Medical Billing Companies & Consultants in Austin, TX

There are 5 medical billing companies listed in Austin, Texas. Each listing shows the firm's background, address, phone number and website so you can compare your local options before you reach out. You can also browse medical billing companies across Texas or see medical billing companies nationwide.

Dastify Solutions

Dastify Solutions is a revenue cycle and billing firm working with healthcare organizations across the United States. Its client base ranges from single-provider offices and small clinics to multi-provider groups, specialty practices, hospitals and health systems. The company states that it has supported more than 100 providers, and it presents its staff as AAPC-certified billers with experience tailored to individual specialties.

Services Across the Revenue Cycle

Rather than handling a single task, the firm covers the full path from pre-visit work through final reimbursement. Practices can engage it for the whole cycle or for specific functions, including:

  • Insurance eligibility, benefits and coordination-of-benefits checks before appointments
  • Prior authorization and referral requirement tracking
  • Medical coding review covering CPT, ICD-10-CM, HCPCS and modifiers
  • Charge entry supported by robotic process automation validation
  • Claim scrubbing and electronic submission through EDI or clearinghouse channels
  • Insurance and patient payment posting, ERA/EOB handling and reconciliation
  • Denial investigation, appeals and root-cause reporting
  • Recovery of aged accounts receivable, particularly balances older than 90 days
  • Credentialing, CAQH upkeep, PECOS details and payer revalidations
  • Billing audits, plus laboratory billing, chronic care management and remote patient monitoring support

How the Firm Works

A recurring theme on its site is pairing software with human judgment. Claims pass through an AI-assisted scrubbing step, after which specialists examine anything flagged, correct problems and run a final quality check; eligible claims are then transmitted within a day.

Eligibility work follows a similar model, using X12 270/271 transactions, clearinghouse networks and payer portals, with staff phoning payers when electronic responses are incomplete or conflicting. The company says it operates inside a client's existing EHR, EMR or practice management platform, so practices are not normally asked to switch systems.

For A/R projects, Dastify outlines a structured first month: a baseline audit of days in A/R, denial rate and collectible balances in week one, prioritization of time-sensitive and high-value accounts in week two, active corrections and appeals in week three, and an initial recovery report in week four.

Accounts are segmented by age so that recent claims are kept from aging while older ones are triaged for realistic recovery potential. Reporting is described as including baseline metrics, completed work, open items and next steps rather than a single collection figure.

Specialties and Differentiators

The firm lists coverage of more than 50 specialties, among them ambulatory surgery centers, oncology, pathology, dermatology, neurosurgery, orthopedics, behavioral and mental health, cardiology, gastroenterology, radiology, urology, OB/GYN, DME, pain management, pulmonology, internal medicine, dental and wound care.

It handles Medicare, Medicaid, Medicare Advantage and commercial payers, follows HIPAA-oriented processes and signs business associate agreements where protected health information is involved. A published case study for an infectious disease practice in Chicago reports a denial rate falling from 16% to 10% and a clean claim rate reaching 98% over a three-month period.

Client testimonials on its site highlight help with credentialing backlogs, surgical prior authorizations and denied-claim cleanup.

Address
5900 Balcones Dr
Austin, TX 78731
Phone
(888) 928-6503

Onion Creek Medical Billing, LLC

Onion Creek Medical Billing, LLC is an Austin, Texas firm that handles insurance billing for behavioral health clinicians. It mainly works with therapists, counselors and other mental health professionals who run their own independent practices. The company presents itself as part of each practice's staff rather than an outside vendor that only pushes paperwork through, and it says its goal is to cover the tasks that larger billing outfits often overlook.

The firm does not ask clients to adopt new software. Its team works inside the electronic health record platform a practice already pays for, and it names SimplePractice, TheraNest and TherapyNotes as examples. The aim is for claims to move forward in the background so clinicians don't take on extra administrative chores.

The company also stresses careful handling of patient data. It recognizes that giving a biller access to client records takes a great deal of trust, and it treats confidentiality and honesty as central to how it operates.

Services

  • Preparing and submitting insurance claims
  • Checking client eligibility and benefits
  • Following up on unpaid accounts receivable
  • Keeping provider demographic details current with payers
  • Credentialing for new solo clinicians and established group practices
  • Answering general questions about insurance
  • Custom requests that fall outside standard billing work

Billing is charged per session, and the company says there are no hidden extra fees. Each practice can tailor its services, whether it needs full revenue-cycle support or just one piece, such as getting credentialed with insurance panels. New clients can book a free consultation, which the firm uses to confirm both sides are a good fit before work begins.

Background and Team

Owner Jarrod Cole holds the Certified Professional Biller (CPB) credential, which he earned in 2018. That same year, he finished the medical billing and coding certificate program at Austin Community College. During his studies, he worked full time as office manager for Brandie Cole Psychotherapy, PLLC, the practice run by his wife, who is a therapist.

In that role he handled the administrative work of a psychotherapy office. This gave him a first-hand view of the operational pressures his clients now face.

Operations Manager Nicole Bohuslav oversees credentialing, claim submissions, payer demographic updates and receivables, and she also fields insurance questions. She holds an education degree from Texas State University and taught for nine years in Hays CISD and Comal ISD, where she was twice named Teacher of the Year. Billing Specialist Michelle Bender handles eligibility checks and claim submission.

She previously worked in the medical records department at Camp Mabry and spent nearly twenty years at a nonprofit animal welfare organization in office management and veterinary roles.

For practices comparing billing partners, Onion Creek's main differences are its focus on mental health, its willingness to work within a practice's current software, and a small team whose members can each be contacted directly. Its leadership also has hands-on experience running a therapy practice, and it offers billing and credentialing from one provider.

Address
1011 Meredith Drive
Suite 9

Austin, TX 78748
Phone
(210) 264-1337

RCMByte

RCMByte, which also uses the name RCMByte & Consultancy, is a revenue cycle management firm with a mailing address in Austin, Texas. It works with healthcare providers throughout the United States and lists coverage in every state. The company is aimed mainly at small and mid-sized practices. Its stated client types include private clinics, group practices, diagnostic and treatment centers, and urgent care or emergency room operations. It handles both professional and institutional billing.

Billing and Revenue Cycle Services

The core offering covers the full claim lifecycle, from the first patient contact to the final payment. RCMByte connects with a practice's existing electronic health record system through its billing platform. It says claim support is available around the clock, while its staffed office hours run on weekdays. Its billing work includes:

  • Insurance preauthorization and real-time eligibility checks
  • Claim preparation and electronic submission
  • Posting of payer and patient payments
  • Follow-up on unpaid accounts and denied claims
  • Billing audits that track claim performance and find revenue gaps
  • Patient statement processing and custom account reports

Clients are assigned a dedicated account manager, and the firm offers a free practice evaluation before engagement. RCMByte reports a clean claim rate of about 99 percent. It also states that it follows HIPAA technical, administrative and physical safeguards, using encryption, secure authentication and routine backups.

Coding and Credentialing

The coding team is described as holding AHIMA and AAPC certifications, with experience across more than 35 specialties. Coders review progress notes, set medical decision-making levels, apply modifiers and check CCI edits. They also work on E/M and telehealth coding. The firm offers external coding audits, independent reviews to help resolve denials, and provider education through webinars and training sessions.

On the credentialing side, RCMByte enrolls providers with Medicare, Medicaid, commercial insurers, workers' compensation carriers and Tricare. It also maintains CAQH profiles and sets up EFT, ERA and EDI enrollment.

Specialties and Additional Services

RCMByte offers specialty billing programs for these fields:

  • Mental health and neurology
  • Radiology and anesthesia
  • Cardiology, oncology and nephrology
  • Urology, dermatology and podiatry
  • Pain management and gastroenterology

Beyond billing, the company supports Quality Payment Program work, including MIPS, PCMH, HEDIS and chronic care management. It also provides financial consulting for practices, virtual front desk staffing, a patient help desk, LLC formation help, healthcare website development and digital marketing for providers. This wider mix may appeal to practice owners who want one vendor for several administrative needs.

Background

The firm says it has more than ten years of experience in U.S. medical billing. It describes itself as Texas-based while serving practices nationwide. Its method combines specialized revenue cycle teams with technology, and it uses a three-part strategy built around higher collections, lower administrative workload and smoother daily operations. Practices weighing vendors should note that RCMByte covers billing, coding, credentialing and practice support under one arrangement.

Address
5900 Balcones Drive
# 27011

Austin, TX 78731
Phone
(815) 645-0599
Homepage

Secure Medical Billing Company

Secure Medical Billing Company, which also operates under the shorter name SMBC365, is an Austin, Texas firm that handles the financial side of medical practice for healthcare providers. Its work centers on three linked disciplines: claims billing, diagnosis and procedure coding, and full revenue cycle management. The company presents itself as a fit for practices of varied sizes, from small offices to larger organizations, and it positions its offering as multi-specialty rather than tied to a single field of medicine.

Services and specialties

Beyond general billing and coding support, the firm publishes dedicated pages and announcements for several specialty programs. Buyers looking at specialty experience will find these areas listed:

  • Medical billing and claims submission
  • ICD-10 medical coding
  • Revenue cycle management
  • Ambulance and EMS transport billing
  • Radiology billing
  • Pharmacy billing
  • Community behavioral health billing
  • Ambulatory surgery center billing

Its ambulance program, for example, is described as dealing with the coding rules particular to emergency transport and with keeping claims in line with both state and federal requirements, with the goal of quicker payment and stronger collections. Radiology work is presented as scalable so it can be adjusted to the volume and needs of an imaging practice.

How the company works with clients

SMBC365 says its staff includes certified ICD-10 coders working alongside billing specialists, and it frames its aims around three outcomes for clients: higher revenue, lower administrative cost, and adherence to current healthcare regulations, including HIPAA.

The company advertises round-the-clock support availability and invites prospective clients to begin with a free consultation or a quote request, after which it reviews how a practice handles billing and where the revenue cycle can be tightened.

Leadership describes its approach as combining industry knowledge with technology and a client-first attitude, and the home page stresses accuracy, reliability and adaptability as working priorities.

Background and credentials

The business is led by chief executive Hari Kumar and lists an office on Balcones Drive in northwest Austin. Its site references more than fifteen years of experience in surgery center billing and notes that it serves centers in multiple regions, not only locally.

A testimonials page includes feedback from a client who reports two years of using the company for billing management and comments on how the transition onto its service was handled. The firm also maintains active social media channels where it promotes its specialty programs.

For buyers comparing vendors, the main points of distinction are its breadth across niche specialties such as EMS transport, pharmacy and community behavioral health, its emphasis on certified coding staff, and its continuous support model. Practices with specialty-specific claim rules may find the dedicated program pages useful when assessing fit, while those wanting a single outsourced partner for coding, billing and revenue cycle tasks can evaluate its combined offering during the initial consultation.

Address
5900 Balcones Drive
STE 100

Austin, TX 78731
Phone
(430) 413-4127

Storm Medical Billing

Overview

Storm Medical Billing is a boutique billing company based in Austin, Texas, that serves independent behavioral health clinicians in every part of the country. Its clients are mostly therapists, psychologists, counselors and social workers who run solo or small practices.

These professionals would rather devote their hours to patients, staying current in their field and enjoying time away from work than to chasing reimbursements. The firm positions itself as a specialist in mental health billing, so clients get a partner already familiar with the sensitivities and payer quirks of that area.

Services

The company supports practices through the whole life of a claim. Typical tasks include:

  • Filing and processing insurance claims by electronic means
  • Keying in billing information on a daily basis
  • Following up forcefully on claims that remain unpaid
  • Submitting claim corrections and secondary-insurance claims
  • Clarifying benefit statements for providers or patients when needed
  • Delivering monthly reports customized for each practice
  • Working through older claims that were left unfiled so a practice can get current

Credentialing is a related area where the firm offers guidance. Clinicians must already hold their payer credentials before the company will take them on, and the firm does not carry out that application work itself. It does, however, provide a complimentary half-hour phone session for newer private-practice providers who want to understand how to start and how to improve their chances of being approved.

Working Arrangements

Billing is based on a single flat rate per claim, not a share of what a practice collects. The firm says this keeps budgeting simple and lets clinicians project income with confidence. It states that there are no concealed fees and that its rates do not shift with claim volume.

New clients commit to an initial two months, with no floor or ceiling on the number of claims submitted, and the company says it will make the switch from a prior biller go smoothly, including any backlog.

Confidentiality is treated as central, given how sensitive behavioral health records are. Founder Carole Storm personally brings on each new client and remains available to answer questions. The company says its handling of data follows HIPAA, using administrative, physical and technical protections, along with encrypted connections and firewalls for electronic transactions.

Leadership and Team

Carole Storm owns and manages the business as its CEO. She earned an associate degree in Health Information Technology and holds the Registered Health Information Technician credential from AHIMA. She also carries a Texas Department of Insurance license covering life, accident, health and HMO lines. Her stated expertise covers the official guidelines for the major medical code sets, ethical coding standards, and experience with commercial and private carriers, and she tracks regulatory changes in mental health billing.

Two associates assist her. Kay Hale has spent more than twenty years in the billing industry on the technology side, helping build systems at insurance companies that process enormous claim volumes, and she has a degree in computer information systems. Sandra Gross has worked in healthcare data entry for over four decades and has additional training in programming, personal finance and personnel management.

Taken together, the firm's appeal lies in its modest size, owner-led attention, behavioral health focus and clear per-claim structure. Testimonials from licensed counselors and clinical social workers praise Storm's speed, accuracy, availability and tenacity in tracking down claims.

Address
1224 Shannon Oaks Trail
Austin, TX 78746
Phone
(512) 784-4344