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Absolutely necessary
a. Personal integrity
  b. Entrepreneurial spirit
  c. Understanding of medical billing
d. Ability to discuss financial performance and billing with doctors
Very useful but not required previous experience:
a. Sales to doctors
  b. Medical billing
  c. Accounting, insurance, collections, or financial advisory services
Absolutely NOT required:
a. Hiring personnel
  b. Buying software or hardware
  c. Buying books or training material
d. Any upfront payment