10 Leading Medical Billing Companies in Texas
Managing medical billing in Texas is more demanding than ever. From navigating payer-specific rules across major insurers like Blue Cross Blue Shield of Texas and UnitedHealthcare, to staying compliant with the state’s strict prompt-pay laws, healthcare providers face constant pressure to keep claims clean and reimbursements steady. Add ongoing CPT and ICD-10 updates, increasing denial rates, and the growing need for seamless RCM workflows, and many practices find themselves overwhelmed. That’s why a growing number of Texas clinics, specialty groups, and hospitals are partnering with expert medical billing companies that understand the state’s unique billing landscape. This guide features the 10 leading medical billing companies in Texas, trusted by providers to maximize revenue, reduce administrative burdens, and ensure that every claim moves through the system accurately and on time.
List of the Top 10 Medical Billing Companies in Texas
- Imed Claims
- MediBillMD
- TMBC (Top Medical Billing Company)
- Right Medical Billing
- Physicians Revenue Group, Inc. (PRG)
- MedServe Medical Billing LLC
- Xpert Medical Billing Solutions LLC
- Storm Medical Billing
- SW Healthcare Solutions LLC
- Empowered Medical Billing
Comparison Snapshot – Best Billing Services in Texas
| Company | Best For | Key Strengths |
|---|---|---|
| Imed Claims | Imed Claims Small, mid, & large practices | Fast claim submission, coding accuracy, payer-specific edits |
| MediBillMD | Practices needing full-service RCM | Credentialing, AR recovery, compliance, same-day billing |
| TMBC | High-volume medical groups | Automated workflows, revenue intelligence, strong reporting |
| Right Medical Billing | Hospitals & multi-provider clinics | Denial management, credentialing, contracts & compliance |
| PRG | Practices needing enterprise-level support | Advanced analytics, scalable RCM, multi-specialty expertise |
| MedServe Medical Billing LLC | Independent providers | Personalized service, clean-claim optimization |
| Xpert Medical Billing Solutions LLC | Multi-specialty practices | Eligibility checks, coding audits, AR follow-up |
| Storm Medical Billing | Behavioral health & therapists | Boutique service, daily entry, secure claims handling |
| SW Healthcare Solutions LLC | Clinics needing flexible plans | Coding, claim scrubbing, AR management |
| Empowered Medical Billing | Startups & growing practices | Transparent pricing, real-time reporting |
Texas’ Top 10 Leading Medical Billing Companies Overview:
Below is an in-depth review of the billing partners that Texas clinics, labs, specialists, and healthcare providers trust for accuracy, compliance, and faster reimbursements.
1. Imed Claims
Imed Claims has built a solid reputation across Texas for its fast, accurate, and comprehensive revenue cycle management. The company delivers a fully managed billing workflow that begins at the front desk and ends with reimbursed payments in the provider’s account. Their experienced coders are trained extensively in CPT, HCPCS, ICD-10, and payer-specific billing rules, which helps minimize rejections caused by outdated or incorrect coding.
Their automated scrubbing technology reviews every claim for missing modifiers, incorrect diagnosis pointers, mismatched code combinations, and demographic inconsistencies before submission. This pre-submission accuracy is one of the biggest reasons Imed Claims maintains strong first-pass claim acceptance rates. With expertise across more than 40 specialties—including cardiology, internal medicine, nephrology, orthopedics, dermatology, and behavioral health—they adapt easily to different provider needs.
Why It Stands Out
- 24–48 hour claim submission ensures timely processing before the Texas 95-day clock becomes a threat.
- Strong pre-authorization workflows reduce front-end denials by verifying coverage early.
- Specializes in high-denial environments, making it ideal for clinics facing inconsistent payer rules.
- Supports 40+ specialties, giving them versatility and deeper coding accuracy.
Imed Claims is ideal for practices that want full-cycle RCM without operational gaps, ensuring predictable collections and smoother cash flow.
2. MediBillMD
MediBillMD is well known across Texas for blending modern billing technology with hands-on human expertise to create a smooth and efficient RCM experience. Their team integrates directly with most EHR platforms, pulling charges automatically and routing them through an intelligent scrubber designed to catch payer-specific billing errors before submission.
What sets MediBillMD apart is its strong commitment to compliance and AR management. Their AR recovery specialists focus on aged claims, denial appeals, and insurance follow-ups to recover revenue that might otherwise be written off. The company also provides detailed analytics dashboards, enabling providers to track key performance metrics like denial trends, reimbursement cycles, and payer behavior.
Why It Stands Out
- Comprehensive RCM, covering coding, billing, payment posting, appeals, and reporting.
- Credentialing and contracting support help practices get enrolled with new payers quickly.
- Aggressive AR recovery services focus on reducing backlogs and overturning denials.
- Coding audits & compliance oversight lower the risk of costly billing errors.
MediBillMD is a strong choice for clinics wanting a billing overhaul—with emphasis on accuracy, clean claims, and long-term revenue growth.
3. TMBC (Top Medical Billing Company)
TMBC is recognized as one of Texas’s high-performing billing companies capable of handling large volumes of claims without compromising accuracy. Their RCM infrastructure is supported by real-time AI validation tools that automatically check CPT codes, NCCI edits, modifier pairings, ICD-10 logic, and payer rules. This ensures clean claims go out the door quickly and efficiently.
TMBC is especially popular with rapidly growing practices, large specialty clinics, and high-volume groups due to its ability to scale resources on demand. They also provide in-depth financial reporting, giving providers a transparent view of collections, aging, reimbursement timelines, and denial patterns.
Why It Stands Out
- AI-powered claim review tools catch coding inconsistencies before submission.
- Robust financial reporting supports strategic planning and daily decision-making.
- Enterprise-level prior-auth management prevents coverage denials for complex procedures.
- Quick onboarding and EHR adaptability reduce downtime when switching billing vendors.
TMBC is a preferred partner for mid-to-large Texas providers seeking a scalable, data-driven billing engine that handles complexity effortlessly.
4. Right Medical Billing
Right Medical Billing is one of the oldest and most experienced billing firms in Texas, serving hospitals, emergency centers, urgent care clinics, and multi-provider practices. The company has a strong track record in contract negotiations, payer relations, and tackling difficult denials that require experienced intervention.
Their facility billing expertise sets them apart. They understand the complexities of out-of-network billing, CMS rules, Texas Medicaid standards, and managed care contracts. Their team also handles credentialing, recredentialing, and payer enrollment services—critical for practices looking to expand.
Why It Stands Out
- High denial overturn success rate, especially for complex claims.
- Deep expertise in facility billing, including hospital and out-of-network claims.
- Texas-specific compliance knowledge, covering prompt-pay laws and payer regulations.
- Comprehensive credentialing services, keeping providers fully enrolled and up-to-date.
Right Medical Billing is excellent for larger organizations needing meticulous billing management and strong payer negotiation support.
5. Physicians Revenue Group, Inc. (PRG)
PRG brings national-level billing capabilities to Texas practices, offering a structured, analytics-driven approach to revenue cycle management. As the best medical billing company in Texas, their team works with multispecialty groups, labs, and hospital-affiliated practices to optimize workflows and reduce operational inefficiencies.
PRG’s strength lies in its use of advanced billing analytics. Their dashboards help practices understand where revenue leaks occur, which payers are causing delays, and how coding trends impact reimbursement. Their teams of specialty coders ensure accuracy across complex specialties such as cardiology, orthopedics, oncology, and endocrinology.
Why It Stands Out
- Enterprise-grade billing intelligence, offering deep insights into financial performance.
- RCM scaling capabilities, supporting growing practices with expanding billing needs.
- Specialty-trained coders enhance claim accuracy and reduce denials.
- Strict HIPAA and Texas prompt-pay compliance, ensuring safe and timely billing operations.
PRG is ideal for providers needing high-level financial clarity, structure, and dependable RCM scalability.
6. MedServe Medical Billing LLC
MedServe Medical Billing LLC provides a more personalized, boutique-style billing approach that resonates with independent providers and small private practices. Unlike larger firms, MedServe tailors each billing workflow according to the clinic’s internal processes, reducing disruption and enhancing efficiency.
Their strength lies in clean-claim preparation and consistent communication. The company’s transparent pricing and monthly reporting allow small practices to stay completely informed about their financial health.
Why It Stands Out
- Clean-claim optimization reduces rejection rates significantly.
- Monthly performance breakdowns, giving providers clear financial visibility.
- Predictable pricing, ideal for budget-conscious practices.
- Fast claim submission, ensuring steady, predictable reimbursements.
MedServe is excellent for practices wanting personalized, supportive billing instead of big-firm complexity.
7. Xpert Medical Billing Solutions LLC
Xpert Medical Billing Solutions LLC focuses heavily on front-end accuracy, which is one of the biggest contributors to clean claims. Their team verifies patient eligibility, checks coverage limitations, and confirms prior authorizations before the visit, dramatically reducing preventable denials.
Their coding audits help clinics identify recurring errors, and their AR specialists follow up diligently with payers to ensure claims don’t languish in aging buckets. They support a broad set of specialties, including cardiology, internal medicine, pediatrics, OB/GYN, pain management, and orthopedics.
Why It Stands Out
- Deep coding audit capabilities, improving long-term billing accuracy.
- Strong AR & denial management, preventing revenue loss.
- Same-week claim cleanup, reducing backlogs quickly.
- Supports a wide range of specialties, offering broad flexibility.
This company is ideal for clinics needing a stronger front-end billing foundation and strict denial prevention.
8. Storm Medical Billing
Storm Medical Billing is a Texas-based boutique billing partner specializing in behavioral health and therapy practices. Their team understands the unique billing rules for psychology, counseling, psychiatry, and telehealth providers, making them a trusted option in the mental-health sector.
They offer daily data entry, secure claim submission, and personalized onboarding led directly by the company’s founder. With a no-contract model, practices enjoy flexibility without long-term commitments.
Why It Stands Out
- Daily data entry, keeping billing cycles current and accurate.
- Free credentialing consultation, reducing onboarding friction for new providers.
- No long-term contracts, ideal for growing or testing practices.
- Strong telehealth billing expertise, supporting modern care models.
Storm Medical Billing is best for therapists and behavioral health providers wanting an attentive, secure, and specialized billing partner.
9. SW Healthcare Solutions LLC
SW Healthcare Solutions LLC provides adaptable, scalable billing solutions tailored to practices of all sizes. Their strong emphasis on coding accuracy ensures that claims are submitted the first time correctly,minimizing delays and denials.
They perform full-cycle AR reviews, identifying overlooked reimbursements and initiating follow-ups promptly. Their detailed analytics allow providers to track performance, identify payer issues, and make informed business decisions.
Why It Stands Out
- End-to-end AR support shortens payment cycles significantly.
- Coding audits, improving compliance, and reimbursement accuracy.
- In-depth reporting, empowering better financial planning.
- Custom service plans are designed around each clinic’s workflow.
This company suits practices that want flexible yet reliable billing support with strong compliance oversight.
10. Empowered Medical Billing
Empowered Medical Billing emphasizes transparency, communication, and empowerment, offering practices real-time control and visibility into their revenue cycle. Their user-friendly dashboards allow clinics to monitor claims, payments, denials, and AR without waiting for monthly reports.
They maintain excellent clean-claim rates due to thorough pre-submission checks and strong payer negotiation strategies. Their pricing models are flexible, making them a great fit for growing practices that need cost-effective RCM services.
Why It Stands Out
- High clean-claim rates, minimizing submission delays.
- Strong payer negotiation expertise, improving reimbursement outcomes.
- Flexible pricing, ideal for practices at different growth stages.
- Real-time financial dashboards, ensuring full transparency.
Empowered Medical Billing is a perfect choice for new, expanding, or evolving practices seeking clarity, confidence, and scalable support.
Final Thoughts
Choosing among the many medical billing companies in Texas is no longer just a matter of convenience; it’s a strategic financial decision for modern healthcare practices. Texas revenue cycles operate under constant pressure: the 95-day filing limit, payer-specific edits, strict Medicaid rules, ongoing CPT/ICD-10 updates, and unpredictable prior-authorization requirements. Even a single missing modifier or outdated code can push a claim past its deadline, instantly turning reimbursable revenue into a permanent write-off.
That’s why partnering with a high-performing Texas-based billing company is more than outsourcing; it’s extending your financial infrastructure. The right partner does far more than file claims. They:
- Monitor payer bulletins weekly to stay ahead of changes.
- Recheck eligibility and authorizations automatically to prevent front-end denials.
- Correct coding issues before submission to ensure clean claims.
- Escalate denials with data-backed appeals to recover revenue quickly.
- Maintain Texas-specific compliance with prompt-pay laws, HIPAA, and other regulations.
- Provide transparent financial reporting, giving real-time insight into your revenue cycle.
The ten firms profiled in this guide represent the strongest and most reliable billing partners in Texas, each with unique strengths tailored to different specialties, practice sizes, and revenue goals.
Whether you operate a startup clinic, a behavioral health practice, a large multi-specialty group, or a hospital-affiliated facility, the right billing partner can turn billing chaos into predictable revenue, reduce administrative burdens, and free your team to focus on what matters most: delivering quality patient care.
