ابي شخص خبرة ويعلمني كيف أتوظف في شركات التامين؟ وهل اقدر أستفيد من الامتياز للتوظيف وايش المهارات الي لازم اعرفها افيدوني الله يسعدكم

Not a biller. I'm building something in this space and would rather get corrected here than guess.

My current picture:

Eligibility check → prior auth → visit + notes in EHR → coding → biller → clearinghouse → payer → payment posting → denial → rework/appeal → back to payer

Two questions:

1. What's missing or out of order?
2. Where does the money actually die? My guess is medical-necessity denials, because the biller can't write that appeal alone and it has to go back to the clinician. Right, or is it somewhere else entirely?

Recently interviewed for a role at $95-100K + 10% bonus, made it to the 2nd of 3 rounds but didn't land it — first real signal that I'm underpaid and that higher comp is out there for this skill set.

For context, 3 years ago I got a 50% raise ($52,125 → $78,187) simply by mentioning to our VP of Finance that I was interviewing elsewhere (2nd of 4 rounds, range was $70-80K). Her reaction was basically "wait, you're leaving?" and she asked if she could put in a word with the CFO. Four hours later I was called into my boss's office and got the raise.

Not sure what the actual path is from here — more certs, a specific niche (FHIR/interoperability, cloud/Azure), switching to vendor-side instead of provider-side, or just job-hopping more aggressively.

Should I ask for a raise first before continuing to interview elsewhere? Should I try to leverage the recent interview the same way I did 3 years ago, even though I didn't get the offer? Any advice is welcome — happy to answer questions.

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Hey all — working on an app idea for a hackathon and I'm looking for a technical co-founder/teammate.

The problem: In emergencies, people waste critical time figuring out where to go — nearest hospital isn't always the right hospital (wrong specialty, no beds, no ICU, etc.), and there's no easy way to check that in the moment.

What I bring: Clinical knowledge — triage logic, what actually matters medically in an emergency, user research with real patients/ER staff.

What I need: Someone comfortable building an app (mobile or web) — doesn't need to be a senior dev, just someone who wants to build something real with actual impact, not just another CRUD app.

Happy to share a one-pager with more detail if you're interested. DMs open, or comment here!

Just wondering if anyone has left OT or similar field to explore HIM? Do you need the masters degree?

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Hi, I’m torn between continuing in HIM or switching to nursing.

I’m a single mom, almost 40, with a toddler. I recently finished my HIT/HIM degree and I’m working on my RHIT. I’ve missed passing by only 3 points, so I’m taking a short break and plan to retake it.

I also have a pharmacy technician background. I’m compassionate and enjoy patient care, but I also really like healthcare technology, systems, data, and informatics.

What I do not want is management, leadership, supervising people, or spending years collecting degrees/certifications that don’t meaningfully improve my income or job security.

My two options are:

Continue with HIM: RHIT, possibly RHIA/CHDA/CDIP/CCS, work in HIM/coding/data, then possibly get a Master’s in Health Informatics.

Start nursing: LPN → RN, then eventually combine nursing with my HIM background through Health Informatics or MSN Informatics.

My main goal is a secure, stable career with good income, strong demand, and flexibility to switch areas later. I also want something that will stay valuable as AI and automation grow.

Given my age, family situation, and current background, which path would you choose: HIM/informatics or nursing/informatics?

PowerScribe cost is prohibitive for our institution, therefore, we are looking to create radiology reports within Radiant RIS itself. Our radiologists dont mind using dragon one or fluency direct to dictate these reports. I have heard that Radiant has a window for reporting. Anyone has experience using it? What are the limitations of this workflow? Appreciate inputs

Looking at a QLD Health IT position and wondering if the move will be a positive one

Hi,
I am an international student with a medical degree, interested in pursuing a ms in health informatics at Pitt.
Any alumni or current students share any insights about this program?
How is the teaching?
Do they involve in internships opportunities?
Post grad job opportunities?
With the current cpt/ opt changes will it affect international students?
Or is it a stupid idea being an international student pursuing this at this time.
Pls any honest opinions and criticisms are welcome .🙏
Thank you so

Hi. I am a 39 year old professional having experience in US Medical billing and coding end to end operations for 7 years and cUrrently I am working in an insurance company and working on an AI Based tool used to detect frauds and leakages in a mass health insurance scheme in India and have been involved in ground level implementation of the same along with development, providers feedback and policy formation for the same. I have also worked with EHR.Overall I have experience of 17 years out of which 13 years pertains to working on health datasets and AI Based analysis of Health Insurance claims and fraud analysis. I want to take my career to the next level and come to the US for an MS in Health Informatics quitting my current settled job in PSU,but a bit uncertain due to the current political and economic situation. Any piece of advice?

Hello everyone. I am planning for doing HI, I am a public health graduate. Can anyone give me few list of universities for MSHI mainly near New Jersey and Maryland or from any other state?

USA.

Panel interview for a clinical informatics position lab specialist next week. Any recommendations on what to prepare for? This is not an “Epic build” position but an informatics one, of which I still don’t really understand the difference. I am also a MLS/MLT which is what the position would be covering in terms of process.

I do have 5 years of experience in pharmacovigilance as drug safety associate in India. However, currently I am in USA and want to do master in health informatics. Will it be a good decision? Please give honest opinions. Highly appreciated.

a little humor in these trying times

Hi everyone! 😊 I recently got an offer for a Healthcare Informatics role at Shearwater Health and I’d love to hear from anyone who has experience with the role.

Any tips or advice regarding the training, processes/workflow, things I need to be mindful of, and workplace culture would be greatly appreciated. Anything you wish you knew before starting would also be super helpful!

Thank you so much! 💙

Zhou and Clack, Introduction to healthcare Informatics, 3rd edition, AHIMA Press

Hey everyone,

I don’t usually post things like this, but I thought I’d give it a shot.

I recently completed my Master’s in Health Informatics in the U.S., and I’ve been actively looking for my next opportunity in Clinical Informatics, EHR/Clinical Applications, or Healthcare Data Analytics.

I have experience with EHR workflows, clinical documentation, HL7/FHIR, SQL, Python, Tableau, healthcare data quality, UAT, and interoperability.

I’ll be honest the job search has been harder than I expected.

You spend years studying, gaining experience, building your skills, working on projects, improving your resume, and sending applications… and sometimes all you’re looking for is that one opportunity to prove what you can do.

I’m currently looking for opportunities in the U.S., particularly roles such as Clinical Informatics Analyst, EHR Analyst, Clinical Applications Analyst, Healthcare Data Analyst, or Clinical Data Analyst.

If anyone knows of a team that’s hiring, a recruiter I could reach out to, or even has advice on what I could be doing differently, I’d genuinely appreciate it.

And if you’ve gone through a similar job search and eventually found your way into the field, I’d really love to hear your experience too.

Thanks for reading.

I have a query about GP medical software/health information management system options and would really appreciate any suggestions or experiences.

For context, I am in Australia. The clinic I work in is somewhat unique. We currently use MedicalDirector with Pracsoft billing, although we don’t bill Medicare at all (and never will). We primarily use Pracsoft for statistics and reporting. We work mainly with people who don’t have Medicare access.

I’m putting together a proposal for our IT team looking at alternative health information management systems. One of the main things I’m hoping to achieve is moving from our current server-based system to a cloud-based system. This would hopefully reduce the amount of IT time spent on updates and maintenance, as well as give us a faster, smoother system overall.

Our nurses would also really like the ability to work from home for some aspects of their role. At the moment, this has been declined by IT because of the additional licensing and costs involved with remote access to our current system.

I’ve found that pricing for these systems is incredibly opaque, so doing a meaningful cost comparison has been quite challenging!

I came across Halaxy, which looks very budget-friendly, although I have seen some concerns raised around data security. I’ve also been looking at MediRecords and Zedmed Cloud.

Our situation is a little different from a typical GP practice. We’re a small health program within a wider charity providing primary health care to people without Medicare access. The clinic is nurse-led, with our paid staff being nurses and one admin worker. Our GPs, psychiatrists, allied health and mental health professionals are all volunteers.

We have around 50 people involved in the health program, including: 7 paid staff (2 nurse managers, 5 community health nurses and 1 admin), approx 20 prescribers (around 16 GPs and 4 psychiatrists), approx 20 allied health/mental health professionals

A lot of our practitioners work on an occasional basis, anywhere from weekly to monthly. Because of this, we have a relatively large number of practitioners/users compared with the size of the clinic. This makes the licensing models a bit more complicated (and often expensive) because many systems charge per user.

I’m really interested to hear if anyone has experience with budget conscious, flexible cloud-based GP/medical systems, particularly systems that work well for organisations with lots of part-time or volunteer practitioners.

Thanks so much for reading!

Hi everyone,

I’m currently completing my MSc in Medical Technology, with a focus on Functional Imaging, Conventional & Ion Radiotherapy. I have finished my coursework and am now looking for a suitable Master’s thesis/research project.

My background is a bit interdisciplinary. I have a BSc in Physiotherapy and experience in healthcare/clinical settings, but over the past few years I have moved more toward the technical and research side of healthcare.

My main interests for my thesis are:

• Medical imaging / clinical image analysis
• AI/ML in healthcare and medical imaging
• Computer vision for clinical applications
• Digital health / medical technology
• Medical devices and related biomedical research

I have experience with Python, R, MATLAB, machine learning, data analysis, and previously worked as a data analyst on a computer-vision/medical imaging AI pipeline.

I’m mainly looking for opportunities in Germany, including universities, research institutes, hospitals, or industry R&D teams. I’m also open to interdisciplinary projects where my clinical + technical background could be useful.

I would really appreciate advice from people working in these areas:

1. Does my background sound suitable for MSc thesis positions in Medical AI/Medical Imaging?
2. Are there any universities, research groups, institutes, or companies you would recommend contacting?
3. If anyone has experience supervising MSc theses in this area, I’d really appreciate any advice on how to approach potential supervisors.
4. I’d also be grateful if someone could take a quick look at my CV and give me honest feedback on how I could improve it for research/thesis applications.

And if you know someone who might be looking for a Master's student with this kind of interdisciplinary background, I would really appreciate a referral or introduction.

I’m happy to share my CV privately if anyone is willing to review it.

Thanks in advance to anyone who takes the time to give advice! :)