Billing Manager Jobs in Texas
Billing Manager jobs in Texas are among the most active in the country, with steady demand across healthcare systems, energy companies, and corporate shared-services centers at every level from entry-level billing coordinator through senior manager. Houston, Dallas, and San Antonio anchor the bulk of hiring, with major employers such as HCA Healthcare, AT&T, and Valero Energy maintaining large billing and revenue cycle operations in the state. Medical billing and revenue cycle management are the most in-demand specialties, driven by Texas's outsized healthcare industry. Find a role that fits below and apply directly.
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Job Summary
We are seeking a highly skilled and detail-oriented Medical Billing Manager to oversee our healthcare billing operations. The ideal candidate will possess extensive knowledge of medical billing regulations, insurance processes, and revenue cycle management, with a proven ability to lead and develop teams. As the Medical Billing Manager, you will ensure accurate billing practices, compliance with healthcare regulations, and efficient management of the hospital revenue cycle to optimize financial performance.
Duties
- Lead and manage the medical billing team, providing guidance, training, and performance evaluations to ensure operational excellence.
- Oversee the entire billing process, including electronic health records (EHR) management, medical coding (ICD coding), and insurance third-party billing.
- Ensure compliance with all healthcare billing regulations such as Medicare, Medicaid, and other insurance policies.
- Monitor and improve revenue cycle management processes to maximize hospital revenue and reduce claim denials.
- Collaborate with clinical staff and administrative departments to streamline billing workflows and resolve billing discrepancies promptly.
- Maintain up-to-date knowledge of healthcare billing management practices, medical billing regulations, and insurance policies.
- Utilize billing software and Microsoft Office tools effectively to generate reports, analyze data, and support decision-making.
- Ensure accurate documentation of billing procedures and adherence to health insurance and Medicaid regulations.
Skills
- Extensive knowledge of medical billing regulations compliance including Medicare and Medicaid regulations.
- Proficiency in Microsoft Office applications such as Excel, Word, and Outlook for reporting and communication purposes.
- Experience with various billing software systems used in healthcare settings.
- Strong understanding of hospital revenue cycle management from patient registration through final payment collection.
- Knowledge of healthcare billing management practices including medical coding (ICD coding) and medical billing procedures.
- Familiarity with electronic health records (EHR) management systems for accurate data entry and retrieval.
- Excellent team management skills with the ability to lead a diverse team effectively.
- Deep understanding of health insurance policies, third-party payers, and insurance claim processing.
Join our team as a Medical Billing Manager to lead our revenue cycle initiatives with precision, ensuring compliance while driving financial success through expert management of healthcare billing processes.
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person
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Where Texas roles are concentrated, by current openings.
Billing Manager Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Education
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in billing manager jobs across Texas.
- Bachelor's degree in accounting, finance, business administration, or a related field
- Three or more years of billing, revenue cycle, or accounts receivable experience
- Proficiency with billing software such as Epic, Cerner, or SAP
- Knowledge of CPT, ICD-10, and HCPCS coding standards for healthcare billing roles
- Experience managing a billing team and overseeing collections workflows
- Strong working knowledge of payer contracts, denial management, and compliance requirements
Billing Manager Jobs in Texas: Frequently Asked Questions
How do you become a billing manager in Texas?
Most billing managers in Texas move into the role after several years in billing, coding, or accounts receivable positions. Texas does not require a state license to work as a billing manager, but employers strongly prefer candidates with a bachelor's degree in accounting, finance, or business. Certifications such as the Certified Professional Biller credential from the American Academy of Professional Coders are widely recognized and give candidates a clear edge in the Texas market.
How much do billing managers make in Texas?
Billing managers in Texas earn a median of about $164,860 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $98,250 for the lowest 10% to over $309,290 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire billing managers in Texas?
Employers hiring billing managers in Texas right now include AVS, USAA, and IQVIA, based on current listings on Migrate Mate as of October 2026. Texas's large healthcare networks, energy corporations, and Fortune 500 headquarters create consistent, year-round demand for experienced billing managers across the state.
Which Texas cities have the most billing manager jobs?
Dallas, Houston, and Austin have the most billing manager openings in Texas. Houston leads because of its concentration of hospital systems and energy sector headquarters, Dallas draws volume from corporate shared-services centers and major insurers, while San Antonio's large military-affiliated healthcare network and growing medical district sustain steady demand even outside the two largest metros.
Are there remote billing manager jobs in Texas?
Yes, and more than most fields. Billing management is largely desk-based and systems-driven, making it well suited to remote or hybrid arrangements. About 53% of billing manager openings tied to Texas are remote or hybrid as of October 2026, reflecting how broadly Texas employers have adopted flexible work for revenue cycle roles. Functions like denial management, payer follow-up, and team reporting are the most commonly performed fully remote.
How can I get hired as a billing manager in Texas with little or no experience?
The most realistic entry path is starting as a billing specialist, patient account representative, or medical coder at a large Texas health system such as Texas Health Resources, Memorial Hermann, or Baylor Scott and White, then building toward a supervisory role. Many of these systems run internal development programs that promote high performers into lead and manager positions. Earning a Certified Professional Biller credential early strengthens a candidate's case for advancement before formal management experience accumulates.
Where can I find and apply to billing manager jobs in Texas?
You can find and apply to billing manager jobs in Texas on Migrate Mate, which lists current openings from Texas employers. Search the available roles, find the ones that match your experience and target city, and apply directly to the employers posting them.
See All 18 Billing Manager Jobs in Texas
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