Billing Representative Jobs in Texas
Billing Representative jobs in Texas concentrate heavily in healthcare, insurance, and large-scale corporate services, with demand running from entry-level accounts receivable clerks through senior billing specialists managing complex multi-payer cycles. Houston, Dallas, and San Antonio anchor most of the hiring, driven by major health systems and regional insurers with deep roots in the state. Employers such as HCA Healthcare, CHRISTUS Health, and Blue Cross and Blue Shield of Texas maintain consistent billing operations that produce steady openings across experience levels. Medical billing, commercial insurance follow-up, and denial management are the specialties drawing the most consistent demand. See the openings below and apply to the ones that match your experience.
Find Billing Representative JobsOverview
Showing 5 of 16+ Billing Representative jobs
Description
Performs all types of billing, collection and follow up functions for direct, third party and government patient accounts and serves as a resource and trainer to others in the area with minimal supervision. This individual is able to readily identify and respond to claim denial trends; postings error trends and/or complex inquiry calls for the purpose of routing. This individual identifies correct coding initiative via thorough research of the claim through use of available payer management guidelines and systems in order to maintain highest integrity of the Medical Group as well as to prevent filing deadline that would otherwise hinder revenue intake. This individual is responsible for analysis of various reporting to the appropriate leader to ensure compliance.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
2 years Patient Accounting experience in a physician office, hospital, or medical collections or equivalent knowledge and ability to execute essential functions of this job description.
Extensive Customer Service Skills as well as computer application.
Third party follow-up, government follow-up, patient collections, account resolution, billing, and/or cash applications.
Preferred Qualifications:
Coursework/Training: 1 year of college or Business experience.
Medical Business Office experience in a physician office or hospital.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
Requsition ID: 467250
Company: Covenant Jobs
Job Category: Billing/Collections
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 8002 CMG PHYSICIAN BILLING
Address: TX Lubbock 2215 Nashville Ave
Work Location: Covenant Medical Grp-Nashville Ave
Workplace Type: On-site
Pay Range: $16.14 - $24.69
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Description
Performs all types of billing, collection and follow up functions for direct, third party and government patient accounts and serves as a resource and trainer to others in the area with minimal supervision. This individual is able to readily identify and respond to claim denial trends; postings error trends and/or complex inquiry calls for the purpose of routing. This individual identifies correct coding initiative via thorough research of the claim through use of available payer management guidelines and systems in order to maintain highest integrity of the Medical Group as well as to prevent filing deadline that would otherwise hinder revenue intake. This individual is responsible for analysis of various reporting to the appropriate leader to ensure compliance.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
2 years Patient Accounting experience in a physician office, hospital, or medical collections or equivalent knowledge and ability to execute essential functions of this job description.
Extensive Customer Service Skills as well as computer application.
Third party follow-up, government follow-up, patient collections, account resolution, billing, and/or cash applications.
Preferred Qualifications:
Coursework/Training: 1 year of college or Business experience.
Medical Business Office experience in a physician office or hospital.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
Requsition ID: 467250
Company: Covenant Jobs
Job Category: Billing/Collections
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 8002 CMG PHYSICIAN BILLING
Address: TX Lubbock 2215 Nashville Ave
Work Location: Covenant Medical Grp-Nashville Ave
Workplace Type: On-site
Pay Range: $16.14 - $24.69
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
See All 16 Billing Representative Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Billing Representative JobsBilling Representative Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Billing Representative Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Electronics & Hardware
What Texas Employers Look For
The qualifications that appear most often in billing representative jobs across Texas.
- Experience with medical or commercial billing systems such as Epic or Meditech
- Knowledge of CPT, ICD-10, and HCPCS coding as applied in Texas healthcare settings
- Familiarity with Texas Medicaid and CHIP billing guidelines through the Texas Health and Human Services Commission
- Demonstrated ability to work insurance denials, appeals, and accounts receivable follow-up
- Strong attention to detail when posting payments and reconciling accounts against explanation of benefits
- Associate degree or equivalent experience in healthcare administration, business, or a related field
Billing Representative Jobs in Texas: Frequently Asked Questions
How do you become a billing representative in Texas?
Most billing representative roles in Texas do not require a state-issued license, but employers consistently prefer candidates who hold a Certified Professional Biller credential from the American Academy of Professional Coders or a Certified Medical Reimbursement Specialist designation. Texas community colleges, including those in the Houston Community College and Dallas College systems, offer healthcare billing and coding certificate programs that meet most employer expectations. Completing one of these programs and gaining hands-on practice with a major billing platform is the standard path into the role.
Which companies hire billing representatives in Texas?
Companies currently hiring billing representatives in Texas include Covenant Health, Spectrum, and PathGroup, per current listings on Migrate Mate as of November 2026. Texas's large concentration of hospital systems, regional insurers, and revenue cycle outsourcing firms means the pipeline of openings stays active across the state year-round.
Which Texas cities have the most billing representative jobs?
Coppell, Lubbock, and Houston hold the most billing representative openings in Texas. Houston leads because of its outsized concentration of hospital systems, specialty clinics, and health insurance carriers, while Dallas supports a large corporate services and insurance sector, and San Antonio draws demand from its military-affiliated healthcare networks and growing regional health systems.
Are there remote billing representative jobs in Texas?
Yes, and more than most fields. Billing representative work is desk-based and system-driven, which makes it well suited to remote arrangements. About 50% of billing representative openings tied to Texas are remote or hybrid as of November 2026, reflecting how broadly revenue cycle employers have adopted flexible work policies. Insurance follow-up, denial management, and payment posting are the functions most commonly offered fully remote.
How can I get hired as a billing representative in Texas with little or no experience?
The most realistic entry path is applying to patient access or billing clerk roles at large Texas health systems, where structured on-the-job training is common. HCA Healthcare and CHRISTUS Health both hire billing trainees and patient financial services associates with minimal prior experience, treating those positions as feeder roles into full billing representative work. Completing a short billing and coding certificate through a Texas community college and gaining working knowledge of Epic or Meditech before applying meaningfully improves your chances over candidates with no system exposure.
Where can I find and apply to billing representative jobs in Texas?
You can find and apply to billing representative jobs in Texas on Migrate Mate, which lists current Texas openings across health systems, insurers, and revenue cycle firms. Search the listings, identify the roles that fit your experience level and preferred location, and apply directly to the ones that match.
See All 16 Billing Representative Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Billing Representative Jobs