According to the Texas Medical Association, Texas is one of the most challenging states for practices with 19% in-house and 37% out-of-network rejected claims. This huge rejection number makes them lose considerable revenue and waste lots of time on filing corrected claims. In such cases, medical billing companies Austin TX come to help, as they ensure claims are properly submitted and payments are released on time.
If you’re considering outsourcing your billing but not sure where to start, this guide will walk you through the most trusted medical billing service providers. These companies will handle your denied claims, delayed payments, or insurance red tape to ensure a consistent cash flow to your business:
1. Transcure
With 1100+ specialist medical billers for 40+ specialties, Transcure is the best medical billing company in Austin, Texas. It provides comprehensive medical billing services, from Credentialing to recovering your Account Receivables within 24 days. Similarly, it boasts a 98% first-pass clean-claims rate, which means minimal time spent on managing denials. Transcure utilizes RPA to automate repetitive tasks with bots to ensure immediate claim submission and payments processing from the insurance companies as quickly as possible.
It caters to over 500 physicians, with 99% retention rate, highlighting its extraordinary services. Similarly, the company also boasts a 5-10% immediate revenue increase for its clients simply by filing claims more carefully and reducing rejections. Austin-based practices can trust Transcure for its quality services, especially since it has already processed claims worth $500M+.
Why Should You Choose Transcure?
- Transcure integrates with 30+ EHRs like Epic, NextGen, Kareo.
- Generating & Dispatching Patient’s Statements
- Increase collections by up to 20%
- Experienced in Texas local payers such as UHCCP, THA, BCBSTX, and TWCC.
- Compliant with HIPAA guidelines and state laws
- Agentic AI workflows that automate EOB analysis and A/R calling
- Bank-level 256-bit encryption and two-factor authentication
2. Storm Medical Billing
It is a HIPAA-compliant Austin-native specializing in behavioral health billing for therapists, counselors, psychologists, and psychiatrists. Storm Medical Billing wins clients’ trust by eliminating the initial set up fee and offering a free 30 minutes consultation call regarding credentialing. The company is very transparent about its pricing strategy, clearly stating that it charges $4.99 per claim.
Storm’s niche expertise in psych billing regulations makes them one of the best medical billing and coding companies in Austin for behavioral health. They also provide Explanation of Benefits statements to both providers and patients. In addition, Storm ensures transparency by providing customized monthly reports to the providers.
Key Differentiators
- Specialty focus: behavioral health
- Maximized reimbursements
- Increased claim processing speed
- Personalized, boutique service
- HIPAA compliance
3. Precision Practice Management
Based in Austin, Precision Practice Management offers full-cycle medical billing services to 40+ different practices, from Anesthesiology to Weight Management. Their medical billing services include charge capture, eligibility verification, claims submission, and timely payment posting. The team also conducts claim scrubbing and denial management to accelerate reimbursements. Precision Practice Management uses 14+ EHR and EMRs like Vitera, eClinical Works, Epic, NextGen, Encite, etc. to better manage patients records and history.
With a dedicated credentialing department, the service caters to individual practices, group providers, and hospitals. As a dependable medical billing Austin company with expert staff, its coding and auditing services help practices with accurate billing of the codes. Similarly, the staff holds all the required AAPC certifications to use the EHRs and medical billing systems.
Key Differentiators
- Real-time A/R, denial management & financial analytics
- MACRA/MIPS based payment adjustments
- Security risk assessments
- 24/7 help available for the providers
- IT services specifically for healthcare providers
4. PUREDI
A cloud-first provider with over two decades experience, PUREDI provides comprehensive medical billing services to offload pressure from providers. Their physician billing consultation services identify the root causes of claim denials, review provider utilization, and offer actionable insights to improve financial performance. Additionally, the Error Denial Engine performs automated pre-submission checks before submitting claims to the clearing houses. With this engine, the company boasts 93% successful claim submission rate.
Being a dependable medical billing company in Austin, PUREDI leverages a custom cloud-based medical billing software, which provides advanced reporting capabilities to analyze data through pivot tables. The company also boasts 5% revenue increase for their clients by reducing claim rejections. As for the pricing, their subscription model starts at $199 / month per Provider while the RCM Pro Services come with custom pricing plans.
Key Differentiators
- Non-revenue generating time reduced by 80%
- Claim submission speed increased by 60%
- Monthly analytics and audit reports
- Monthly meetings with Providers
- Live coaching on denial prevention
5. Austin Medical Solutions
Austin Medical Solutions (AMS) blends Indian-based operational strength with local expertise, operating as a Texas-owned subsidiary to serve U.S. practices. The company provides coding and charge entry services in 20+ specialities, including Ambulatory Surgical Center and Medical Oncology. Among the top medical billing companies Austin TX, this one follows the conventional conveyor belt model of processes. Furthermore, being a local entity in the region, it offers more than 7 services, including Claims Transmission and Frontend Rejections.
To ensure transparency in auditing, the payments received from the insurance companies are balanced against the deposit slips in the patient’s profile. This service encompasses the broader development and integration of various IT systems that underpin healthcare operations. Considering the importance of A/R, the Denial Management and AR Follow Up team works continuously to ensure funds are released from the insurance companies “as quickly as possible.”
Key Differentiators
- Provides Medical Transcription services
- Healthcare software development services
- Practice management of clinics, laboratories, and surgical centers
- Patient Demographics Verification
- Verification of Benefits
6. 24/7 Medical Billing Services
A trusted medical billing company in Texas with over 12 years of experience, 24/7 Medical Billing Services boasts a dedicated Austin office at 2028 E Ben White Blvd. It provides end-to-end medical billing services to the practices in Austin and claims to increase their revenue by 30%. It ranks along companies like Transcure by offering complementary credentialing services when you buy their RCM services.
Additionally, they have a team of 500+ people, ensuring 98% clean claims on first submission. Similarly, they cater to over 50 specialties, including Interventional Cardiology, General Surgery, Ophthalmology, etc. As for EHRs and EMRs, 24/7 Medical Billing Services work with programs like AdvancedMD, Allscripts PM, AthenaCollector, etc. Their specialty services include coding audits by certified professionals (CPC, COC, CIC, etc.), flat-rate pricing ($8/hour or percentage-based), and AI-powered DME billing showcased at Medtrade 2025.
Key Differentiators
- Transparent performance dashboards
- Local presence in Austin, Texas
- 24/7 support available to the clients
- Up to 50% reduction in operations cost
- Specialized A/R team to review partial payments and denials
7. Medwave
Medwave delivers full-cycle medical billing and credentialing services to providers across the Austin metro area. With 25+ years of medical billing expertise, their team ensures clean-claim submission by verifying patient eligibility, expertly assigning ICD‑10/CPT codes, and scrubbing claims before submission. Their advanced HL7/FHIR integration enables interoperability with EHRs and practice management systems, automating eligibility verification, claim tracking, and payment reconciliation processes.
Furthermore, their FHIR APIs are capable of verifying patient insurance status and coverage limitations in real-time. Apart from that, they support 25+ specialties, including Pharmacogenetic Testing, Home Infusion Therapy, Substance Abuse, etc. Medwave also offers robust credentialing and payer contracting support. It handles applications, CAQH enrollment, re-credentialing, and rate negotiations to help practices secure in-network access and maximize reimbursement rates.
Key Differentiators
- HIPAA-compliant infrastructure
- Robotic process automation for workflow efficiency
- Denial management and clean-claim optimization
- Customized negotiation strategies tailored to each payer
- Electronic and paper claims submission (Form-1500 02-12)
8. National Billing Partners
Founded in 2008 and headquartered at Austin, National Billing Partners delivers end-to-end medical billing services for physicians, hospitals, and ambulatory surgical centers (ASCs) across the U.S. It is one of the best medical billing companies Austin TX, handling everything from insurance verification and charge capture to coding, appeals, payment posting, etc. Additionally, their RCM tools bridge across 15 different platforms to help practices of all kinds.
In February 2022, NBP was acquired by National Medical Billing Services (a subsidiary of Aquiline Capital), enhancing their ASC and surgical billing capabilities. Additionally, clients report significant performance improvements, such as boosted collections and remarkable A/R reductions. All these things happen because the company follows their custom workflows, platform integrations, and hands-on revenue optimization.
Key Differentiators
- On-shore staff for personalized revenue-cycle consulting
- Coding audits and compliance oversight to reduce denials
- Multispecialty billing, including chiropractic, dermatology, emergency medicine, etc.
- Insurance Contract Negotiation
- Insurance Benefit Verification/Pre-Certifications
9. MGSI
A highly reputable medical billing and coding company in Austin with 30+ years of medical billing experience, MGSI serves over 600 physicians nationally. They offer fee schedule analysis, contract management, insurance eligibility verification, provider enrollment/credentialing, and mobile charge capture. Furthermore, the company ensures 96% of claims are processed within 30 days, with 95% first pass claims. Also, their A+ BBB rating highlights their credibility and consistency.
MGSI also provides patient call services to follow up on balances and ensure quick turnaround for accounts receivable. Similarly, the company deals within 25+ specialties, such as Optometry, Pain Medicine, Pediatric Cardiology, etc. Apart from Texas, MGSI has also been providing its billing services to 20 other states, including Arizona, Florida, and Georgia.
Key Differentiators
- Guarantees 99% collection ratio
- Fee schedule & contract management
- Patient balance follow-up
- Provider credentialing & enrollment
- EHR and Physician Practice Management solution
10. MedibillRCM
MediBill RCM is a Texas-based medical billing company in Texas offering integrated medical billing services, serving clinics and practices in Austin and across the U.S. Their certified U.S.-based team handles patient eligibility verification, charge entry, ICD‑10/CPT/HCPCS coding, claims scrubbing, submission, payment posting, and appeals management. By achieving a 99.9% claim acceptance rate, with under 24 days in A/R, they help providers accelerate reimbursements and reduce administrative burden.
Their Credentialing-as-a-Service excels in Texas-specific payer enrollment, processing CAQH, Medicare/Medicaid, and commercial networks swiftly. In this way, they often cut credentialing time by 40% versus industry averages. MediBill RCM also offers virtual scribe services, advanced denial analytics, financial reporting dashboards, and custom onboarding via a four-step implementation. Their HIPAA-secure, AI-enabled platform supports continuous performance improvement for providers.
Key Differentiators
- At least 98% clean claim rate
- Average 24 days A/R turnaround
- Flexible pricing: ~3.99% per claim or flat fee options
- Advanced dashboards for financial analytics
- $50M+ total claims value processed in 2024
What to Consider When Choosing a Medical Billing Company in Austin, TX
Your time is valuable and it shouldn’t be wasted on billing partners that don’t get the job done. That’s why we have shared some criteria below to help you shortlist the ideal Austin medical billing companies:
- Experience With Your Specialty: Choose a company that understands your specific medical field, such as cardiology, behavioral health, or orthopedics. Check if they have proven results with similar practices in Austin.
- Familiarity With Texas Payers: Pick a billing service that knows Texas-based insurers like BCBSTX, UHCCP, and TWCC. It also ensures compliance with state-specific billing regulations.
- Technology and Automation: Select a provider that integrates with your EHR or practice management software. Automation tools like RPA and real-time dashboards speed up claim processing.
- Clear Reporting and Support: Go for a company that offers transparent pricing and no hidden fees. Additionally, they should provide monthly reports showing claim status, rejections, and payments.
- Strong Denial Management: Ask about their clean claim rate and ensure it is at least 95% or higher. The company must handle denials, resubmissions, and appeals quickly, without having you jump in.
Conclusion
In a competitive healthcare environment like Austin, choosing the right medical billing partner directly impacts your revenue, compliance, and operational efficiency. While many Texas medical billing companies offer solid service portfolios, like credentialing, denial management, and specialty coding, the depth of automation and scalability can vary. From boutique behavioral health billing services to nationwide platforms, the companies reviewed above deliver commendable value depending on your practice size and in-house capabilities.
However, for providers seeking end-to-end revenue cycle optimization, multi-specialty support, and real-time analytics, Transcure stands out as the best medical billing company in Austin, TX. Unlike firms that focus solely on claims, Transcure integrates clearinghouse tools, EHR support, credentialing, A/R dashboards, and coding audits into one unified ecosystem. Their AI-enhanced claim scrubbing and denial prevention tools consistently reduce billing errors, while their fast onboarding process ensures minimal disruption.
