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PA/ARNP Take Two of Top Five Career Slots

PA/ARNP Take Two of Top Five Career Slots

Reflecting the growing need for primary care providers, physician’s assistants and nurse practitioners took two of the top five slots in a CNN/Money survey of the best careers.  Physicians Assistants (PA) came in second (behind Systems Engineers), with Advance Registered Nurse Practitioners (ARNP) holding the #4 slot.

Both careers offer a cost effective alternative as primary care givers.  Both professionals can do routine exams, patient assessment, diagnosing and prescribe medicine.  Training is less extensive and expensive than for physicians.  PAs must obtain a masters degree to be certified, then complete 100 hours of continuing education to be recertified every two years. ARNPs must complete requirements to become a registered nurse, then obtain a masters degree and be certified. Requirements for ARNPs are expanding, with many positions requiring a doctoral degree.

Salaries in the two fields are comparable.  The U.S. Bureau of Labor Statistics reports that the median wage for PAs in 2008 was $81, 230, while the median wage for ARNP was $83,293.

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Medical Billing – A Home Career?

Medical Biller: A Rewarding Home-based Business Opportunity in the Health Care Field

Do you have an entrepreneurial nature but want the security of working in a growing field? If so, you might want to consider starting a medical billing business. As a medical biller you can earn a good living while pursuing an entrepreneurial lifestyle.

Of course, any business startup will require significant effort in both marketing and sales and you will want to ensure that you have a sufficient savings to make it through the first six to nine months when cash flow will be minimal.

While it is exciting to start a new business, you will need to perform some amount of due diligence to determine if the costs of training, job responsibilities, and income ranges are aligned with your expectations and needs. To get you started here is a brief overview of the field.

Medical Billing

Job Description: The primary responsibility of medical billers is to ensure that health care providers are paid for the services they render. Medical billers are responsible for submitting electronic insurance claim forms on behalf of physicians and other health care staff to insurance companies, as well as such government programs as Medicare and Medicaid. Those just starting out in the field can expect to bill between $8.00 to $10.oo per hour while those with significant experience and large accounts can earn upward of $65,000 per year.

Job Outlook: Those already employed in the health care sector, such as nurses and allied health staff are generally better prepared to launch a medical billing business because they are familiar with the insurance claims process and medical terminology.  It may also be that they have a base of contacts on which to draw to obtain their first clients.  Many medical billers have expanded their business by adding on such services as medical coding and accounting. Medical coding is the process by which illnesses are assigned to a category for the purposes of reimbursement.  The classification process determines the amount that health care providers will be reimbursed under their particular insurance coverage whether that is Medicare, Medicaid, or private insurance.

There are many training programs available to become a certified medical biller. In most cases a highs school diploma or GED is required for entry.   The American Academy of Professional Coders (AAPC) offers certification in the field of coding and will be a valuable credential to have when seeking out your first clients.   

For more information on this career, visit the Department of Labor’s Online Occupational Outlook at http://www.bls.gov/oco/ocos103.

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Demand Does Not Always Mean High Salaries

Demand does not translate into high salaries in some areas of nursing

With 2.6 million jobs, nursing is the largest of the health care occupations, and one of the most stable careers in the country.  This according to 2010-2011 Bureau of Labor Statistics (BLS)  Occupational Outlook Handbook (OOH).  More than a half million (581,000)  new jobs are projected to be added in the profession. As the existing nursing population ages,  nurses will be needed to replace those retiring from the profession,  bringing the total number of nursing jobs to fill to more than a million by 2016. 

Surprisingly, the need for hospital nurses will grow at only a moderate rate (18%). However, the growing trend toward health care services being delivered outside of the hospital has created a robust need for nurses employed by physician groups.  Nurses are needed to perform or assist in more sophisticated  surgical procedures ,once done only in hospitals.  As a result, the need for nurses working in physicians’ offices is expected to grow by almost 50% by 2018.  The higher demand has not yet translated into higher salaries. Nurses working in physicians offices earn a median salary of $59, 210, more than $3,500 less than their counterparts in hospitals.

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