Top medical billing companies in Texas, ranked by ChatGPT answers

The best medical billing companies in Texas depend on your practice size, medical specialty, and whether you need basic claims processing or complete revenue cycle management (RCM).

Based on current Texas business listings, company capabilities, and industry comparisons, these are the companies I would put on your shortlist.

Top 10 medical billing companies in Texas

Selected providers · October 2026

1.

Capline Healthcare Management

Strong overall option

4.8/5 =====

227 Google reviews

• Location: Houston, TX
• Services: Medical billing, coding, denial management, A/R follow-up, credentialing and eligibility verification.
• Best for: Practices seeking comprehensive revenue cycle management.
• Phone: 888-444-6041

2.

Transcure Medical Billing Services

4.8/5 =====

21 Google reviews

• Location: Farmers Branch, TX
• Services: Full-service RCM, medical coding, claims processing, denial management and prior authorizations.
• Best for: Multi-specialty and growing medical practices.
• Phone: 732-979-2002

3.

Vigilant Medical Group

5.0/5 =====

27 Google reviews

• Location: Mesquite, TX
• Services: Medical billing, credentialing, coding, denial management and RCM consulting.
• Best for: Texas practices wanting regional billing expertise.
• Phone: 469-799-5556

4.

Right Medical Billing

4.8/5 =====

48 Google reviews

• Location: Katy, TX
• Services: Medical billing, coding, A/R management and claims processing.
• Best for: Urgent care, freestanding emergency rooms and physician practices.
• Phone: 281-864-0448

5.

Gold Star Medical Business Services

4.9/5 =====

67 Google reviews

• Location: Horseshoe Bay, TX
• Services: Medical billing, compliance, staff training and practice management.
• Best for: Smaller practices seeking personalized administrative support.
• Phone: 866-942-5655

6.

Right on Time Billing Services

• Location: Houston, TX
• Services: Full-cycle medical billing, eligibility, claims submission and payment posting.
• Best for: Small and independent medical practices.
• Phone: 888-716-0888

7.

MIU Medical Billing

• Location: Plano, TX
• Services: Medical billing, coding, credentialing, denial resolution and appeals.
• Best for: Small and mid-sized practices.
• Phone: 214-556-6651

8.

CodeRite Healthcare Consulting

• Location: Allen, TX
• Services: Medical billing, insurance claims, denial management, audits and compliance consulting.
• Best for: Physician practices seeking hands-on billing support.
• Phone: 972-872-8972

9.

FutureMD Solutions

• Location: Katy, TX
• Services: Medical billing, coding, EHR, practice management and credentialing.
• Best for: Practices interested in combining billing services with healthcare technology.
• Phone: 888-341-1567

10.

Health Coded LLC

• Location: Houston, TX
• Services: Medical billing, coding and claims processing.
• Best for: Small and medium-sized practices focused on coding accuracy and reducing claim denials.
• Phone: 281-805-1070

Other companies worth considering

A few additional providers appear in industry comparisons:

Company	Particularly suited for
One O Seven RCM	Full-service RCM and independent practices
Plutus Health	Larger healthcare organizations
AMS Solutions	Texas-based practice billing
Storm Medical Billing	Behavioral health and therapy
MediBillMD	Multi-specialty practices

Sources for additional comparisons: [2026 Texas company comparison](https://oneosevenrcm.com/medical-billing-companies-in-texas/?utm_source=chatgpt.com)  and [GoodFirms Texas directory](https://www.goodfirms.co/bpo-services/medical-billing-companies/texas?utm_source=chatgpt.com) .

What should you look for when choosing?

I recommend comparing companies on these six factors:

1. Specialty experience: Do they have experience billing your particular medical specialty?
2. Denial management: Do they actively work rejected and denied claims?
3. Collection performance: Can they demonstrate improvements in collections and days in A/R?
4. Credentialing: Do they handle insurance enrollment and provider credentialing?
5. Pricing: Do they charge a percentage of collections, a flat monthly fee, or per claim?
6. Transparency: Do you receive monthly reports and have access to your billing data?

Ask for at least three existing client references and a written service-level agreement before signing.

Let me narrow down the best companies for your needs

I can make a more useful shortlist if I know what type of medical billing company you're looking for.

Are you looking to hire a medical billing company for your own practice, or are you researching companies to compare as potential competitors or business partners?

That distinction will help me identify the strongest companies rather than simply the most visible ones.

For small and mid-size medical practices in Texas, I would prioritize specialty-specific billing experience, transparent pricing, strong denial management, and responsive account support over simply choosing the largest medical billing company.

There are several good candidates, but the best choice depends on whether you're running a primary care office, specialty practice, behavioral health clinic, or multi-provider group.

Based on the available 2026 company information, I would start with the following shortlist.

1\. Best medical billing companies to consider in Texas

A practical shortlist based on service offerings, practice-size fit, Texas presence, and available reputation information—not an independently audited ranking.

1\. Right on Time Billing Services

Strong small-practice candidate

Houston, Texas

• Full-cycle medical billing and revenue cycle management.
• Eligibility, claims processing, payment posting and follow-up.
• Supports small practices and behavioral health providers.
• Publicly listed rating: 5.0/5 (14 reviews).
• A 2026 industry comparison reports advertised pricing of 1.99% of collections or $500, whichever is higher; verify current terms directly.

2\. Health Coded LLC

Strong billing and coding candidate

Houston, Texas

• Medical billing and coding services.
• Emphasis on claim accuracy and reducing denials.
• Particularly interesting for practices needing hands-on coding support.
• Publicly listed rating: 5.0/5 (11 reviews).

3\. Right Medical Billing

Katy, Texas

• Outsourced medical billing and coding.
• Denial prevention and revenue cycle support.
• Experience serving different healthcare settings and specialties.
• Publicly listed rating: 4.8/5 (48 reviews).
• Worth considering for a growing practice.

4\. Pro Medical Billing Solutions

Houston, Texas

• Outsourced billing and revenue cycle management.
• Charge entry, payment posting, A/R aging and denial follow-up.
• Credentialing and insurance verification support.
• Publicly listed rating: 5.0/5 (14 reviews).
• Worth investigating for smaller practices wanting outsourced administrative support.

5\. Your Medical Billing Solutions

Sugar Land, Texas

• Medical billing and coding.
• Credentialing and eligibility verification.
• Prior authorization, denial management and A/R recovery.
• Publicly listed rating: 5.0/5 (10 reviews).
• Interesting option for practices wanting several RCM services under one provider.

2\. Other Texas companies worth comparing

These are additional candidates, particularly if you want a larger operation or broader specialty coverage.

Company	Best suited for
One O Seven RCM	Independent practices wanting full-service RCM
Transcure	Multi-specialty practices and larger billing volumes
Vigilant Medical Group	Practices needing Texas Medicaid and payer expertise
AMS Solutions	Independent physician practices
Storm Medical Billing	Mental health and behavioral health practices
Plutus Health	Larger groups needing technology-assisted RCM

A few distinctions:

• One O Seven RCM: A 2026 comparison reports a published rate of 3% of monthly collections and month-to-month terms.
• Transcure: Advertises broad specialty coverage and a published 5% collections rate.
• Vigilant Medical Group: Particularly interesting for Texas-specific payer knowledge.
• Storm Medical Billing: More relevant if your practice focuses on behavioral health.

These pricing and service details should be confirmed with each company before requesting a proposal.

3\. Houston-area company locations

The following map shows five local candidates that you can investigate and contact.

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Right on Time Billing Services★ 5 · Medical billing serviceOpenHealth Coded LLC.★ 5 · Medical billing serviceOpenPro Medical Billing Solutions LLC★ 5 · Medical billing serviceOpenRight Medical Billing★ 4.8 · Medical billing serviceOpenYour Medical Billing Solutions★ 5 · Medical billing serviceOpen

4\. What should you look for before signing?

I recommend comparing companies using these criteria:

Evaluation criteria	What to request
Pricing	Percentage of collections versus flat monthly fee
Clean claims	First-pass acceptance rate
Denial management	Denial rate and appeal success rate
Accounts receivable	Average days in A/R
Specialty expertise	Experience with your specific specialty
Credentialing	Medicare, Medicaid and commercial payer enrollment
Reporting	Monthly financial and collections reports
HIPAA compliance	Business Associate Agreement (BAA) and security controls
Contract	Termination rights, setup fees and hidden charges

One important recommendation: Ask for performance reports from three existing clients with practices similar in size and specialty to yours. Company-wide statistics alone may not reflect the results your practice will receive.

5\. My recommendation

I would narrow the initial selection to these three:

1. Right on Time Billing Services – for a smaller independent practice looking for full-service billing.
2. Health Coded – for practices placing a high priority on coding accuracy and claims management.
3. One O Seven RCM – for practices wanting transparent percentage-based pricing and full revenue cycle support.

6\. Let me narrow this down to the best fit for your practice

One question: What type of medical practice are you evaluating billing companies for?

For example:

• Primary care / family medicine
• Internal medicine
• Cardiology
• Orthopedics
• Pain management
• Mental health / psychiatry
• Dermatology
• OB/GYN
• Multi-specialty practice
• Other specialty

If you also share approximately how many providers you have, I can narrow the list to the five strongest candidates, compare their pricing models, and identify which ones are best suited to your practice size.

For specialty medical practices in Texas, I would prioritize companies that offer specialty-specific coding, proactive denial prevention, appeals management, and aged accounts receivable (A/R) recovery, rather than companies that simply process claims.

There are several good candidates in Texas. My recommendation is to shortlist a combination of established RCM providers and smaller firms with hands-on denial-management capabilities.

Best medical billing companies in Texas (2026)

Here is the shortlist I would investigate first.

Company	Best suited for	Key strength
Capline Healthcare Management	Mid-size and larger specialty practices	Full-service RCM, denial management, credentialing
Transcure	Multispecialty practices	Broad specialty coverage and technology-assisted billing
AMS Solutions	Independent physician practices	Established billing and A/R management
Plutus Health	Larger specialty groups	Coding audits, denial management, revenue recovery
Vigilant Medical Group	Specialty practices needing denial recovery	Denial management, appeals and RCM
Right Medical Billing	Independent specialty practices	Claim scrubbing, coding and denial prevention
CodeRite Healthcare Consulting	Physician practices	Billing consulting and denial management

These are research candidates, not an independently audited ranking of financial performance. Their published service offerings and Texas presence are the basis for the shortlist.

My top recommendations by capability

1\. Best for comprehensive revenue cycle management

Capline Healthcare Management

Strong overall candidate

Houston, Texas

• Medical billing and coding
• Denial management and A/R follow-up
• Eligibility verification
• Credentialing and payer enrollment
• Large-scale outsourced RCM operations

Website: [Capline Healthcare Management](https://www.caplinehealthcaremanagement.com/?utm_source=chatgpt.com)

Why consider it: Its broad operational capabilities make it worth evaluating if you need more than claims processing, particularly if you have multiple providers or specialties.

2\. Best for technology-assisted specialty billing

Transcure

• Broad specialty coverage.
• AI-assisted billing workflows.
• Denial management and A/R follow-up.
• Coding and claims processing.
• Scalable outsourced RCM.

Website: [Transcure](https://transcure.net/?utm_source=chatgpt.com)

Why consider it: A candidate for practices with substantial claim volume and multiple specialty workflows.

3\. Best for denial management and appeals

Vigilant Medical Group

Mesquite, Texas

• Denial root-cause analysis.
• Corrected claims and appeals.
• Specialty practice denial support.
• A/R recovery.
• Out-of-network claim management.

Website: [Vigilant Medical Group](https://vigilantmedicalgroup.com/?utm_source=chatgpt.com)

Why consider it: Particularly worth interviewing if your main problem is repeated denials, unresolved claims, or lost reimbursement.

4\. Best for smaller independent specialty practices

Right Medical Billing

Katy, Texas

• Claim scrubbing.
• Coding and billing.
• Denial prevention.
• Payment posting and reconciliation.
• Reporting and visibility.

Website: [Right Medical Billing](https://rightmedicalbilling.com/?utm_source=chatgpt.com)

Why consider it: A potentially good fit for practices wanting outsourced billing without necessarily engaging a very large RCM organization.

5\. Best for specialty coding and billing consulting

CodeRite Healthcare Consulting

Allen, Texas

• Certified coding professionals.
• Specialty billing across cardiology, neurology, orthopedics, OB/GYN and psychiatry.
• Billing audits and practice consulting.
• Customized billing arrangements.

Website: [CodeRite Healthcare Consulting](https://www.coderiteconsulting.com/?utm_source=chatgpt.com)

Why consider it: Particularly interesting if coding accuracy, specialty-specific expertise, and hands-on communication are priorities.

Other Texas firms worth interviewing

• MIU Medical Billing — Plano; billing, coding, credentialing, appeals and practice-management support.
• Dastify Solutions — Austin; denial root-cause analysis, appeals and A/R recovery.
• AMS Solutions — Established physician-practice billing and denial follow-up.
• Plutus Health — More extensive RCM, coding audits and denial recovery.

Texas locations

These are some of the Texas-based firms identified in the research.

Texas medical billing companies

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Capline Healthcare Management★ 4.8 · Medical billing serviceOpenVigilant Medical Group LTD. CO | Medical Billing Company in Texas★ 5 · Medical billing serviceOpenRight Medical Billing★ 4.8 · Medical billing serviceOpenCodeRite Healthcare Consulting★ 5 · Medical billing serviceOpenMIU Medical Billing★ 4.9 · Medical billing serviceOpenDastify Solutions★ 4.7 · Medical billing serviceOpen

What matters most: denial management performance

I would not select a billing company based on the number of specialties it advertises. I would evaluate its actual ability to prevent and recover denied claims.

Here are the KPIs I would require in a vendor proposal:

Performance metric	What to request
Initial denial rate	Percentage of claims denied initially
Clean claim rate	Percentage accepted on first submission
Denial overturn rate	Percentage of appealed denials successfully reversed
Days in A/R	Average time to collect outstanding receivables
A/R over 90 days	Percentage of receivables older than 90 days
Net collection rate	Percentage of collectible revenue actually collected
Appeal turnaround	Average time to resolve denied claims

I would also insist on:

• Dedicated denial management specialists.
• Specialty-specific certified coders.
• Daily or weekly denial work queues.
• Root-cause analysis by payer, CPT code, modifier and denial reason.
• Written appeal strategies and timely follow-up.
• Monthly financial reporting and access to claim-level details.

Questions to ask before signing a contract

1. How many practices do you currently support in our specialty?
2. What percentage of denied claims do you successfully overturn?
3. Do you handle appeals and medical-necessity documentation?
4. Can you work within our existing EHR and practice management system?
5. Do you handle Texas Medicaid, Medicare and commercial payers?
6. Will we have a dedicated account manager?
7. Can you provide references from practices in our specialty?
8. Can you perform a complimentary analysis of our existing A/R and denial data?

My recommendation: Start conversations with Capline, Transcure, CodeRite and Vigilant. Compare their actual denial-recovery results rather than relying on marketing claims.

Let me narrow this down to the best three companies

The specialty makes a significant difference. For example, cardiology, pain management, orthopedics, behavioral health and dermatology all have different coding and payer challenges.

What type of specialty practice are you evaluating billing companies for?

And are you primarily looking for:

• Full-service outsourced medical billing?
• Denial management and appeals only?
• Recovery of old A/R and previously denied claims?
• A complete revenue cycle management partner?

With those details, I can narrow the list to the three strongest candidates and focus on specialty experience, denial recovery, Texas payer knowledge and pricing.

If your priority is getting insurance claims paid faster while minimizing denials, I would evaluate Texas medical billing companies based on measurable revenue-cycle performance—not just their advertised collection rates or percentage fees.

The important distinction is that a company can have a high collection rate but still have:

• Slow insurance reimbursement.
• High initial claim rejection rates.
• Excessive denials that require appeals.
• Poor follow-up on unpaid claims.
• High accounts receivable (A/R) over 90 days.

I would prioritize net collections, days in A/R, first-pass acceptance rate, and denial rate together.

Texas companies I'd put on the shortlist

I found several Texas-based providers worth interviewing. However, I could not verify independent, audited performance data proving that any one of them has the fastest collections or lowest denial rate. Their public ratings and service descriptions are not substitutes for actual billing KPIs.

These are my initial candidates, particularly in the Dallas–Fort Worth and North Texas market:

1\. MIU Medical Billing

Worth interviewing

4740 14th St Ste T3, Plano, TX 75074, United States

• Billing, coding, credentialing and administrative support.
• Public customer feedback mentions responsiveness and improved reimbursement turnaround.
• Phone: 214-556-6651

2\. Vigilant Medical Group LTD. CO | Medical Billing Company in Texas

1809 Possum Fire Trl, Mesquite, TX 75181, United States

• Claims management, coding, credentialing and denial appeals.
• Emphasizes revenue-cycle visibility and follow-up.
• Phone: 469-799-5556

3\. Blitz Medical Billing

1701 Legacy Dr #1200, Frisco, TX 75034, United States

• Full-service revenue-cycle management.
• Focuses on claims processing, denial reduction and financial reporting.
• Phone: 855-329-8220

4\. Transcure Medical Billing Services

12100 Ford Rd b115, Farmers Branch, TX 75234, United States

• Claims scrubbing, coding, prior authorizations and denial appeals.
• Worth evaluating for more comprehensive billing outsourcing.
• Phone: 732-979-2002

5\. Remedy Revenue Cycle Management

324 NW Pkwy St, Azle, TX 76020, United States

• Denial management, A/R recovery and revenue-cycle reporting.
• Particularly interesting for specialty practices needing A/R cleanup.
• Phone: 214-774-0480

These are candidates to investigate, not a verified ranking of financial performance.

The performance numbers I'd require

I would use the following targets when evaluating proposals:

Performance metric	Target
Days in A/R	Under 35–40
Initial denial rate	Under 5%
Clean claim acceptance	95%+
Net collection rate	95%+
A/R older than 90 days	Under 10%
Denial appeal overturn rate	80%+

These are screening targets, not guarantees. Published RCM benchmarks support using these measures, but specialty and payer mix affect the results.

What I would demand before signing a contract

Ask each company for the following, based on its existing clients in your specialty:

1. Actual average days in A/R over the last 12 months.
2. Initial denial rate, not the rate after corrected claims.
3. Percentage of claims paid on first submission.
4. Percentage of denied claims successfully overturned.
5. Average time from claim submission to payment.
6. References from at least two practices of similar size and specialty.

Important: Require the figures to be calculated using the same definitions and reporting period. Otherwise, vendors can make their numbers look better by excluding difficult claims.

Let me narrow this down to the best three

The right company depends heavily on the type of medical practice. For example, behavioral health billing and orthopedic surgery billing require very different expertise.

What type of medical practice are you looking to outsource billing for?

I want to narrow this down to companies that can demonstrate actual financial results, rather than companies that simply advertise that they reduce denials.

If you're looking for a dependable medical billing company in the Dallas–Fort Worth metroplex, I would start with firms that offer full revenue cycle management (RCM), experienced medical coders, insurance denial management, credentialing, and consistent accounts receivable follow-up.

I found several DFW-area companies worth considering. Some have particularly strong public customer ratings, while others have established local business profiles and broader billing capabilities.

Best medical billing companies in DFW

These are the companies I would put on an initial shortlist, based on local presence, publicly available customer feedback, and advertised service capabilities.

1\. AMS Solutions Inc.

Strong overall candidate

4.8(26)

• Dallas-based, physician-founded billing and RCM company.
• Offers full-service billing and revenue cycle support.
• Highlights AAPC-certified billing and coding professionals.
• Worth interviewing if you want a comprehensive billing partner.

Phone: 214-571-6317

2\. TriumpHealth

4.6(156)

• Southlake-based healthcare RCM and consulting firm.
• Billing, denial management, credentialing and payer contracting.
• Broad revenue cycle services, including prior authorization and A/R management.
• Particularly worth considering for practices needing more than claims processing.

Phone: 888-747-3836

3\. MIU Medical Billing

4.9(40)

• Plano-based medical billing and administrative services.
• Billing, coding, credentialing and billing audits.
• Offers support for practices experiencing billing problems or revenue leakage.
• Worth evaluating for smaller and growing practices.

Phone: 214-556-6651

4\. CodeRite Healthcare Consulting

5(24)

• Allen-based medical billing and healthcare consulting.
• Insurance billing, patient billing and denial management.
• Also advertises audits, compliance planning and staff education.
• Worth considering if you want billing support alongside operational guidance.

Phone: 972-872-8972

5\. TriStar Medical Credentialing & Billing

5(95)

• Addison-based billing and credentialing company.
• Medical billing, provider enrollment and virtual front-office support.
• Offers telehealth coding and billing support.
• Worth considering if credentialing is a significant part of your needs.

Phone: 469-915-4211

6\. Transcure Medical Billing Services

4.8(21)

• Farmers Branch / Dallas-area presence.
• Coding, charge entry, prior authorization and RCM.
• Emphasizes technology and automation in billing workflows.
• Worth evaluating for practices interested in technology-enabled outsourcing.

Phone: 732-979-2002

Other established DFW-area options

A few additional companies deserve consideration:

• Vigilant Medical Group – Mesquite: Billing, coding, credentialing and denial management. Phone: 469-799-5556. BBB lists it as A+ accredited.
• Hello MDs – Dallas: Full-service billing and revenue cycle support. Public rating: 5.0 from 15 reviews.
• Plutus Health – Dallas/DFW: Larger-scale, technology-enabled RCM services. Public rating: 5.0 from 6 reviews.
• AI Medical Services – Richardson: Outsourced billing and RCM for independent and multispecialty practices. Public rating: 5.0 from 16 reviews.

The BBB also lists A+ accredited medical billing businesses including Genesis Medical Billing Services in Fort Worth, BillingFreedom in Frisco, and HealthRecon Connect in Southlake.

Where these companies are located

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AMS Solutions Inc.★ 4.8 · Medical billing serviceOpenTriumpHealth★ 4.6 · Medical billing serviceOpenMIU Medical Billing★ 4.9 · Medical billing serviceOpenCodeRite Healthcare Consulting★ 5 · Medical billing serviceOpenTristar Medical Credentialing & Billing, LLC★ 5 · Medical billing serviceClosedTranscure Medical Billing Services★ 4.8 · Medical billing serviceOpenVigilant Medical Group LTD. CO | Medical Billing Company in Texas★ 5 · Medical billing serviceOpenHello MDs★ 5 · Medical billing serviceOpenPlutus Health Inc.★ 5 · Medical billing serviceOpenAi Medical Services★ 5 · Medical billing serviceOpen

How I would evaluate reliability

I would not select a billing company based on Google reviews or BBB ratings alone. Before signing a contract, ask each company for:

1. References: Three current medical practice clients you can contact.
2. Collection performance: Their average collection rate and days in accounts receivable.
3. Denial management: Their first-pass clean claim rate and denial overturn rate.
4. Coding expertise: Whether they employ certified CPC, CCS or equivalent coders.
5. HIPAA compliance: A current security program, appropriate safeguards and a signed Business Associate Agreement.
6. Transparency: Monthly reporting, access to billing data, and clear termination provisions.
7. Pricing: Whether they charge a percentage of collections, flat monthly fees or per-claim fees.

A particularly important question is whether they will provide a billing performance report showing what happened to every claim, rather than simply reporting how much money was collected.

Note: Public ratings and BBB accreditation are screening indicators, not independently verified proof of billing accuracy or financial performance. The companies above should be treated as candidates for due diligence rather than a certified ranking.

Let me narrow this down to the best three

The best billing company depends heavily on the type of medical practice. For example, orthopedic billing is very different from behavioral health, primary care, cardiology or pain management.

Are you looking for a billing company for:

• A physician-owned medical practice?
• A specialty practice (orthopedics, cardiology, pain management, etc.)?
• A behavioral health or mental health practice?
• A hospital, surgery center or multi-provider clinic?
• A company to take over an existing billing operation that isn't performing well?

Also, are you looking for a company to handle 100% of billing and collections, or just coding, claims submission and denial follow-up?

With that information, I can narrow the list to the three strongest candidates and focus on companies with demonstrated experience in your particular specialty.

If you're looking for a medical billing company in the Greater Houston area, I'd start with a shortlist of local revenue cycle management (RCM) firms that offer more than just claim submission.

The best choice depends on whether you need physician-office billing, specialty billing, credentialing, denial management, accounts receivable (A/R) recovery, or complete outsourcing.

Based on current Houston-area business listings, company service descriptions, and available review information, these are the companies I'd investigate first.

Best medical billing companies in Houston

1\. Capline Healthcare Management

Strong overall contender

Houston, TX · 4.8/5 · 227 reviews

• Full-service medical billing and RCM
• Claims processing and payment posting
• Denial management and A/R follow-up
• Credentialing and payer enrollment

Best for: Practices looking for a comprehensive outsourced billing department.

3838 N Sam Houston Pkwy E #290, Houston, TX 77032, United States ·

2\. Right Medical Billing

Katy / Greater Houston · 4.8/5 · 48 reviews

• Medical billing and coding
• Physician and facility billing
• Urgent care and freestanding ER billing
• Revenue cycle management

Best for: Practices with more complex facility or specialty billing requirements.

21617 Provincial Blvd Ste A, Park Row, TX 77450, United States ·

3\. Right on Time Billing Services

Houston, TX · 5.0/5 · 14 reviews

• Medical billing and collections
• A/R follow-up
• Billing consulting
• Support for smaller practices

Best for: Independent physicians and smaller practices wanting personalized service.

1120 E NASA Pkwy #103, Houston, TX 77058, United States ·

4\. Pro Medical Billing Solutions LLC

Houston, TX · 5.0/5 · 14 reviews

• End-to-end billing and coding
• Credentialing and contracting
• Denial and A/R management
• Eligibility and prior authorization

Best for: Practices wanting billing, credentialing, and administrative support together.

5450 NW Central Dr Ste 120, Houston, TX 77092, United States ·

5\. Health Coded LLC.

Houston, TX · 5.0/5 · 11 reviews

• Medical billing and coding
• Claims processing
• Denial reduction
• Small and mid-sized practice support

Best for: Practices prioritizing coding accuracy and responsive billing support.

16225 Park Ten Pl #500, Houston, TX 77084, United States ·

6\. CodeMD, LLC

Houston, TX · 5.0/5 · 5 reviews

• Medical billing and revenue cycle management
• Coding oversight
• Denial prevention
• Physician practice support

Best for: Practices wanting a smaller, specialized billing partner.

1800 Saint James Place #302, Houston, TX 77056, United States ·

These are a practical shortlist, not a definitive independent performance ranking. Ratings and review counts are snapshots, and smaller review samples deserve extra scrutiny.

Other companies worth considering

A few additional firms stand out based on their published service offerings:

• MD Billing Experts – 20+ years of experience, physician-practice billing, certified coders, and specialty-specific support. Particularly interesting for independent practices. [Website](https://www.mdbillinghouston.com/?utm_source=chatgpt.com) .
• Transcure – Larger-scale operation with billing across 40+ specialties and technology-driven RCM. [Website](https://transcure.net/?utm_source=chatgpt.com) .
• One O Seven RCM – Fulshear-based company offering full-service billing and credentialing. Its published comparison reports a 3% collections fee, subject to confirmation. [Website](https://oneosevenrcm.com/?utm_source=chatgpt.com) .

Houston-area locations

Medical billing companies in Greater Houston

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Capline Healthcare Management★ 4.8 · Medical billing serviceOpenRight Medical Billing★ 4.8 · Medical billing serviceOpenRight on Time Billing Services★ 5 · Medical billing serviceOpenPro Medical Billing Solutions LLC★ 5 · Medical billing serviceOpenHealth Coded LLC.★ 5 · Medical billing serviceOpenCodeMD, LLC★ 5 · Medical billing serviceOpen

What I would look for before hiring

Don't choose solely on the lowest percentage of collections. Ask each company:

1. Pricing: Do they charge 3%, 5%, or a flat monthly fee? Is the percentage based on gross charges or actual collections?
2. Denial management: Do they actively appeal denied claims?
3. A/R recovery: Will they work accounts receivable older than 90 days?
4. Specialty experience: Do they already bill your particular specialty?
5. Credentialing: Can they handle provider enrollment and insurance contracting?
6. Reporting: Will you receive monthly collection, denial, and aging reports?
7. Compliance: Will they sign a HIPAA Business Associate Agreement (BAA)?
8. Contract: Can you leave without a lengthy commitment or expensive termination fee?

Let me narrow this down for you

I'd like to identify the strongest three companies rather than just give you a general directory.

What type of medical practice are you looking to outsource billing for?

For example:

• Primary care / family medicine
• Internal medicine
• Mental health / psychiatry
• Pain management
• Cardiology
• Orthopedics
• Urgent care
• Home health / hospice
• Multi-specialty practice
• Other

Also, are you looking for a company to handle 100% of the billing and collections, or do you mainly need help with claims, denials, and A/R?

With those two details, I can make a much more meaningful recommendation and compare the companies on specialty expertise, pricing, and services.

For medical practices in Texas, I would generally target a medical billing fee of 4%–6% of collections as a competitive rate, assuming a reasonably established practice with consistent claim volume.

A rate of 7%–8% may be justified for smaller practices or more complicated specialties, while 9%–10% deserves closer scrutiny.

The cheapest company isn't necessarily the best deal. You want to compare the percentage against exactly what services are included.

Texas companies worth contacting

I found several companies advertising relatively low percentage-based pricing. These are the ones I would put on a comparison list.

Company	Advertised pricing	Assessment
24Front Billing	Starting at 2.5%	Very competitive starting rate
Summit RCM	Starting at 2.9%	Competitive full-service offering
Dastify Solutions	2.99% group practices; 3.99% small practices	Attractive published pricing
One O Seven RCM	3%	Worth requesting a quote
Paymedics	2.99%	Worth comparing
Transcure	5%	More conventional pricing

Sources and company pricing:

• [24Front Billing](https://24frontbilling.com/medical-billing-services-texas?utm_source=chatgpt.com)  — 2.5% starting rate.
• [Summit RCM](https://summitrcm.com/medical-billing/texas?utm_source=chatgpt.com)  — 2.9% starting rate.
• [Dastify Solutions](https://www.dastifysolutions.com/medical-billing/texas/dallas/?utm_source=chatgpt.com)  — published group and small-practice rates.
• [Texas company pricing comparison](https://oneosevenrcm.com/medical-billing-companies-in-texas/?utm_source=chatgpt.com)  — compares published rates for several providers.

My initial shortlist would be Summit RCM, Dastify Solutions, and 24Front Billing. Their advertised starting prices are particularly attractive, but I would not select one without comparing the actual contract.

What I would consider a reasonable contract

For a full-service billing arrangement, I would negotiate for:

• 3%–4% of net collections for an established practice with reasonable claim volume.
• 4%–5% if coding, denial management, appeals, and accounts receivable follow-up are all included.
• No monthly minimum or hidden technology fees.
• No additional charge for routine payment posting or claim resubmission.
• No percentage charged on money the billing company did not collect.

One important benchmark: Tebra's medical billing industry survey found that nearly half of percentage-based billing companies charged between 5% and 7%. This makes a genuinely full-service 3%–4% offer particularly attractive.

Important questions to ask before hiring

Ask each company these questions:

1. Is your percentage calculated on gross collections or net collections?
2. Do you charge on patient copayments and deductibles?
3. Do you include old accounts receivable recovery?
4. Are denial management and appeals included?
5. Is credentialing included?
6. Are there monthly minimums, setup fees, or termination fees?
7. Can you provide references from practices in our specialty?

Let me narrow this down further

The best rate depends considerably on your practice size and specialty.

What type of medical practice are you looking to outsource billing for?

For example:

• Primary care / family medicine
• Internal medicine
• Psychiatry / behavioral health
• Cardiology
• Pain management
• Orthopedics
• Dermatology
• Multispecialty practice
• Other

Also, approximately how much does the practice collect monthly?

With those two details, I can help identify which companies are most likely to offer the lowest realistic percentage and which ones I would contact first.

If you're looking for a medical billing company in Texas that practice owners can trust, I'd prioritize independently owned Texas companies over large national billing corporations.

For a physician-owned or privately owned practice, the most important things to evaluate are:

• Ownership: Family-owned, founder-owned, or locally operated with accountable leadership.
• Collections performance: Demonstrable improvement in collections and reduction in accounts receivable (A/R).
• Transparency: Regular reporting on claims, denials, underpayments, and days in A/R.
• Personal service: Direct access to an experienced billing manager rather than a rotating call center.
• Specialty experience: A proven track record with your particular type of practice.

One important distinction: a company's own testimonials aren't the same as independent evidence that practice owners recommend it.

Texas companies I'd put on a shortlist

These are the strongest candidates I found based on local ownership claims, physician testimonials, longevity, and evidence of working with independent practices.

1\. Billing Experts of San Antonio

Strong ownership and testimonial evidence

San Antonio, Texas · Women-owned and operated since 2001

• Founded and operated by Julie Garza.
• Provides medical billing services to practices nationwide.
• A physician testimonial describes using the company for more than 16 years and praises its handling of billing, coding, insurance disputes, and office-management issues.
• Particularly interesting for small and medium-sized physician practices.

Website: [Billing Experts](https://billing-experts.com/?utm_source=chatgpt.com)

2\. Acclaim Medical Billing

Locally owned

San Antonio, Texas

• Describes itself as locally owned and operated.
• Reports more than 20 years of medical billing experience.
• Focuses on physician practices across specialties.
• A promising candidate for practices wanting a smaller, locally operated billing relationship.

3\. Blitz Medical Billing (BMB)

Frisco, Texas

• Explicitly identifies itself as locally owned and operated.
• Has Texas roots, including experience with freestanding emergency rooms and urgent care groups.
• Serves multiple specialties across more than 20 states.
• Worth considering for urgent care and emergency medicine practices.

Website: [Blitz Medical](https://blitzmedical.com/about-us/?utm_source=chatgpt.com)

4\. Cen-Tex Medical Claims

Leander / Central Texas

• Locally owned and operated since 1993.
• Specializes in therapists, mental health, speech therapy, occupational therapy, and physical therapy.
• Offers customized billing arrangements.
• Has a longstanding client relationship dating back to 1997 featured on its website.

Website: [Cen-Tex Medical Claims](https://centexmedicalclaims.com/?utm_source=chatgpt.com)

5\. A&M Medical Billing Services

Houston, Texas

• Local Houston billing operation.
• Customer feedback specifically describes it as family-owned and operated.
• Positive feedback highlights responsiveness, professionalism, and assistance with credentialing.

Worth interviewing, although I'd request additional physician references because the publicly available review sample is small.

6\. Skinner Medical Billing & Consulting

Texas-based · Individual-led billing operation

• Kelly Skinner has worked with physician practices for many years.
• Testimonials include physicians from Eastland, Bells, and Katy.
• Clients highlight personal attention, recovery of overdue claims, and long-term working relationships.
• Especially interesting if you want a hands-on billing professional rather than a large outsourced operation.

Website: [Skinner Medical Billing](https://www.skinnermedicalbilling.com/testimonials?utm_source=chatgpt.com)

Other companies worth interviewing

These aren't all verified as family-owned, but they have useful evidence of physician-client relationships.

Company	Location	Why consider them
Advance Forward Medical Billing	San Antonio	Physician-group testimonial and vascular surgery experience
MD Billing	Texas-serving	Physician-owned; wound care and family practice expertise
SouthWest Billing Services	Allen	Independent physician clinic testimonial
HMS USA	Texas office	Multiple physician testimonials, including long-term clients

Which ones would I contact first?

My initial priorities would be:

1. Billing Experts – strongest combination of identifiable ownership, longevity, and a detailed physician endorsement.
2. Acclaim Medical Billing – attractive local ownership model.
3. Cen-Tex Medical Claims – particularly compelling for therapy practices.
4. Blitz Medical – interesting for emergency medicine and urgent care.
5. Skinner Medical Billing – attractive for a practice wanting personal attention.

These are research-based shortlist recommendations, not independently verified endorsements. I'd verify ownership, references, and performance before selecting anyone.

Questions I'd ask before signing a contract

I'd ask each company for:

• Three current physician-practice references, preferably in your specialty.
• Average days in A/R for clients similar to your practice.
• Clean claim submission rate and denial rate.
• Percentage of A/R older than 90 days.
• Whether billing is performed entirely in the United States.
• Whether the owner remains personally involved in client relationships.
• Whether the practice retains ownership and control of its billing data.
• A sample monthly financial performance report.

I'd also ask to speak directly with a physician who has used the company for at least two years.

Let me narrow this down further

There are some important differences between a billing company that's good for a solo physician and one that's good for a multispecialty practice.

What type of medical practice are you looking for billing services for?

For example, primary care, internal medicine, family medicine, cardiology, orthopedics, behavioral health, pain management, dermatology, or another specialty.

And are you looking throughout Texas, or primarily in the Houston, Dallas–Fort Worth, Austin, or San Antonio area?

I can use that information to develop a more selective shortlist focused on independently owned companies with actual physician-client references, rather than simply companies that advertise medical billing services.