San Antonio is one of the largest healthcare markets in Texas, anchored by the South Texas Medical Center and serving a fast-growing city, the surrounding Bexar County communities and one of the biggest military populations in the country. That mix of Medicaid, Medicare, TRICARE and commercial patients makes billing complicated. Medical Coder provides outsourced medical billing services in San Antonio that keep claims clean and payments on time.
If you are comparing medical billing companies in San Antonio, here is what makes us different: we focus on Texas payers, we give you one dedicated account manager, and we start with a free audit so you can see the difference before you commit.
Medical Billing Built for San Antonio's Payer Mix
Texas has its own payer rules, and that is where most avoidable denials start. We work every major payer your practice sees:
- Texas Medicaid & CHIP through TMHP (Texas Medicaid & Healthcare Partnership), including STAR, STAR+PLUS, STAR Kids and STAR Health managed care plans and their 95-day filing deadline.
- Medicare Part A & B through Novitas Solutions (Jurisdiction H), plus Medicare Advantage plans.
- Commercial plans including Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna and Humana.
- TRICARE for practices serving military families and veterans.
San Antonio practices see a high share of military families and veterans through Joint Base San Antonio, so TRICARE claims are a regular part of the work — and they have rules of their own. We handle them alongside Medicaid managed care and commercial plans, so nothing falls through the cracks.
What Our San Antonio Medical Billing Services Include
- Insurance eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and clean-claim scrubbing before submission
- Electronic claim submission and payment posting (ERA/EOB)
- Denial management and appeals with root-cause tracking
- A/R follow-up on every unpaid claim, including aged A/R recovery
- Patient statements and patient-balance support
- Provider credentialing and payer enrollment with Texas plans
- Monthly reporting on collections, denials and days in A/R
Medical Coding Services in San Antonio
Our certified coders review your documentation and code every encounter correctly — E/M levels, procedures, modifiers and diagnosis codes — so you are not under-billing or exposed to audit risk. Accurate coding is the single biggest lever on your clean-claim rate.
Practices We Work With in San Antonio
We support independent and group practices across San Antonio, including the Medical Center area, Stone Oak, Alamo Heights, Downtown, and nearby New Braunfels, Schertz, Boerne and Converse. Specialties include primary care, behavioral and mental health, physical therapy, cardiology, urgent care and 45+ more.
Why Outsource Medical Billing in San Antonio?
- Lower cost than in-house billing — no salaries, benefits, training or software licenses for a billing team.
- Fewer denials — claims are scrubbed before submission, and every denial is worked and appealed. See our denial management services.
- Faster payments — consistent follow-up on every open claim, not just the large ones.
- Clear reporting — monthly numbers on collections, denials and A/R, explained in plain language.
Is Your San Antonio Practice Losing Revenue?
Common warning signs: A/R older than 90 days keeps growing, the same denial reasons repeat, or collections dropped after a staff change. A medical billing audit shows exactly where money is being lost. For smaller clinics, see our medical billing for small practices and how pricing works.
Get a Free Billing Audit for Your San Antonio Practice
Tell us about your practice and we will review your claims, denials and A/R at no cost. Contact our team to get started. Serving other parts of the state? See our Texas medical billing services.