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Thread Topic: Looking for Employment
Topic Originator: Steve Verno
Post Date October 16, 2006 @ 3:56 PM
Looking for Employment

Steve Verno
October 16, 2006 @ 3:56 PM Reply  |  Email Friend   |  |Print  |  Top

I don't know whereelse to post this, so here it goes.

I am a Certified Medical Biller/Coder located in Lake County, Florida.  My certification is through the Medical Association of Billers where I am also a Certified Medical Coding and Billing Specialist Instructor.  My expertise is with A/R recovery, appeals, training, health insurance contracting, provider enrollment, compliance, and naturally medical billing/coding.  I am familiar with Lytec, Centricity, and Medical Manager.

I've been in this business since 1971 where I performed clinical medicine until 1992 and then in 1994, I crossed over into medical billing.  I provide many responses in this forum and the Medical Association of Biller's forum (  On the MAB forum, I have posted more than 6,700 reponses.  I am on the editorial board for BC Magazine and Eli Publishing.  I am the co-author of the Marilyn Fordney manual:  Insurance Handbook for the Medical Office and I am on the Medical Economics Committee for the Florida College of Emergency Physicians.  I have provided medical billing seminars through PAHCOM, Synergy360, and NvHIMA.   I am one of the instructors for the Synergy Back to Basic National Conference in May 2007.

My current employer has lost his practices and now I find myself downsized.  I am looking for employment with a medical practice or a medical billing company in the Lake County (Leesburg, Tavares, Eustis, Fruitland Park, Clermont, Mt. Dora), Sanford, Lake Mary, Altamonte Springs, or Orlando, Florida area.

I can provide an excellent resume and references upon request.  Salary is negotiable.  Please feel free to e-mail me at  Thank you for your time.

Steve Verno
October 18, 2006 @ 11:23 AM Reply  |  Email Friend   |  |Print  |  Top

I wish to add this to my posting.  I have since received two responses to my original posting.  Neither are a response, providing me with employment.  

One response is from a company in India.  What they want me to do is, once I am hired by a provider or medical billing company, to send the doctor's coding and billing to them.  

The other response is from a company in Texas.  They too want me to send them the coding and billing once I am hired by a doctor or medical billing company.

I am not a recruiter to find doctors to outsource the doctors coding and billing to your company.  I am an unemployed medical coder and biller looking for work.  Ask yourself this question, if I am looking for a job, doing medical billing, why outsource my job to you?  I am no longer an asset to the provider.  

If I am hired, the doctor or medical billing company can rest assured I will not outsource the work to anyone.  I will use my education and experience to better the practice by increasing revenue and decreasing denials.  

So, please do not contact me, asking me to find you doctors and do not ask me to outsource the providers I do know or the providers that will hire me.  Do that on your own without me.

Thank you.

Steven M. Verno, CMBSI

November 11, 2006 @ 11:26 AM Reply  |  Email Friend   |  |Print  |  Top

Can you please tell me why is it so very hard to find work

Steve Verno
November 11, 2006 @ 12:49 PM Reply  |  Email Friend   |  |Print  |  Top


That is an excellent question and so many people are asking it.

Currently, doctors and hospitals are already using someone to code and do their billing.  They have someone in house, they outsource to an American billing company or they outsource to a company overseas.

Insurance companies only want to pay so much for a claim, and many people simply do not want to pay their medical debt, so the doctor has limited funds to pay someone to go after the money owed to them.

Medical Billing training is the Gold Rush of the 21st Century, so it seems everyone wants to provide medical billing training.  It doesn't matter if there are jobs unavailable, it doesn't matter if the training they are providing doesn't even come close to ensuring the person can do the work, all that counts is that they make the easy money.  There are so many scams out there as well as substandard classes being conducted.  I see the questions all the time ad they are the same:  " A doctor wants to use me, his specialty is XXXX but I don't know this specialty, can someone tell me everything I need to know to bill for XXXXX"  You can't tell someone about a medical specialty in a response.  You have to be trained.  Not having the training can cost the doctor revenue, it can open the provider to audits from the insurance company and government agencies and it not only harms the medical biller but it does so with the rest of us because now the doctor doesn't trust anyone.  Those that do try without training are deparate for answers so they go from forum to forum asking questions, for example:  "ABC Insurance denied my claim because they said the service is not a benefit, can I use modifier 59 to get the insurance company to pay." or " All my claims are being denied, what modifiers can I use to get the claims paid."  This shows the person has no training and hopes using a modifier will change things.  So, the doctor's claims are being denied.  They may have been paid before, but because the biller doesn't know what he/she is doing, now the claims are denied.  Lets say the claim was denied because benefits were not available and they appeal with a modifier 59, the appeal will be still be denied.  Now the doctor looks like a jerk with the insurance company.  He hasn't made any money yet, so he's angry because he has bills to pay.  He fires the medical biller and now doesn't trust anyone with training that may come along.  I say this because I am experiencing this as I am doing my job searches.

You also have people who want to get into this business so they can work from home for various reasons.  They want to do this on a part time basis.  They have a family member that requires their attention, so they want to be at home with them.  They are a single parent and they want to be at home with their children rather than taking their children to a day care center.  These are wonderful reasons to want to work from home.  But, what these people don't understand is that medical billing is not simple.  It is very complicated and requires 200% of your work and attention to accomplish the job.  Medical Billing is being advertised that you can make $60,000 or more by working at home.  Is this possible?  Yes, but the chances of succeeding is very slim.  Medical Billers make about $7 to $10 per hour.  If you came to me and asked me to allow you to do my billing from home because you have 3 kids to take care of, what goes through my mind is, will you pay attention to my billing or your children?  

If you want to do billing from home, you are starting a business.  Advertisements make it look so nice and they don't tell you the costs of starting your own business.  They make it look like all you have to do is have a computer, buy a medical billing software program and you are in business with your daughter on your lap.  It doesn't matter what type of business you want to start, starting costs can be expensive.  As Liz Jones of the Medical Association of Billers once said, "If you don't know about the restaurant business, would you want to open a restaurant?"  People who want to start a business usually investigates things before they do.  Unfortunately people who want to do medical billing, many do not investigate it beforehand.  They do not check to see if they can get a job nce they complete the training before they spend hundreds if not thousands of dollars in medical billing classes.  They don't investigate how much a medical billing software costs.  Some can go as high as $250,000.  They don't know that it can take weeks or months to get set up with federal programs such as Medicaid or Medicare and then it can take months before the first dime comes in.

So, you have a glut on the market on the number of people completing training, and you have a limited number of jobs available.  So far, I've sent out more than 200 resumes since I lost my job several weeks ago.  I haven't received one call or letter and I am experienced, I have the training, the certification, I have the software and everything else to do the job.  You have to be at the right spot at the right time with the right qualifications.  

I ask those getting into this business.... do your research before you begin and lay down one penny.  This is NOT a business that you can skate through.  It is hard, it is complex, and it is not for everyone.  Can do you do this from home?  There are people that have succeeded, but about 99% fail.  Will you make lots of money as they advertise?  Not really.  It takes years to do so.  You need lots of clients to make that kind of money.  Working for one doctor will make you the bare minimum.  Last, you have to have a love for this business to do it from day to day.  You have to be committed to succeed.  You will fight insurance companies, you will fight angry patients, and you will fight arrogant attorneys and their staff.  You cannot give up.  You have to devote 200% to succeed. I've seen many show up for work and leave within the hour because they couldn't take the pressure.   Medical Billers are a special type of person.  They are dedicated, they are trained, and they fight hard for their doctors.  We are a special breed of workers.  I and others like me take pride when we are asked what we do.  I hold my head high and tell people, "I am a medical biller."

November 17, 2006 @ 4:22 PM Reply  |  Email Friend   |  |Print  |  Top

Hey Steve...I've read a bunch of your posts and you seem very knowledgeable regarding a bunch of things in the medical billing field.

There is a consensus that medical billing is an easy buck to make but the problem most people don't understand in this industry is that there are many many facets to medical billing and being a specialist in just one of those areas is not going to be a moneymaker for the employee in the long run.

I started in this business just 6 years ago as a payment poster. From there went to collections and then credentialing and then billing. Learned fast, asked questions and made great great strides where others were complacent and CONTENT with receiving a paycheck every
week refusing to learn anything new unless compensated for it. My last 2 stints were straightening out 2 billing companies which led me to being an on site/consultant/business owner today.

I disagree wholeheartedly with the cost of what you say software costs. I started out paying just 11k plus 265/month maintenance. I've been through around 6 different medical software types but this is in my opinion by far the best (tcms). There are no added practice other words if another practice starts with me tomorrow, my costs are the same. I'm also able to do electronic payment posting (saves a ton of time) as well as electronic clm submission with no problems whatsoever. All of my clients agings have 95% of their receivables in the 30-60 day range as denials are literally scarce.

I myself am looking for other clients but incompetent billing companies as well as physician "unawareness" about how big a difference it is in giving your billing sheet to person 1 or person 2 seem to be a road block.

I wish you all the best..if you want to converse some more please email me at

Steve Verno, CMBSI
November 17, 2006 @ 5:35 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Mike,

I concur with you 100%.  Howwever, with software, I worked for a practice that paid $250,000 for the billing software.  If they wanted to add a doctor, they were charged $15,000 per doctor.  The software was a unix based software and once the license expired, the owners of the software dialed into the computer and made the software useless, so we had to make sure everything was backed up to CD in ASCII mode,.

Another provider was paying $6,000 per month to just use another type of  software.  It was placed on an 8088 with a wire coming out the back and hardwired into one orange screen monitor.  He couldn't export anything and there were no disk drives to save data.  So, he had 5 years of information he could not access and put on another computer.

A billing company i worked for paid $55,000 for Medical manager and it's modules.  The upgrade for Y2K costs us $25,000.  If we wanted to add a practice, it would have cost us $25,000 for each practice.

There are many that are inexpensive and do excellent work, but I am seeing many of the small billing software companies being bought out by the big guys.  I do know Lytec was purchased by McKesson.

Best of success to you.

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