Medical Billing Services in Texas

Home Medical Billing Services in Texas

Running a practice in Texas means dealing with one of the most complex payer mixes in the country: a large Medicaid managed care program, a busy Medicare population, and commercial plans that each have their own rules. Medical Coder provides outsourced medical billing services in Texas that take that work off your team — from eligibility checks to the final payment — so you get paid faster with fewer denials.

Whether you run a solo clinic or a multi-provider group, we act as your billing department: certified coders, dedicated A/R specialists and a single point of contact who knows your practice.

Why Texas Practices Choose a Texas-Focused Medical Billing Company

Many medical billing companies in Texas treat every state the same. We don't. Texas-specific rules are built into our workflow:

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.

Texas prompt-pay law also requires commercial plans to pay clean claims on time — generally within 30 days for electronic claims and 45 days for paper. When a payer is late or underpays, we follow up and appeal so the money you are owed actually arrives.

Our Medical Billing Services for Texas Practices

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

Revenue Cycle Management for Texas Healthcare Providers

Billing is one step in a longer cycle. Our revenue cycle management in Texas covers the whole path from patient intake to final payment: front-desk eligibility, accurate coding, clean submission, posting, denial prevention and reporting. You see where revenue is leaking and what we are doing about it, every month.

Medical Coding Services in Texas

Coding errors are one of the most common reasons claims are denied or underpaid. Our certified coders review documentation and assign ICD-10, CPT and HCPCS codes with the right modifiers, so every service you perform is billed correctly and defensibly. Want to know how accurate your current coding is? Start with a medical billing audit.

Cities We Serve Across Texas

We work with practices statewide, with dedicated pages and support for Texas's largest healthcare markets:

We also support practices in Fort Worth, El Paso, Corpus Christi, Lubbock and everywhere else in the state — all of our work is done remotely and securely.

Specialties We Bill For in Texas

We bill for 45+ specialties, including mental and behavioral health, cardiology, physical therapy, dental, DME and more. See all specialties.

Built for Small and Growing Practices

Most of our Texas clients are independent practices that don't want to hire, train and manage an in-house billing team. Our medical billing for small practices gives you a full billing department for a percentage of what you collect. See how medical billing pricing works.

HIPAA-Compliant and Secure

We work inside your existing EHR or practice management system through secure, encrypted access. Patient data stays protected, and you keep full ownership of your data and your payer relationships.

Outsource Medical Billing in Texas — Start With a Free Audit

Not sure how much revenue you are leaving on the table? We will review a sample of your claims, denials and A/R at no cost and show you exactly where money is being lost. Request your free billing audit today.

Frequently Asked Questions

What does a medical billing company in Texas do?

A medical billing company handles your revenue cycle for you: verifying insurance, coding visits, submitting claims, posting payments, working denials and following up on unpaid claims, so your practice gets paid faster and your staff can focus on patients.

Do you work with Texas Medicaid (TMHP) and Medicaid managed care plans?

Yes. We bill Texas Medicaid and CHIP through TMHP and work with STAR, STAR+PLUS, STAR Kids and STAR Health managed care plans, including their prior authorization and 95-day filing requirements.

Who is the Medicare contractor for Texas?

Medicare Part A and Part B claims in Texas are processed by Novitas Solutions under Jurisdiction H (JH). We submit and follow up on Medicare and Medicare Advantage claims for Texas practices.

Which Texas cities do you serve?

We serve practices across all of Texas, including San Antonio, Dallas, Houston, Austin, Fort Worth and El Paso. Our team works remotely and securely inside your existing systems.

How much does it cost to outsource medical billing in Texas?

Most practices pay a percentage of collections — industry rates typically fall around 4%–10% depending on specialty, claim volume and services included. We give you an exact, written quote after a free billing audit.

Can you switch our billing without disrupting cash flow?

Yes. We run a structured onboarding: system access, payer and fee-schedule review, and a clean handover of open A/R, so claims keep moving during the transition.

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Free billing audit & no long-term contracts. Let's grow your revenue together.

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