Medical Billing Jobs in San Antonio: Salaries & Training

Medical billing jobs in San Antonio are available across hospitals, clinics, and billing companies, with current listings showing 170 to 201 open positions and typical salaries ranging from $35,000 to $74,000 per year depending on experience and specialization. The demand is driven by San Antonio's large healthcare sector, and employers often prefer candidates with formal training and certification such as the Certified Billing and Coding Specialist (CBCS) credential.

Current Medical Billing Job Market in San Antonio

As of August 2026, job boards list a healthy number of medical billing positions in San Antonio. Glassdoor shows 170 open medical billing jobs, while Indeed lists 201 medical billing jobs and 159 medical billing and coding jobs. Additionally, there are 148 billing specialist jobs, many of which involve medical billing tasks. These numbers indicate a steady demand for billing professionals in the area.

Salary estimates vary by source and role. Glassdoor reports ranges such as $37K–$49K, $42K–$53K, $35K–$44K, and $42K–$59K for medical billing jobs. Indeed listings show some positions offering $58,000–$74,000 per year for those with at least two years of experience and knowledge of Medicare and Medicaid. Entry-level billing specialist roles may start around $15–$18 per hour. These figures suggest that while entry-level pay is modest, experienced billers can earn significantly more.

How to Qualify for Medical Billing Jobs in San Antonio

Most employers require at least a high school diploma and prefer candidates with postsecondary training in medical billing and coding. The University of Texas at San Antonio (UTSA) offers a Certified Medical Billing and Coding Specialist program through its Professional and Continuing Education (PaCE) division. This program provides comprehensive training in medical terminology, coding procedures, and healthcare regulations, preparing students for entry-level roles.

Certification is not always mandatory but is highly valued. The National Healthcareer Association (NHA) offers the Certified Billing and Coding Specialist (CBCS) credential, which is widely recognized. UTSA's program prepares students for this certification. Employers often view certification as evidence of competence and commitment, which can improve job prospects and salary potential.

Typical Responsibilities and Skills

Medical billers and coders translate medical procedures and diagnoses into standardized codes for billing and insurance purposes. Key responsibilities include reviewing patient records, assigning appropriate codes, ensuring accuracy in billing and insurance claims, communicating with healthcare providers, and staying updated on coding systems and regulations. Attention to detail is critical, as errors can lead to claim denials and financial losses.

Success in this field requires a combination of technical knowledge, analytical skills, and effective communication. Familiarity with electronic health records (EHR) and billing software is often expected. Some positions may require knowledge of specific payers like Medicare and Medicaid, as noted in job postings.

Where to Find Medical Billing Jobs in San Antonio

Job seekers can find medical billing positions on major job boards. Indeed and Glassdoor list numerous openings in San Antonio, including roles such as Medical Biller, Coding Specialist, Billing Specialist, and Insurance Specialist. These platforms allow filtering by experience level, salary, and job type (full-time, part-time, remote). Networking with local healthcare facilities and joining professional associations can also uncover opportunities.

Some employers may offer remote or hybrid work arrangements, though many billing jobs require on-site presence due to the need for access to patient records and collaboration with clinical staff. The availability of remote positions varies by employer and specific role.

Career Outlook and Advancement

The demand for medical billing and coding specialists in Texas is on the rise, driven by an aging population and the increasing complexity of healthcare billing. The Bureau of Labor Statistics projects growth for medical records and health information technicians, which includes billers and coders, though specific numbers for San Antonio are not provided in the research. Job stability is a key advantage of this career.

With experience and additional certifications, professionals can advance to roles such as billing supervisor, coding auditor, or practice manager. Some may specialize in areas like oncology or cardiology coding, which can command higher salaries. Continuing education is important to keep up with changes in coding systems like ICD-10 and CPT.

Training Options in San Antonio

UTSA PaCE offers a convenient option for those seeking training in San Antonio. The program is designed to be completed in a few months and covers both billing and coding. It is suitable for beginners and those looking to formalize their skills. The curriculum aligns with industry standards and includes preparation for the CBCS exam.

Other training providers may exist, but UTSA is a reputable local institution. Prospective students should compare program costs, duration, and outcomes. Financial aid may be available for those who qualify. For more details, visit the UTSA Medical Billing and Coding Certification page.

For a step-by-step guide on becoming a medical biller and coder in Texas, see UTSA's article.

To browse current job openings, check Glassdoor's medical billing jobs in San Antonio and Indeed's medical billing jobs in San Antonio.