Top 10 Medical Billing Companies in Texas in 2026

Transcure is a top-rated medical billing company in Texas, with 24 years of billing experience in end-to-end RCM management. To make billing more accurate, we use advanced AI agents that automate every stage of the workflow, from pre-authorization to coding and AR follow-ups. 

Other than that, we have a team of 1,100 AAPC-certified coders who ensure precise and compliant coding. As a result, we achieve a 99.99% claim accuracy while reducing claim denials by up to 80%. The company is fully HIPAA compliant and strictly follows insurer-specific rules to ensure accurate claim submission. 

Along with federal compliance, their billing specialists are well-versed in Texas healthcare regulations, including the Texas No Surprises Act and state balance-billing protections. Our company offers billing and coding support for over 40 medical specialties, including Pain Management, Dental, and OB/GYN. 

Right Medical Billing is a U.S.-based medical billing and revenue cycle management company that offers custom-tailored billing solutions for healthcare organizations. The company provides end-to-end RCM support, from patient registration and insurance verification to claim submission, payment posting, and accounts receivable follow-ups.

They have a team of 500+ certified coders and billers and serve 1200+ healthcare providers across the U.S. In addition to billing and coding, the company also supports credentialing, payer contracting, and out-of-network negotiations.

Holmes Medical Billing is a well-known Texas medical billing company, which provides billing services across 13+ medical specialties and practice sizes. The company was established to provide personalized medical billing and credentialing services for healthcare providers, particularly small and rural practices that need hands-on billing support. 

It operates with a team of AAPC-certified billing and credentialing specialists who handle revenue cycle management in Texas for multiple medical specialties. They also offer dedicated account management, providing practices with direct communication and regular updates.

Xpert Medical Billing Solutions, LLC is a trusted medical billing company in Texas, based in Temple, providing comprehensive billing solutions for healthcare providers. They serve practices of all sizes and specialties across Central and Texas-wide service areas, including Houston, Austin, Dallas, San Antonio, and many other cities. 

With a team of AAPC- and AHIMA-certified coders and billing specialists, Xpert Medical Billing ensures accurate coding and accounts receivable management. Furthermore, they offer credentialing, denial management, prior authorizations, and risk adjustment coding.

Pro Medical Billing Solutions (PROMBS) is a leading medical billing company in Texas, headquartered in Webster, with additional offices in Nevada, Colorado, and Virginia. The company provides comprehensive RCM services to healthcare providers of all sizes and specialties, including hospitals, dental practices, and multi-specialty clinics. 

PROMBS’s team of medical billing experts Texas ensures accurate medical billing and coding, accounts receivable management, denial, and rejection resolution. Their certified billing and coding specialists use advanced technology to maintain a 98% clean claim rate.

Onion Creek Medical Billing stands fifth among our best medical billing companies in Texas with its specialized mental health medical billing services. Unlike other Texas medical billing companies, Onion Creek’s comprehensive range of services can integrate seamlessly with your practice without adding any additional burden.

They offer end-to-end billing support, including collecting patient insurance information, verifying eligibility and benefits, tracking prior authorizations, and filing primary and secondary claims. Also, the company provides credentialing assistance for solo practitioners and group provides.

HMS USA LLC is a healthcare management and revenue cycle management company in Texas that provides comprehensive medical billing and practice management services. Headquartered in Floral Park, New York, with an additional office in Decatur, Texas, the company focuses on helping medical practices streamline their administrative operations. 

HMS combines industry experience with certified billing professionals to deliver reliable billing solutions for providers ranging from solo practitioners to hospitals and home health agencies. Plus, the company maintains compliance with healthcare regulations such as HIPAA and CMS guidelines.

Storm Medical Billing is a HIPAA-compliant mental health billing company in Texas. Storm specializes in the behavioral billing sector and supports independent providers who are licensed therapists, mental health counselors, clinical psychologists, and psychiatrists. 

They help independent healthcare providers in improving their financial performance with managed billing and claim processes. The company also provides free 30-minute consultations to guide new private practice providers through the credentialing process so you can easily enlist with payors.

Nexus io is a U.S.-based RCM company that provides AI-powered medical billing and coding solutions to healthcare providers across the country. With a team of certified medical billers and coders, Nexus io focuses on improving financial performance by minimizing claim denials and recovering aged accounts receivable.

Nexus io offers a range of RCM services, including medical billing, charge entry, AR recovery, eligibility verification, claim submission, and denial management. The company emphasizes compliance and data security by maintaining HIPAA compliance and SOC 2 Type II certification.

PUREDI, headquartered in Austin, Texas, has more than two decades of experience in physician billing services. They offer end-to-end RCM support, including medical coding, claim submission, AR follow-up, analytics and reporting, credentialing, and practice management consulting. 

Its proprietary cloud-based billing software integrates with EHR systems and features an advanced error-checking engine that identifies coding issues and denial risks before claim submission. The company also provides detailed business analytics, monthly reporting, and dedicated account managers to help healthcare organizations optimize financial performance.