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Direct Billing Jobs in Texas (NOW HIRING)

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Billing Specialist

Houston, TX · On-site

$20 - $25/hr

Dependable, organized, and eager to learn Entry-Level Candidates Welcome We are willing to train a sharp, motivated candidate with little or no direct billing experience . The ideal entry-level ...

Direct business area strategic planning, budget management, analytics, vendor management, quality assurance and talent management. Ensure high-quality performance and value through efficient bill ...

Direct-Bill Operations & Reporting * Process and audit for account changes, terminations, and new account setup, including reporting Direct Bill performance (e.g., enrollments and billing) Carrier ...

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Direct Billing information

What is direct billing?

Direct billing is a payment process where a service provider, such as a healthcare clinic or insurance company, bills a third party (like an insurance provider or employer) directly for services rendered, instead of billing the client or patient. This means the client does not have to pay upfront and then seek reimbursement; the provider and third party handle payments directly. Direct billing is common in health, dental, or wellness services and helps streamline the payment process, making it more convenient for both customers and businesses.

What are the key skills and qualifications needed to thrive as a direct billing specialist?

To excel as a Direct Billing Specialist, you need a solid understanding of invoicing, accounts receivable, and financial recordkeeping, often supported by a background in accounting or finance. Familiarity with billing software, enterprise resource planning (ERP) systems, and sometimes certification in bookkeeping or accounting software is typically required. Strong attention to detail, organizational skills, and effective communication help ensure accuracy and resolve billing disputes efficiently. These competencies are crucial for maintaining cash flow, preventing errors, and building trust with clients and vendors.

What are some common challenges faced in a direct billing role, and how can they be managed effectively?

Direct Billing professionals often encounter challenges such as managing high volumes of invoices, ensuring accuracy in billing details, and resolving discrepancies with clients or insurance providers. Staying organized and maintaining clear communication with both internal teams and external partners are crucial to minimizing errors and delays. Leveraging billing software and regularly reviewing accounts can help streamline processes and quickly address any issues that arise. Being proactive and detail-oriented is essential for success in this role.

What is the difference between Direct Billing vs Medical Billing Specialist?

AspectDirect BillingMedical Billing Specialist
CredentialsOften requires knowledge of insurance policies and billing proceduresRequires coding certifications (e.g., CPC), insurance knowledge
Work EnvironmentHealthcare providers, clinics, hospitalsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageProviders handle billing directly with insurersThird-party billing companies or in-house billing teams

While both roles involve billing processes, Direct Billing typically refers to providers billing insurers directly, whereas Medical Billing Specialists handle coding and processing claims for various healthcare providers. Understanding these differences helps clarify job responsibilities and industry expectations.

Is it hard to get hired as a direct billing?

Getting hired as a direct billing specialist typically requires relevant experience in billing processes, attention to detail, and familiarity with billing software or electronic health record systems. The hiring process can vary depending on the employer's requirements and the level of experience needed, but generally, candidates with strong organizational skills and certifications in healthcare billing have better prospects.

What are popular job titles related to Direct Billing jobs in Texas?

For Direct Billing jobs in Texas, the most frequently searched job titles are:

What cities in Texas are hiring for Direct Billing jobs?

Cities in Texas with the most Direct Billing job openings:

Infographic showing various Direct Billing job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Billing Specialist

Professional Alternatives

Houston, TX • On-site

$20 - $25/hr

Contractor

Posted 6 days ago

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Key responsibilities

  • Receive, record, and account for customer payments for goods and services

  • Review invoices and transactions to ensure accuracy and proper accounting procedures

  • Research and resolve discrepancies between invoices, payments, and accounting records


Job description

Billing Clerk

Location: Hybrid
Schedule: Monday–Friday
Pay: $20–$25/hour, depending on experience
Employment Type: Temporary with strong potential for permanent hire

About the Opportunity

We are seeking a detail-oriented Billing Clerk to join our accounting team. This position is responsible for receiving and accurately accounting for customer payments while also reviewing invoices and transactions to ensure proper accounting procedures are followed.

This is a great opportunity for someone looking to build their accounting career. Candidates with little to no experience may be considered at approximately $20/hour if they demonstrate strong attention to detail, a willingness to learn, and aptitude for working with numbers. Candidates with relevant billing or accounting experience may earn up to $25/hour.

Responsibilities

  • Receive, record, and account for payments received for goods and services
  • Review invoices for accuracy and completeness
  • Verify billing information and supporting documentation
  • Ensure payments are properly applied to customer accounts
  • Research and resolve discrepancies between invoices, payments, and accounting records
  • Perform detailed reviews of billing and payment transactions
  • Serve as an internal auditor by identifying errors and ensuring proper accounting procedures are followed
  • Maintain accurate customer and payment records
  • Reconcile billing and payment information as needed
  • Assist with researching outstanding balances and payment discrepancies
  • Work with internal departments and customers to resolve billing or payment questions
  • Ensure transactions are properly recorded in the company's ERP system
  • Follow established accounting policies, procedures, and internal controls
  • Assist with additional accounting and administrative duties as needed

Qualifications

  • Previous billing, accounts receivable, cash application, or accounting experience is preferred but not required
  • Strong attention to detail and accuracy
  • Comfortable working with numbers and financial information
  • Strong organizational and time-management skills
  • Ability to identify discrepancies and research problems
  • Good written and verbal communication skills
  • Ability to learn new systems and processes quickly
  • Proficiency with Microsoft Excel and Microsoft Office is preferred
  • Experience with Syteline ERP is a plus
  • Dependable, organized, and eager to learn

Entry-Level Candidates Welcome

We are willing to train a sharp, motivated candidate with little or no direct billing experience.

The ideal entry-level candidate will be:

  • Eager to learn accounting and billing processes
  • Comfortable working with numbers
  • Highly detail-oriented
  • Good at following processes and procedures
  • A quick learner
  • Comfortable asking questions and taking initiative
  • Interested in building a long-term career in accounting or finance

ERP System

The company utilizes Syteline as its ERP system. Experience with Syteline is preferred, but candidates with strong accounting fundamentals and experience learning other ERP systems will also be considered.

Compensation

  • $20/hour for a strong entry-level candidate who will be trained
  • Up to $25/hour for candidates with relevant billing/accounting experience
  • Rate will be based on experience and qualifications


Work Arrangement

Hybrid – 3 days in the office

This is a great opportunity for someone who wants to gain hands-on accounting experience while working in a supportive hybrid environment.

Company Description

Professional Alternatives is a leading staffing firm specializing in all levels of corporate administrative and professional support, as well as executive placement. Starting in 1998, the Professional Search Group has a successful track record of providing local and national staffing-related support to a multitude of industries. We pride ourselves on building lasting relationships with each client and candidate, and our hands-on approach allows us to make the best long-term match for both.