For everyone who dreams of starting a business, Jaci Koelm is the gold standard of success.

If Donald Trump owned an electronic medical claims business, he'd ask Koelm's advice. If Bill Gates wanted into the business, he'd buy Koelm's company. And if Billy Ray Cyrus ever gets Miley to croon over her "Achy Breaky Healthcare" then she's singing Koelm's praises.

Oh yeah, Koelm is a super woman.

"For me, I can't say 'I just want four or five clients' she said. "If your goal is to make a few thousand bucks a month it will be rewarding. In this healthcare market though, you can reach highs. You have to make plans and start -- 1 to 5 to 9 to 20 and far more. That's building a highly successful business and that's what I want."

Longhorn Medical Billing Services in Austin, Texas has 240 clients. Besides the Lone Star state, Koelm is in Florida, New Jersey, California, New Mexico, Texas, Louisiana, Alabama, Illinois, Michigan and Wisconsin. Her staff of 36 processed more than 2,000,000 electronic medical claims last year. That's 2 million with an M.

A lot of medical claims companies would be happy with 10 clients. Very few ever see 100 because that's massive. But 240 is nothing compared to what Koelm wants -- four figures. Don't bet against her.

Ironically, it took Koelm three months to get the first one back in 1999. A pharmaceutical rep for seven years, she was used to meeting doctors every day. You'd think that would be an edge, and in the long run it probably was, but for that first 90 days it was like MD meant Major Disaster for starting a new company.

But, finally, someone gave Koelm her start. Kinda like when somebody told Alex Bell to hook up that pay phone by the rest rooms if he wanted.

"After we got 1, then 2, 4, 9 came very quickly," she said. "Once word gets out, they came rolling in. Networking is a big deal. You can't sit by phone waiting for the phone to ring."

Now Koelm won't blow sunshine up your stethoscope. It's a competitive business at times because of people like her. But, she'll tell you the secrets -- work hard, price your work fairly and keep looking for the next client.

"Doctors are small businesses. They're looking to skimp wherever they can. They're a tough customer," Koelm said. "When they lose patients, they lose money. Everything you do for them is very critical. You can't miss a beat with them. If you miss one little thing it impacts their office. Don't lowball your price. You go low because you want their business, but you lose money doing that.

"You really should own your own backyard. It's easier to get a client you can see. As you grow you get clients, who get [those who understand out-of-state companies can also process claims effectively.]"

Koelm isn't shy over helping others learn the trade. Another major piece of advice -- pick the right software.

Koelm is big on software. IT should have been her initials she's so into it. When updating her software, Koelm evaluated 35 different ones. Most people looking at the most three, but Koelm didn't get to the top settling for second best or second rate software that is the lifeline of her business.

Koelm loves MedOffice from ClaimTek Systems. It looks goods, runs better and has the right feel to her.

"It looked like a nice piece of software. Very eye appealing, easy for an office to use," she said. "The others are ugly, like something from the DOS age. They're not intuitive. ClaimTek's system is very intuitive. It's nicely designed. In a few hours, you're ready to roll.

"ClaimTek is very helpful. They know the product inside and out. [President Kyle Farhat] has some good ideas. He's always in development. It's good partnership."

Koelm doesn't mind a few more companies in the competition. Makes it sweeter when she wins. But, Koelm said the medical claims processing business works well for anyone no matter their goal level.

"You can make it as big or small," she said. "You can make it 8 to 5. You can make it whatever you want.

"You can make a fine living."