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Questions on working as freelance medical biller and in-house

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Michele:
I received the following question as a personal message and am sharing it publicly so others can respond or learn:


Questions:
1. Can an individual work full time as a in-house medical biller for a hospital/provider's office and work part time as a freelance medical biller on the side successfully?
2. Do you know of anyone who is currently doing this?
3. Are there any conflicts working both as a in-house & freelance medical biller?

Michele:
Questions:

1. Can an individual work full time as a in-house medical biller for a hospital/provider's office and work part time as a freelance medical biller on the side successfully?

Absolutely, this is done all the time. 

2. Do you know of anyone who is currently doing this?

I cannot think of anyone doing this currently, however it is common.


3. Are there any conflicts working both as a in-house & freelance medical biller?

There can be conflicts, you just have to be aware.  For example, if you are working for a medical billing service they may consider it a conflict.  They may be concerned about you taking clients from them.  However if you work for a provider's office, or a hospital or clinic, it should not be a conflict.  I would be up front with your employer to avoid any misunderstandings. 

kristin:
As someone who has done this for the last 10 years, my two cents:

Questions:
1. Can an individual work full time as a in-house medical biller for a hospital/provider's office and work part time as a freelance medical biller on the side successfully?

Yes, but be prepared to work 7 days a week, 365 days a year, depending on the situation/volume of the freelance medical billing side of things. When I started doing medical billing on the side in addition to my full time job as a practice manager, I literally never had a day off for YEARS. Even when I was on vacation, I had my laptop with me, and was doing the side billing work. Because there was no one else to do it, and it had to be done. I had to choose between staying up until all hours of the night after I got home from my full-time job to get the billings done, or to do them on the weekends. I opted for the weekends, so that I could get good sleep M-F nights. This worked for me, because I don't have kids, and I have a very understanding husband. Each situation is different.


2. Do you know of anyone who is currently doing this?

Yep, me!

3. Are there any conflicts working both as a in-house & freelance medical biller?

For me, there hasn't been any conflicts.  All of my side billing jobs have been for companies/practices that are not in the same state as the office I manage, and I would never outsource the billing from my practice. That said, before I took my first side billing job, I did tell the owner of my practice I was doing so, because I wanted her to be in the loop.

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