Billing Representative Jobs in Texas

Billing Representative jobs in Texas are consistently in demand, with openings concentrated in healthcare revenue cycle, insurance claims, and utilities across entry-level through senior billing specialist roles. Houston, Dallas, and San Antonio anchor most of the hiring, with large health systems like HCA Healthcare, Baylor Scott & White, and CHRISTUS Health among the most active employers in the state. Medical billing, insurance follow-up, and accounts receivable resolution are the specialties Texas employers seek most. Find a role that fits below and apply directly.

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Overview

Open roles27+
Top employerCHRISTUS Health
Top cityHouston, TX
Cities hiring14
Work type89% On-site
Top industryHealthcare

Showing 5 of 27+ Billing Representative jobs

GENESIS MEDICAL GROUP
Primary Care Billing Representative
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GENESIS MEDICAL GROUP
Added 5d ago
Primary Care Billing Representative
GENESIS MEDICAL GROUP
Spring, Texas
Administrative & Office Support
Finance
Accounting
Healthcare Administration
Medical Coding & Billing
On-Site
None

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Optum
Billing Representative
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Optum
Added 1w ago
Billing Representative
Optum
Dallas, Texas
Customer Service & Support
Finance
Accounting
Customer Service
Tax
$18 - $32/hr
Remote (US)
High School
10,000+

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Baylor Scott & White Health
Billing Representative
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Baylor Scott & White Health
Added 1w ago
Billing Representative
Baylor Scott & White Health
Dallas, Texas
Healthcare Administration
Finance
Accounting
Medical Coding & Billing
Tax
On-Site
High School
10,000+

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Pitney Bowes
Client Billing Representative
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Pitney Bowes
Added 7mo ago
Client Billing Representative
Pitney Bowes
Arlington, Texas
Accounting
Customer Service & Support
Administrative & Office Support
$20.50/hr
On-Site
Associate's
10,000+

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Quest Diagnostics
Billing QA/QC Representative - Lead
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Quest Diagnostics
Added 5d ago
Billing QA/QC Representative - Lead
Quest Diagnostics
Irving, Texas
Quality Assurance & Testing (QA Testing)
Finance
Accounting
Customer Service & Support
Audit
$21.42/hr +
On-Site
High School

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See All 27 Billing Representative Jobs in Texas

Find roles in Texas that match your experience and apply in just a few clicks.

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Billing Representative Jobs by City in Texas

Where Texas roles are concentrated, by current openings.

Houston
4 jobs
San Antonio
4 jobs
Irving
3 jobs
Tyler
3 jobs
Dallas
2 jobs
Plano
2 jobs
Texarkana
2 jobs
Arlington
1 jobs
Lakeway
1 jobs

Billing Representative Job Market in Texas

A snapshot from current Texas openings, updated as new roles post.

Who's Hiring

  • CHRISTUS Health
    CHRISTUS Health11
  • Baylor Scott & White Health
    Baylor Scott & White Health5
  • UTHealth Houston
    UTHealth Houston3
  • Optum
    Optum2
  • Quest Diagnostics
    Quest Diagnostics2

Top Industries Hiring

  • Healthcare & Medical Services21
  • Education3
  • Agriculture & Farming1
  • Consulting & Professional Services1
  • Cybersecurity1

What Texas Employers Look For

The qualifications that appear most often in billing representative jobs across Texas.

  • High school diploma or equivalent required, with an associate or bachelor's degree preferred
  • One to three years of experience in medical or insurance billing and claims processing
  • Working knowledge of ICD-10, CPT, and HCPCS coding systems for accurate claim submission
  • Proficiency with billing software platforms such as Epic, Cerner, or Meditech
  • Familiarity with Medicare, Medicaid, and commercial insurance payer guidelines and requirements
  • Strong attention to detail and ability to manage high-volume accounts receivable workloads

Billing Representative Jobs in Texas: Frequently Asked Questions

How do you become a billing representative in Texas?

Most billing representative roles in Texas require a high school diploma and on-the-job training, though many employers prefer candidates who hold a Certified Professional Biller credential from the American Academy of Professional Coders or a Certified Billing and Coding Specialist credential from the American Health Information Management Association. Texas does not issue a state license for billing representatives, so earning a nationally recognized certification is the clearest way to stand out with Texas healthcare and insurance employers.

Which companies hire billing representatives in Texas?

Employers hiring billing representatives in Texas right now include CHRISTUS Health, Baylor Scott & White Health, and UTHealth Houston, based on current listings on Migrate Mate as of June 2026. Texas's large concentration of hospital systems, physician groups, and insurance carriers means steady demand from both established health networks and regional revenue cycle outsourcing firms.

Which Texas cities have the most billing representative jobs?

Houston, San Antonio, and Irving have the most billing representative openings in Texas. Houston drives the highest volume thanks to its massive healthcare corridor anchored by the Texas Medical Center, while Dallas and San Antonio reflect the large regional health systems and insurance headquarters concentrated in those metros.

Are there remote billing representative jobs in Texas?

Yes, and more than most fields, because billing work is desk-based, software-driven, and does not require physical presence. About 11% of billing representative openings tied to Texas are remote or hybrid as of June 2026, reflecting how broadly employers have adopted flexible arrangements for this role. Insurance follow-up, claims auditing, and accounts receivable roles are the most consistently remote.

How can I get hired as a billing representative in Texas with little or no experience?

The most realistic entry path is applying for a billing associate, patient account representative, or front-desk insurance verification role at a Texas hospital system or large physician group, where on-the-job training is standard. Large Texas employers like HCA Healthcare and Baylor Scott & White run new-hire training cohorts that bring candidates up to speed on payer rules and billing software without requiring prior experience. Completing a medical billing and coding certificate program at a Texas community college, such as Austin Community College or Houston Community College, strengthens an application considerably.

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 openings from employers hiring across the state. Find roles that fit your experience and location, then apply directly to the employer through the listing.

See All 27 Billing Representative Jobs in Texas

Find roles in Texas that match your experience and apply in just a few clicks.

Find Billing Representative Jobs