I'm a new physician in my own small practice. I think the biller we hired is probably doing a poor job, and she has a bad attitude to boot. I'd like to fire her, but what do I do with my claims then? It'll take me time to find a good replacement. In fact, I have a very smart friend who would like to step in, but she doesn't know anything yet about medical billing. She'll need some serious training.

One good option would be to outsource your billing for now. Most companies won't agree to less than a year-long agreement, but it will take your friend at least that long - likely closer to two years - to become really good.