms serving practices in Texas. All listings are unclaimed unless marked otherwise.
16 firms listed
Full-cycle revenue cycle management; serves cardiology, OB/GYN, neurology, and family practice.
Dallas, TX
Cardiology · Family Medicine · Neurology
Multi-specialty medical billing and revenue cycle management.
Frisco, TX
AI-driven revenue cycle management for practices of all sizes.
Austin, TX
Physician billing, DME and HME billing, urgent care, and hospital billing.
McKinney, TX
Medical billing and coding, claims submission, and accounts receivable follow-up.
Cedar Hill, TX
Home health billing and accounts receivable recovery.
Dallas, TX
Medical billing and revenue cycle management.
Plano, TX
Medical billing and coding services.
Houston, TX
Billing for workers compensation, pain management, internal and family practice, and physical therapy.
San Antonio, TX
Physical Therapy
Billing services for physician groups, hospitalists, and post-acute providers, with a software platform.
Austin, TX
Billing for primary care and specialty clinics.
Houston, TX
Billing services for behavioral health providers: therapists, psychologists, counselors, and psychiatrists.
Austin, TX
Behavioral Health
Full-cycle revenue cycle management including denials, audits, and credentialing for independent and multi-specialty practices.
Texas
Medical billing and revenue cycle management.
Dallas, TX
End-to-end revenue cycle management: insurance verification, accounts receivable and collections, and coding.
Houston, TX
Multi-specialty revenue cycle management.
Plano, TX
16
medical billing firms listed for Texas
Source: BillingFirms directory data
142
verified billing firms in the full directory
Source: BillingFirms directory data
4-10%
of collections: the fee range billing vendors commonly cite
Source: Industry vendor pricing pages (commonly cited range)
11.8%
initial claim denial rate reported by Kodiak Solutions in revenue-cycle trade press
Source: Kodiak Solutions, via revenue-cycle trade press
The Texas payer landscape
Blue Cross and Blue Shield of Texas is the dominant commercial carrier in most of the state, with UnitedHealthcare, Cigna, and Aetna also carrying large networks. Medicare Advantage keeps growing, especially around the big metros, and Texas Medicaid is largely delivered through managed care plans. That mix means Texas billers spend much of their day on managed care rules, prior authorizations, and payer-specific quirks.
One thing to know going in: Texas has historically had one of the highest uninsured rates in the country. Practices here tend to be good at patient collections out of necessity, so a billing partner should be strong on eligibility checks, upfront estimates, and payment plans, not just claim submission.
Why so many billing firms set up in Texas
A few things pull billing companies to Texas. The tax climate and low operating costs make it a natural home base, and the sheer number of practices means demand never really dries up. Houston's Texas Medical Center, one of the largest medical complexes in the world, anchors an enormous provider community, and tort reform in the early 2000s made the state famously physician-friendly, which helped the independent practice market grow.
The practical upshot is that Texas has billing firms of every shape: small shops serving a handful of specialties, and large operations with hundreds of clients. That variety is why comparing a few side by side matters more here than in smaller states.
What Texas practices should ask before signing
Start with specialty fit. A firm that lives and breathes orthopedics may not be the right pick for a behavioral health group, because coding rules, denial patterns, and payer mixes are completely different. Ask how many clients they serve in your specialty and what their first-pass denial rate looks like for those clients.
- Which specialties make up most of their client base, and can they show results there?
- How do they handle denial management: dedicated team or afterthought?
- What does reporting look like, and how often will you actually see your numbers?
- Who owns your billing data and clearinghouse enrollments if you leave?
- Is pricing a percentage of collections, per claim, or flat monthly, and what is excluded?
How billing firms usually price their work
Most firms charge a percentage of collections, and billing vendors commonly cite a range of 4 to 10 percent depending on specialty, claim volume, and how much of the revenue cycle they take on. Per-claim and flat monthly pricing also exist, usually for high-volume or narrowly scoped work. We cannot verify any individual firm's fees, so treat pricing as a conversation to have directly, and get the full scope in writing before you sign.
Frequently asked questions
How much does a medical billing company cost in Texas?
Most firms charge a percentage of collections, and vendors commonly cite 4 to 10 percent depending on your specialty and claim volume. Per-claim and flat monthly models exist too. We do not verify individual firm pricing, so ask each finalist for a written quote that spells out exactly what is included and what costs extra.
Should I choose a Texas-based billing company or a national firm?
A Texas-based firm may know BCBS Texas and the big regional payers cold, which helps with denials and appeals. A national firm may bring a deeper specialty bench and stronger technology. Either can work well. Judge candidates on specialty experience, denial rates, and reporting quality rather than on where they are headquartered.
How disruptive is switching billing companies?
Less than most practices fear, if it is planned. Practices often plan for 30 to 90 days of overlap while the old biller works down existing accounts receivable and the new firm takes on fresh claims. The risky part is the data handoff, so confirm who owns your clearinghouse enrollments and historical data before you give notice.
What specialties do Texas billing firms typically serve?
The firms on this page cover a wide mix, from primary care and urgent care to orthopedics, dermatology, dental, behavioral health, and DME. Use each profile's specialty list to build a shortlist, then ask finalists how many current clients they have in your specialty and what results they are getting there.
Are the firms on this page ranked or vetted?
No. Every firm shown is currently unclaimed and unfeatured, and listings appear in alphabetical order. This is a directory, not a ranking. If featured (paid) listings are added in the future, they will appear first and be clearly labeled. Our methodology page explains the full selection process.
How this list was made
Firms on this page come from the BillingFirms directory's verified firm data, filtered to companies serving Texas practices. Inclusion is not a ranking or an endorsement. Every firm shown is currently unclaimed and unfeatured, and listings are sorted alphabetically. If featured (paid) listings are added later, they will appear first and be clearly labeled. Our full selection process is published on the methodology page.
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