Top 10 Best Medical Billing Companies in San Antonio, TX in 2027

Transcure is a Texas-based medical billing company with 24 years of RCM experience and an office in Farmers Branch. Its team serves San Antonio and Bexar County practices remotely, from solo clinics to multi-provider groups. Seven proprietary AI agents handle eligibility, prior authorization, coding, claim scrubbing, denials, A/R follow-up, and payment posting. Before any claim goes out, 1,100+ AAPC-certified billers and coders review the automated work.

Texas payer expertise sets Transcure apart in the crowded South Texas market. Every claim follows the Texas Prompt Pay Law, the 95-day HMO and PPO filing window, and TMHP Medicaid deadlines. Out-of-network claims follow SB 1264 and the federal No Surprises Act, with TDI dispute steps when needed. Transcure currently supports 25+ active Texas practices across psychiatry, cardiology, internal medicine, and family medicine.

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Measurable results back up this process. Transcure reports a 98% first-pass clean claim rate, 24 average A/R days, and a 48-hour turnaround time. Clients typically see revenue grow 20%+ and A/R fall 30%+ within the first few months. The pricing they have is a flat percentage of collections, with no setup costs or hidden fees.

San Antonio Medical Billing LLC (SAMB), founded in 2014, is a local firm serving physician practices across the city. It delivers end-to-end billing, including charge entry, coding and A/R follow-up. Its Texas-based consultants focus on small to mid-sized clinics that need fewer denials and faster reimbursement.

SAMB keeps its billers and coders in-house, with team members bringing over three decades of experience. Specialties served include mental health, OB/GYN, dental, family practice and laboratory services. The firm also provides practice management training, patient statements, and setup support for new practices.

Xcel Medical Solutions is a San Antonio billing and practice support firm serving providers since 1994. Its staff brings more than 30 years of combined experience in medical and dental billing and collections. The company supports practices from start-up through sale, including credentialing for all specialties and hospitals.

Beyond new claims, Xcel works aged accounts and treats anything older than 59 days as hard to collect. Certified billers review progress notes to capture missed charges and reduce rejections. The firm also covers payment posting, billing transitions, staff training, HR, payroll, and bookkeeping.

Advance Forward Medical Billing (AFMB) is a San Antonio billing and coding company built for complex specialty practices. Its core focus is vascular surgery and cardiology, including office-based labs (OBLs). The U.S.-based team covers front- and back-office work, from patient registration and benefit checks to coding and claim submission.

AFMB also bills ancillary services such as EKG, echo, arterial and venous duplex, wound care, and spine procedures. Front-end scrubbing, peer-to-peer reviews and tailored billing criteria lower denials before claims leave the office. Its reporting tools reveal revenue leaks and workflow gaps for hospitals, OBLs and solo providers.

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CentralTek LLC is a San Antonio revenue cycle and practice consulting firm located on NE Loop 410. It belongs to a national network of medical revenue management offices. The firm focuses on practice management, revenue cycle performance, and private practice business support.

Its billing runs on iClaim, a web-based platform with denial management, an integrated clearinghouse, and 24/7 claim tracking. Add-on services include CodeRite coding reviews, AuditGuard billing audits, and CompliancyGuard HIPAA risk tracking. CentralTek also offers CredentialsNOW credentialing, QuickCollect receivables recovery, and a free practice analysis.

Progressive Medical Billing is a San Antonio company with an office on First Park Ten Boulevard. The firm has served Texas providers since 1997 and cites 50 years of combined industry experience. It serves pain management, orthopedics, family practice, and physical therapy practices across Texas.

Its U.S.-based team pairs strategic planning with expert claim analysis to reduce billing errors. Progressive reports raising client revenue by 30% to 278% over three years. Services include insurance billing, payment posting, patient collections, and fee schedule reviews. The firm also manages CAQH, Medicare, and commercial insurance enrollment.

Founded in 2016, One Source Medical Billing (OSMB) is a Florida-based firm serving practices nationwide, including San Antonio. It supports family medicine, cardiology, pediatrics, mental health, physical therapy, and DME providers. The firm pairs RCM services with marketing support and practice growth consulting.

OSMB reports a 98% first-pass claim submission rate and 15% to 25% revenue gains for clients. Its model blends small-firm flexibility with offshore teams for claims, credentialing, transcription, and record indexing. Coders work across ICD-10, CPT, and HCPCS, and the team also verifies insurance.

Emerald Health is an Austin-based firm offering customized billing to San Antonio practices through certified coders and workflow technology. The company reports denial rates under 3% across its clients. Since 2010, it has processed more than 1.5 million claims and recovered over $150 million.

Services include eligibility verification, denial follow-up, patient billing, and accurate payment posting. Emerald also delivers integrated financial reporting and revenue cycle analytics to support steady cash flow. The company claims a client retention rate of nearly 100%.

iRCM is a Brooklyn-based firm providing billing, coding, and credentialing for 40+ specialties, including San Antonio practices. Its AAPC-certified coders work within AI-assisted workflows and several quality-control layers. The company targets around 22 A/R days to speed up payer payments.

Credentialing, CAQH registration, and payer enrollment are also available for new and multi-site practices. Trustpilot reviewers cite knowledgeable staff and improved reimbursement results. Contracts are flexible, so clients can cancel at any time.

MBS Select offers hybrid and full-service medical billing and coding for San Antonio practices. The company reports helping clients earn 8% to 15% more and has managed over $500 million in revenue. Founded in 1993, it now operates in nine states, including Texas.

Service tiers range from fee schedule maintenance to full denial appeals and patient statements. Custom HL7 interfaces move data between EMR and practice management systems to lower operating costs. Full-service clients also get coding review, eligibility QA, payer updates, and lockbox or ERA payment posting.

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