If you’re a healthcare provider in San Antonio, you’re probably already dealing with the ugly math behind billing denials. Up to 22% of claims get rejected on the first pass, and if you’re like most practices, you’re not recovering over half of them. That’s real money leaking out of your revenue cycle, often without anyone noticing until it’s too late.
The truth is, you need a billing partner who understands how to clean up claims, not just submit them. To help you get through this, we will talk about the 10 best medical billing companies in San Antonio, TX. Go through the following entries and find the partner that will help you streamline your billing process so you can focus on your practice without any worries:
1. Transcure
Transcure is easily the best medical billing company in San Antonio, TX, featuring 12+ years of experience in 40+ specialties. Apart from Texas, the company also provides its billing and coding services across the U.S in specialties like Internal Medicine, Orthopedics, Pain Management, Podiatry, etc. With more than 1100 certified AAPC billers, it ensures comprehensive services, from a complementary credentialing service to rejection management.
Furthermore, Transcure’s dedicated A/R team can help practices recover their precious revenue within 24 days. The experienced and highly dedicated billers and coders keep the Turn Around Time to within 48 hours. Even in the difficult landscapes of San Antonio and Texas in general, the expert team at Transcure maintains a 98% first-pass clean claims rate. Ultimately, practices get to see a 5% to 10% revenue increase, making Transcure lead the list of the best medical billing companies in San Antonio.
Why Transcure Should be Your First Choice:
- 30% reduction in Accounts Receivable
- Over $500M+ worth of claims processed
- Integration with 30+ EHRs like Epic, NextGen, Kareo
- RPA-based workflow to process claims quickly
- Transparent pricing: 5% fee on all claims processed
- Payment retrieval from insurance companies within 26 days
2. San Antonio Medical Billing LLC
San Antonio Medical Billing LLC, founded in 2014, delivers end‑to‑end medical billing services including charge entry, coding, and AR follow‑up for local physician practices. Their Texas‑based consultants specialize in helping small-to-mid-sized clinics improve reimbursement through denial reduction and revenue cycle optimization. Furthermore, their approach includes practice management training, patient statements, and proactive customer support available at any time.
SAMB is known for personalized client relationships and measurable increases in revenue collection quality and speed across primary specialty practices. The key advantage of working with SAMB is that they have an in-house team of coders and billers, with members having over 3 decades of experience. The company offers its billing services to most practices in the region, including mental health, OBGYN, dental, family practice, laboratory services, etc.
Key Highlights
- Credentialing & new practice setup support
- Practice management training & consulting
- Personalized 24/7 Texas-based support
- Claims denial reduction & revenue improvement
3. MBS Select (MD Billing Solutions)
MBS Select is among those companies that provide hybrid and full-service medical billing and coding services specifically tailored to San Antonio practices. By helping practices earn 8-15% more than usual, the company has successfully managed over $500M in revenue across Texas medical billing companies. Due to their quality RCM services, the company has been in business for over 3 decades. They deliver tiered service levels, from fee‑schedule maintenance to full denial appeals, patient statements, and on-site monthly meetings.
To facilitate practices to move data between different EMRs and PMs, MBS Select allows custom HL7 interface solutions, ultimately helping to reduce operational costs. While the company is operational in 9 states, including Texas, it is also exploring opportunities in the remaining states. Their full-service tier includes coding review, eligibility QA, payer guideline updates, call center support, and lockbox/ERA payment posting.
Key Highlights
- Hybrid (2 to 4%) and full-service (4 to 8%) pricing models
- CPT/ICD coding review & consulting
- On-site monthly meetings
- EDI and EFT enrollment
4. AMS Solutions
AMS Solutions is among those medical billing and coding companies that are 100% U.S.–based. It has been operating since 1986 with over 30 years of experience providing robust medical billing services nationally, including San Antonio’s healthcare market. They offer fully customized medical billing services, tailored to small to large practices across specialties like internal medicine, pediatrics, anesthesiology, neurology, etc.
Their core services encompass accurate claim submission, AR management, payer appeal resolution, credentialing, and ongoing performance monitoring. AMS’s standout features include flat-percentage pricing based solely on collections with no setup fees or software costs. Apart from that, they have a relentless focus on clean claims and denial reduction. To ensure proper communication and information transfer, AMS trains the practice’s staff without any additional costs.
Key Highlights
- Practice analytics, performance monitoring & consulting
- Dedicated account support
- Direct access to expert billing teams
- Transparent pricing with a Live pricing calculator
5. QMACS
With over 30 years of experience, QMACS, Inc. is a Texas-based revenue cycle management firm that caters to a broad range of specialties. Cardiology, vascular surgery, hospitalists, orthopedics, neurology, and free‑standing emergency facilities are a few to name. Their certified professional coder–managers average 19+ years of tenure, blending deep expertise with continuity of support. QMACS offers full-service capabilities such as charge entry, clean‑claim coding, scrubbing, AR follow‑up, payer appeals, and credentialing under one roof.
Their turnkey RCM includes EHR practice integration, staff education, custom reporting, and a bilingual patient call center. They operate with a percentage-of-collections pricing model, meaning they only earn when your practice gets paid. QMACS places a strong emphasis on ongoing staff training, monthly analytics, and adaptability to any practice management platform, including Allscripts and other major systems.
Key Highlights
- Performance dashboards and reporting tailored to practice needs
- Clearinghouse and Claims Audit
- Modifier and ICD-10 Training
- Independent Dispute Resolution
6. Progressive Medical Billing
Recently celebrating their silver jubilee, Progressive Medical Billing is a well-known medical billing and coding company in the Texas region, boasting 50 years of combined industry experience. It supports a wide range of Texas specialties, including pain management, orthopedics, family practice, and physical therapy. With an office in San Antonio at 6655 First Park Ten Boulevard, their U.S.-based team combines strategic planning, risk management, and expert claim analysis to enhance profitability and reduce billing errors.
The highlight thing about this company is their claim of increasing their clients’ revenue by 30%-278% in the past three years. Progressive Medical Billing also boasts access to all provider numbers, which makes the credentialing process easier. Their services encompass primary/secondary insurance billing, payment posting, patient collections, fee schedule optimization, CAQH and Medicare enrollment, and customized reporting.
Key Highlights
- Commercial insurance enrollment
- No setup/software fees; contingency-based pricing
- Partial billing services
- Claim follow-up and resubmission
7. One Source Medical Billing LLC – San Antonio Office
Over the course of 20 years, One Source Medical Billing LLC has been providing comprehensive medical billing and 5 other services to the practices in San Antonio. It caters to the providers across family medicine, cardiology, pediatrics, mental health, PT, DME, and more. Apart from billing and coding, they pair RCM services with marketing support and practice growth consultancy. Their billing process includes clean-claim submission, payer-specific guidelines compliance, denial reduction, and regular feedback loops.
Furthermore, they emphasize client care and technical expertise for keeping pace with Texas regulations and payer policies. Guaranteeing a 98% first-pass claim submission rate, OSMB has helped practices improve their revenue by 15% to 25%. Their service model blends small-firm flexibility with offshore team to manage claims, credentialing, and transcription. Additionally, specialization in ICD‑10, CPT/HCPCS coding, physician credentialing, and insurance verification makes it rank among the top medical billing companies in San Antonio.
Key Highlights
- 95%+ Collection Rate
- 25-30% reduction in AR days
- A TAT of 8-15 days
- HIPAA-compliant RCM and Medical Billing
8. Emerald Health
Emerald Health provides customized medical billing services designed for San Antonio practices, combining certified coders with advanced workflow technology to achieve denial rates under 3%. After processing 1.5M+ claims in 15 years, the company has successfully retrieved $150M+ in revenues for its customers. Like most companies on the list, their services include eligibility verification, denial follow-up, and patient billing with transparent HIPAA-compliant operations.
To help practices optimize cash flow while reducing administrative burdens, Emerald delivers integrated financial reporting and actionable revenue cycle analytics. Also, their tight coordination between billing and clinical teams enhances both efficiency and patient satisfaction across multiple specialties. Their expertise in providing medical billing and RCM services helps them retain their clients, with the company claiming a “customer retention rate of nearly 100%.”
Key Highlights
- Financial key performance indicators (KPI) reporting.
- EHR alignment and financial analytics
- Workforce optimization by outsourcing
- Accurate and up-to-date payment posting
9. iRCM
iRCM serves multiple states in the U.S., including Texas, and practices in the San Antonio region. The company features end-to-end medical billing, coding, and credentialing services for over 40 medical specialties nationwide. Their team includes AAPC-certified coders who leverage AI-enhanced workflows and multiple quality-control layers to ensure accurate and compliant billing. Their dedicated team ensures A/R days are reduced to 22 days to facilitate faster payments release from the payers.
They also specialize in provider credentialing, CAQH registration, and payer enrollment, supporting both new and multi-site practices. According to national press releases, iRCM helps improve revenue, reduce administrative burdens, and enhance payer compliance. Similarly, Trustpilot reviews show consistently high satisfaction, with clients citing knowledgeable teams and improved reimbursement results.
Key Highlights
- Speciality-specific EHR/EMR software used.
- No fixed agreement, clients can cancel anytime.
- Healthcare Achiever Award by the Mayor of New York City
- 24/7 practice management consultants
10. Advance Forward Medical Billing
Advance Forward Medical Billing is a Texas-based medical billing and coding company founded to serve complex specialty practices, especially in vascular surgery and cardiology. Their U.S.–based team specializes in front and back-office operations, from patient registration and benefit verification to coding, claim submission, and denial management. As for their specialties, AFMB supports a wide variety of specialties, including EKG, echo, arterial/venous duplex, wound care, and spine procedures.
They place strong emphasis on claim accuracy through front-end scrubbing, peer-to-peer reviews, and tailored billing criteria. This proactive approach significantly lowers denial rates and speeds up reimbursement. AFMB also offers quick reporting and analysis tools that reveal revenue leakages, streamline workflows, and pinpoint areas for improvement. Ultimately, their deep expertise helps hospitals, OBLs, and solo providers boost revenue and operational efficiency.
Key Highlights
- Covers ancillary services like ultrasound, EKG & echo
- Denial Management & Appeals
- Specializes in vascular surgery and cardiology billing
- In-depth reporting & revenue cycle analysis services
Conclusion
Each of these medical billing companies in San Antonio, TX, offers specific strengths. Boutique firms like SAMB and One Source deliver hands-on local support, while larger providers such as offer scalable technology, multi-specialty coders, and credentialing efficiency.
You should decide based on your practice size, specialty needs, desired service model, and integration requirements. As for an all-around suggestion, Transcure certainly takes the lead due to their extensive resume and ability to increase revenue for practices of all sizes.
Frequently Asked Questions (FAQs)
Which is the best company for medical billing in the U.S?
Transcure is a top-rated medical billing company in the U.S., trusted by practices in 40+ specialties. With over 12 years of experience and 1100+ certified billers, it delivers fast turnaround, 98% clean claims rate, and a 5–10% boost in revenue.
- 30% A/R reduction and payment retrieval in 26 days
- Supports 30+ EHRs like Epic, Kareo, and NextGen
- Transparent 5% pricing on claims processed
For reliable, scalable billing services nationwide, Transcure is the go-to choice.
Which medical billing certification is best?
The AAPC’s Certified Professional Coder (CPC) is considered the gold standard in outpatient medical coding. It is recognized nationwide for its comprehensive CPT, ICD-10, and HCPCS coverage. Alternatively, AHIMA’s CCA is preferred for inpatient coding roles, so your choice should depend on your career focus.
How much does medical billing and coding pay in San Antonio, Texas?
In San Antonio, medical coders earn an average of $56,154 annually (roughly $27 per hour), while medical billers typically earn $18.42 per hour (about $38,000 annually). Entry-level coding roles start around $27 per hour, with potential to increase to $31 per hour with experience.
