I have been working for a company for 10 yrs now.
Little history- I worked for my mother who took over my fathers business after he passed away. In 1994 she sold the business and I had to go out in the real world and get a job. not really sure what I wanted to do and on unemployment, I went for job placement. I decided I wanted to do medical billing or work in a medical office. I TRIED to get the state to pay/help for school (since I didnt have a job and needed to go to school for this) however, they told me I did not qualify for assistance since I made to much on my tax returns....THE YEAR BEFORE! ummm- thats nice and everything- but I dont have a job THIS YEAR!
By then it was 1995 and I gave up on the state and I just started putting resumes out. I finally came across a company that was looking for a medical biller and they would train!
Went for the interview, got the job, they trained me and it is now 10 years later. I have seniority, therefore, I do not do the billing anymore, however, let me tell you- billing is not hard. I thought it was funny that I was actually going to go for schooling in CPT/ICD 9 codes etc.
Right now I am working from home posting payments and doing additional work so that our collection department can do their job efficiently. The reason I am working from home is, our new office is about an hour away, and my supervisor KNOWS I can do the job right and offered to set me up at home just to keep me. I am very thankful for that.
I did used to bill for several doctors offices in our company's office before they moved (That is what they trained me in). It is rather easy- they pretty much have all the codes (whether it be diagnosis or procedure) right on the patient's information sheet.
If you did start out somewhere that will train you- you will save a lot on school however, if you ended up wanting to bill at home- I would believe the program for billing would be expensive and not all doctors use the same billing program. I am not sure how many doctors offices would be willing to hand over their billing to someone that they are not sure of. I agree that transcription is much easier to do at home because you can either transcribe from tape, phone etc-- but billing, you will need patient's files (if they are a new patient) and paperwork. I am not sure how that would be set up for you or you can do something like "go to my PC" and see the doctors office's desktop
I would get my foot in the door at a medical office and at least get some experience before going to school and hoping to jump right into billing from home. You may also get to know some doctors offices personally from phone calls etc- once you are working for a while- mention it to some of offices and they might be able to help you out.
And who knows, what if you find out the profession is not for you- you would not have wasted money on schooling or a billing program for your computer.
But thats just me!
Good Luck!