Well from my past experience when I first got my certificate..I tried to start my own business and it was very hard because most office let "corporate" do their billing, or they have a billing company..I had to take on a job at a hospital first to get my foot in the door.. I just landed my own first billing client and it has been two years since I got my certificate. You may be lucky though. just keep being persistent and you will succeed. Everyone on here is very, very helpful.