Texas, the largest state in the contiguous USA, has a robust healthcare industry. According to Definitive Healthcare, Texas has the most number of hospitals in any US state (757) and around 25,659 physician group practices. From inpatient hospitalizations to outpatient services, these healthcare organizations carry the prestige of human lives on their shoulders.
To accomplish this great mission, they need the services of medical billing companies. They need reliable partners to fight claim denials, collect reimbursements, and grow their practice’s revenue. Our list of 10 top-rated medical billing companies in Texas explores the potential of such a partnership, so let’s dive in!
Top 10 Medical Billing Companies in Texas
Texas is the nation’s third state to lead the medical billing services revolution. After New York and California, Texas is home to the most number of medical billing businesses. From Austin’s magnificent technological infrastructure to Houston’s advanced healthcare landscape, the state is the perfect breeding ground for ‘health IT’ businesses.
Let’s learn about this year’s 10 best medical billing companies in Texas that are utilizing cutting-edge technology, healthcare industry expertise, and proven billing solutions to optimize their clients’ revenue cycles.
1. MediBill MD
MediBill MD is a new entrant in the Texan medical billing space. It has been offering end-to-end medical billing services in Texas across 45+ specialties to healthcare practices of all sizes. The company is headquartered in Dallas, Texas, and its main offerings are medical billing, coding, and revenue cycle management (RCM).
Currently, it employs between 51 and 200 employees, including certified professional coders, medical billing specialists, and revenue cycle managers, who offer round-the-clock assistance to their 300+ verified clients nationwide. Some of MediBill MD’s certifications include HIPAA-compliant, AAPC membership, ISO 9001 certification, and partnerships with the American Society for Reproductive Medicine (ASRM).
Besides medical billing and coding, MediBill MD also handles its clients’ credentialing and enrollment needs. In less than a year, MediBill MD has achieved a 98% clean claims rate and 97% first-pass ratio. You can contact the company’s representatives via call, email, or live chat to discuss pricing for accurate and timely claims submission.
2. Storm Medical Billing
Named after its founder and CEO, Carole Storm, Storm Medical Billing is a home-based medical billing company in Austin, Texas. Because of its overall value and exceptional results, it has made it to our list of best medical billing companies in Texas.
Carol and her two associates formed the company in October 2014, and since then, they have provided behavioral healthcare billing assistance to independent therapists and psychologists throughout the USA. Their primary services include claims processing and submission, daily data entry, AR follow-ups, filing of secondary claims, and monthly reporting and analysis. They can also offer assistance throughout the provider credentialing process and to understand EOBs.
The Storm Medical Billing team has decades of experience in the medical billing industry (with some up to 40 years!), and they take compliance seriously. The company is HIPAA-compliant and PAHCOM CEU-approved. As for its pricing model, Storm charges a flat rate per claim, starting as low as $4.99. You can contact the company via a call, fax, or an online form for more details.
3. Eminence Healthcare Services
Eminence Healthcare Services is another home-based medical billing services provider in our ‘Top-rated medical billing companies in Texas’ listicle. The company, located in McKinney, Texas, employs a remote workforce of certified medical billers, coders, and RCM specialists mainly based in Patiala, India. It leverages next-gen technology like Epic, Brightree, WebPT, and Athena software to streamline the billing workflow and file clean claims.
Eminence medical billing services cater to the needs of 30+ specialties. They handle everything from physician billing to AR recoveries and denial management to business analytics. But, unlike the other medical billing companies in Texas, their offerings are limited to seven US states, including Arizona, California, and Maryland.
Eminence Healthcare Services is ISO/IEC 27001:2013 certified and follows strict protocols to meet regulatory compliance. You can contact the company through their landline number or via an online form to get the pricing details.
4. Altus Solutions Group
The next company on our list of the ‘best medical billing companies in Texas’ is Altus Solutions Group. Based in Irving, Texas, Altus solely deals with pediatric medical billing. It positions itself as a “By Physicians, For Physicians” Company and offers three key services – profitability checklist, medical billing, and strategic insight.
The company is managed by two pediatricians with a combined experience of over 30 years in private pediatric practice and medical billing. The team uses prominent software like PCC Pediatric EHR Solutions, eClinicalWorks, Epic, Office Practicum, and Allscripts to manage data and file error-free claims.
Altus Solutions Group’s unique selling points include its 30-point profitability checklist and a zero write-off standard. It also uses actionable strategies to maximize its client’s profitability. Altus is also HIPAA-compliant and charges a percentage of the insurance collections. You can contact the company over a call or online support for more details.
5. Onion Creek Medical Billing
Onion Creek Medical Billing, LLC is another medical billing company in Texas that caters to the billing needs of mental health providers. It realized the gap in the industry and, since 2018, has offered specialized medical billing support to mental health practitioners from its modest office in Austin, Texas.
The company focuses on medical billing and provider credentialing. However, it can also provide add-on services like clearinghouse setups, NPI requests and updates, and CAQH profile management. The owner of the company, Jarrod Cole, is an AAPC-certified professional biller and attended the Austin Community Colleges’ medical billing and coding certification program.
Onion Creek’s mental health billing workflow seamlessly integrates with their client’s electronic health records like TheraNest, TherapyNotes, and SimplePractice, ensuring complete documentation and coding/billing accuracy. You can get in touch with the Onion Creek team over a call, email, or through their online form.
6. PUREDI
If you are looking for a results-oriented medical billing company in Texas, then PUREDI is just that. In just 9 months, it doubled (from $39,000 to $80,000) the average monthly reimbursements of its client Graze Anatomy & Associates. The company is headquartered in Austin, Texas, and uses its own billing software to accurately code the rendered services, process claims, and conduct practice management assessments.
PUREDI’s medical billing services are available across all medical specialties and include coding, credentialing, contracting, practice management, and analytics and reporting. By partnering with PUREDI, you can get up to 5% more revenue from avoidable denials and a 93% clean claims rate.
PUREDI also adheres to HIPAA security rules, and its pricing includes compliant communication, customizable solutions, comprehensive reports, claims scrubbing, electronic payments posting, and custom plug-in apps. Its subscription model starts at $199/month per provider, and for its RCM Pro services, PUREDI charges a percentage of monthly collections.
7. Jindal Healthcare
Of all the top-rated medical billing companies in Texas, Jindal Healthcare is the oldest and boldest. Jindal Healthcare is a subsidiary of the O.P. Jindal Group that was founded in 1952 and today is a $30 billion global enterprise. The company operates from its headquarters in Houston, Texas, and provides AI-powered RCM solutions to healthcare practices nationwide.
Its proprietary artificial intelligence (AI) platform, known as HealthX, simplifies the revenue cycle, accelerating the financial health of small-to-large medical practices. Today, Jindal has served over 110,000 patients and 300+ providers and has a 100% customer retention rate. Its payment collection rate is 97%, the clean claim rate is 99%, and it can reduce RCM costs by up to 50%.
Besides its tech-riven billing processes, like RPA-Assisted Patient Access Functions, automated claim scrubbing, and KPI reporting, Jindal Healthcare assures regulatory compliance. It is HIPAA-compliant and a member of HFMA and MGMA. You may refer to its website for pricing details and case studies.
8. SW Healthcare Solutions LLC
SW Healthcare Solutions LLC, doing business as Dynamic Physician Billing Solutions, is the only Minority Owned Business Enterprise (MBE) on our ‘ Best Medical Billing Companies in Texas’ list. It is a popular name in the country’s health IT space, and apart from Houston, Texas, the company has offices in Denver, San Antonio, Cleveland, Tampa, and Tulsa.
Dynamic Physician Billing Solutions’ services include full charge billing, credentialing, denial management, monthly feedback and analysis, and payment posting. The company uses its proprietary claim adjudication software – ClaimFusion™, for identifying and rectifying errors before claim submission.
The billing team at Dynamic Physician Billing Solutions comprises certified professional coders (CPCs), and they can file outstanding claims within a day or two to ensure the healthcare providers are paid within 15 to 30 days. You can visit the company’s website or give them a call for more details on the fee structure and accreditations.
9. MedAstin
Silicon Hills, or Austin (the country’s 7th largest tech hub), seems to be a preferred location for medical billing companies in Texas. Perhaps this is why MedAstin, another tech-oriented medical billing company, chose Austin as its headquarters and combines human expertise and software capabilities to deliver specialty-specific, customized billing solutions.
MedAstin’s suite of services includes credentialing, insurance contracting, charge entry, claim submission, payment posting, denials and AR follow-ups, patient billing and collections, and software assistance.
The company started its operations in 2001 and was focused on medical billing for sleep laboratories. Since then, it has expanded to include several specialties of all sizes. Its clients have given it an A+ rating and praise the expertise of its team, which has a combined industry experience of 60 years. You can visit MedAstin’s website for pricing and details.
10. Right Medical Billing
Right Medical Billing (RMB) may be the last one on our ‘Top-rated medical billing companies in Texas’ list, but it is certainly not the least impressive. Based in Richmond, Texas, RMB is led by Humaira Qureshi, a physician and a certified billing and coding specialist.
The company provides all-inclusive medical coding and billing, credentialing and contracting, AR management, out-of-network negotiation, RCM management, and eligibility and benefits verification services to optimize healthcare organizations’ revenues.
Right Medical Billing is a Better Business Bureau (BBB) accredited business, DMCA protected, SBA WOSB-certified, and recognized by the Katy Area Chamber of Commerce. It promises a 99.9% first pass rate, a 30% revenue uptick, and less than 25 days in A/R.
So far, it has served over 1,200 providers across 100+ medical specialties and employs a team of 500+ certified coders and billers to serve healthcare practices in 50 states. You can connect with RMB representatives by visiting their website.
Our Methodology: Choosing the Best Medical Billing Companies in Texas
Shortlisting the 10 best medical billing companies in Texas was like searching for pearls in the seabed. According to IBISWorld, there are close to 262 medical billing businesses in Texas, and all of them claim to be the best in the industry.
So, instead of focusing on broad claims and hearsay, we used specific metrics like certifications, expertise, industry experience, pricing, testimonials, and relevant stats to filter the best from the rest. Take a look!
Medical Billing Services
The field of medicine is expansive. With each new day, there is a different possibility, hence the need for a new procedure. Specialties have sub-specialties, and interdisciplinary services further complicate the medical billing procedure.
While the core medical billing services remain the same, such as coding, superbill creation, and claim submission, they require tweaking to suit the billing criteria for each specialty. Hence, when choosing the top-rated medical billing companies in Texas, we analyzed whether or not their billing services aligned with the specialties they claimed to serve. While some on our list restricted their services to one specialty (pediatrics or behavioral health), others catered to the needs of multiple specialties.
Certifications & Accreditations
Companies that are the best have awards and certificates to prove it. These show that the company’s efforts and excellence in the field were recognized by esteemed panels, and now they have a reputation to maintain.
We also considered the certifications and accreditations of the medical billing companies on our list. Tags such as “HIPAA-compliant”, “AAPC-certified”, “ISO-certified”, “BBB-accredited”, or “PAHCOM CEU-approved” immediately caught our attention and boosted our confidence in the company and its services.
Statistics and Testimonials
Apart from giving into the number game, we had to hear what clients had to say. We noted Texas’ top medical billing companies’ essential stats, like their clean claim submission rate, collection ratio, number of providers served, and denial reduction rate, to gauge their foothold. Similarly, client testimonials were analyzed to measure credibility.
Cost of Services
All the 10 billing companies in Texas that we have mentioned in our listicle offer services at competitive prices. They have kept their charges to a minimum for greater market capture.
However, we must state that their low prices do not translate to poor quality of service. They have found the perfect balance between affordability and top quality to offer a value-added customer experience.
Experience and Expertise
We believe both are important for medical billing companies in Texas to thrive. While decades of industry experience come in handy, you may need expert advice to navigate a unique challenge.
Medical billers and coders with decades of experience may continue to offer solutions according to the old rule book, but only an expert will have the knowledge, skills, and courage to innovate, improvise, and do things differently. So, while we considered each medical billing company’s years in business, we also verified its team’s (especially C-suite leaders’) expertise.
Final Word
Now that you know who the leading medical billing companies in Texas are and what factors you should focus on when selecting the right one for your healthcare practice, we trust you will make a wise decision.
Remember, you can always call these companies, ask for more details, or schedule a free demo before betting your money on them.
