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.
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Showing 5 of 15+ Billing Representative jobs
Good listener. Multi-tasking problem-solver. Enthusiastic communicator. Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.
Now hiring for training class starting November 2026!
Customer Service Representatives on our billing team are vital to our mission, providing the product knowledge and account support that our customers rely on. Here, you will work in a fast-paced environment alongside a great team of helpful co-workers.
WHAT OUR CUSTOMER SERVICE REPS ENJOY MOST
- Talking to many different types of people from across the country
- Answering inbound phone calls from customers related to billing inquiries
- Empathizing with customers while accurately addressing their billing needs and meeting our high customer service standards
- Establishing and growing professional, positive relationships with Spectrum customers
- Collaborating with management on customer issue escalations
- Representing a Fortune 100 company with professionalism and courtesy
We are a large organization operating 24/7 bustling call centers offering a variety of shifts. On any given day, you’ll find yourself in the office, navigating multiple computer programs, and speaking with customers over the phone. People who succeed in this role are understanding, resilient, professional, and treat others with kindness and respect. If you can see yourself working in this environment, you’ll feel at home on our billing team.
WHAT YOU’LL BRING TO SPECTRUM
- Education: High school diploma or equivalent
- Schedule: Ability to work a variety of schedules including nights, weekends, and holidays
- Language: Ability to read, write, speak and understand English
Preferred Qualifications
- Experience: 6+ months of customer service experience; 6+ months of experience working with computers and software applications; previous work in cable operations or a telecommunications call center
- Technical Skills: MS Office, computer skills, typing
- Skills: Communication, organization, time management, problem-solving, efficient, multi-tasking, customer service
- Abilities: Dependable, courteous, enthusiastic, empathetic, results-driven, professional, resilient
CCS114 2026-81447 CCS114 2026
Here, our employees don’t just have jobs, they're building careers. That’s why we offer a comprehensive pay and benefits package that rewards employees for their contributions to our success, supporting all aspects of their well-being at every stage of life.
A qualified applicant’s criminal history, if any, will be considered in a manner consistent with applicable laws, including local ordinances.
Get to Know Us Charter Communications provides superior communication and entertainment products for residential and business customers through the Spectrum brand. Our offerings include Spectrum Internet®, TV, Mobile and Voice. Beyond our connectivity solutions, we also provide local news, programming and regional sports via Spectrum Networks and multiscreen advertising solutions via Spectrum Reach. When you join our team, you’ll be keeping our customers connected to what matters most in 41 states across the U.S. Watch this video to learn more.
Grow Your Career Here We’re committed to growing a workforce that reflects the customers and communities we serve – providing opportunities for employment and advancement to all team members. Spectrum is an Equal Opportunity Employer, including job seekers with disabilities and veterans. Learn about Life at Spectrum.
Good listener. Multi-tasking problem-solver. Enthusiastic communicator. Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.
Now hiring for training class starting November 2026!
Customer Service Representatives on our billing team are vital to our mission, providing the product knowledge and account support that our customers rely on. Here, you will work in a fast-paced environment alongside a great team of helpful co-workers.
WHAT OUR CUSTOMER SERVICE REPS ENJOY MOST
- Talking to many different types of people from across the country
- Answering inbound phone calls from customers related to billing inquiries
- Empathizing with customers while accurately addressing their billing needs and meeting our high customer service standards
- Establishing and growing professional, positive relationships with Spectrum customers
- Collaborating with management on customer issue escalations
- Representing a Fortune 100 company with professionalism and courtesy
We are a large organization operating 24/7 bustling call centers offering a variety of shifts. On any given day, you’ll find yourself in the office, navigating multiple computer programs, and speaking with customers over the phone. People who succeed in this role are understanding, resilient, professional, and treat others with kindness and respect. If you can see yourself working in this environment, you’ll feel at home on our billing team.
WHAT YOU’LL BRING TO SPECTRUM
- Education: High school diploma or equivalent
- Schedule: Ability to work a variety of schedules including nights, weekends, and holidays
- Language: Ability to read, write, speak and understand English
Preferred Qualifications
- Experience: 6+ months of customer service experience; 6+ months of experience working with computers and software applications; previous work in cable operations or a telecommunications call center
- Technical Skills: MS Office, computer skills, typing
- Skills: Communication, organization, time management, problem-solving, efficient, multi-tasking, customer service
- Abilities: Dependable, courteous, enthusiastic, empathetic, results-driven, professional, resilient
CCS114 2026-81447 CCS114 2026
Here, our employees don’t just have jobs, they're building careers. That’s why we offer a comprehensive pay and benefits package that rewards employees for their contributions to our success, supporting all aspects of their well-being at every stage of life.
A qualified applicant’s criminal history, if any, will be considered in a manner consistent with applicable laws, including local ordinances.
Get to Know Us Charter Communications provides superior communication and entertainment products for residential and business customers through the Spectrum brand. Our offerings include Spectrum Internet®, TV, Mobile and Voice. Beyond our connectivity solutions, we also provide local news, programming and regional sports via Spectrum Networks and multiscreen advertising solutions via Spectrum Reach. When you join our team, you’ll be keeping our customers connected to what matters most in 41 states across the U.S. Watch this video to learn more.
Grow Your Career Here We’re committed to growing a workforce that reflects the customers and communities we serve – providing opportunities for employment and advancement to all team members. Spectrum is an Equal Opportunity Employer, including job seekers with disabilities and veterans. Learn about Life at Spectrum.
See All 15 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
- 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 Guidehouse, per current listings on Migrate Mate as of September 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, Houston, and Lubbock 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 75% of billing representative openings tied to Texas are remote or hybrid as of September 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 15 Billing Representative Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Billing Representative Jobs