Items indicated in RED are REQUIRED fields and must contain the information requested.

Applicants Full Name:  

Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
 
Phone:   Eve:   Fax: Cell:

Email Address: 

Present Employer or Reference:  

Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
 
Phone:     Contact Person:   

Salary Expected:  

Describe your job experience.  

Please click every item in the following list which you presently use or are experienced with.

Software: 
Medical Billing   Microsoft Office   Medical Manager   CBSI  

General Experience: 
Medical Billing   Demographics   Customer Service   CBSI  

Medical Billing Specialty: 
Dermatology   Internal Medicine   Cardiology   Primary Care   Gynecology   Psychiatry   Plastic Surgery   Ophthalmology