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Serving Over 20,000 US Medical Transcriptionists

Do any companies let you specialize rather than work out of a huge pool? nm

Posted By: Daisy on 2007-01-15
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nm


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Bring up again - companies that allow small pool of doctors versus
nm
The companies are making a huge
profit.  They are paying the Transcriptionist half their line rate to work a VR program that is junk and doesnt really work that well.  Think about how great it is for them.  They get the same exact work from the transcriptionists while only paying them half the money for it.  They say you can double your money working on VR.  What a joke.  The one doubling their money is the transcription company.
Could be that you are in a work pool and...sm
...work filters through chronologically in order of TAT.

It's common for companies to put 2, 3 or 4 hospitals in one work pool. Sometimes these are under the same corporate umbrella. You might have 4 hospitals run by corporation ABC - they are in different locations geographically, but in the same pool.


IC, 12 or 24 TAT, work from pool when I am available?
Is this actually offered anywhere? Some days I have plenty of spare time, some days I have none. I would like something to fill the gaps. Any suggestions?
OSi. How's the work pool s/m
The recruiter assured me plenty of work, but I have heard that is not the case.  Wanting to leave my current company, but can't if the $$$ isn't there. 
SoftScripts work pool?

Is it fairly steady?  Plenty of work to go around.?


As an IC, I prefer pool work.
I have done pool work and been assigned docs and I prefer working a pool. When I was assigned docs, my lines varied so much. I never knew how much I was going to get each day. Some days I would get over 1500 lines, some days only 500. It made it very hard to plan my day as I never knew how long I was going to have to work. I never made enough money, yet I found it hard to work a second job as some weeks I would be loaded down with work from company 1 and not have time to work my commited lines for company 2, yet the following week I would get very few lines. Working a pool, I know I can get in at least 1000 lines a day every day (rarely have issues on my account with not enough work and usually do anywhere from 1500-2200). I don't have to guess how much I am going to make that day as I am in control of how many lines I take versus someone else sending the work.

Also, as soon as I get up, I can start working (like to start my day around 4 a.m. and be done around noon). I don't have to sit around wondering when my reports are going to be sent to me and waste half the day waiting when the company decides to send them at 4 p.m. instead of the usual 9 a.m.

Also, when only assigned 1 or 2 docs, if they take vacation, you are typically out of work for a week or two with little to no notice (at least in my experience). With a pool, you don't have that problem. If a doc goes on vacation, you have plenty of others to transcribe for. I also tend to get bored easily, so I prefer transcribing for multiple docs. I transcribe for about 15 docs now and I am very familiar with each of them and can transcribe over 250 lph. This would be different though if I was transcribing acute care and had 100+ docs though. But in that instance, pool work is better as it makes TAT faster.

Guess it is good that each company does it different so we can each find what works for us.
I know the MTs that work this acct. load them from a pool. However, sm
I think that is a very good idea - batching docs and/or specialties together.  I wonder why they don't do that, and I am going to ask!  Thanks!  If you saw my post above, there are a total of 37 specialties on my list, made up of approx. 4-5 docs in each specialty, so I'm looking at learning well over 100 doctors in only 40 hrs. of training?  That's a joke. 
Have 3 primaries and then go into the pool rarely, but always have work sm
You get 20 different accounts every day? I feel for you. In the beginning of last year, I was doing as many as 15 accounts. Since at least November, I rarely go into the pool. Maybe you can switch accounts?
Fair? Just curious, why does all the work in a pool go to
the same people and some don't get anything except what they can scrap up? Just curious about this
If you specialize RN for sure.

Can you say where you work if you get assigned docs/accts.? I'm tired of this pool garbage/left
s
If you do not comply with their PC check on your personal computer, Acusis will close your work pool
nm
How many people specialize?
Is it common to specialize in one area.  Do a lot of people do this?  Is it easy to find a job only typing psych, cardiology, oncology or something like that?  Is your job easier as a Transcriptionist just typing one specialty and is the pay more or less?  Thank you.
I specialize now and make more $$$
I specialized in neurology for very many years.  Later switched to acute care.  Now I am back to neurology again and making much more $$$.  Same doctors and terms day in and day out.  I do have a backup rheumatology account and will **specialize** with the 2.  It is very very hard to find a job like that.  I got lucky.  I love it.
I think this could only be done with a huge client base, or a huge number of say only
s
did she say in a pool or in a pool to be CONTACTED?
Are you talking about MxSecure?
LOLOL! I don't think we will ever run out of work. They have added three huge
accounts this month alone and I know that there are two scheduled for next month and two the month after. They are growing like crazy and I cannot believe we will ever be slow.
They are up for a HUGE account in Chicago. I work for one of the hospitals sm
and would be offered a position to work with them if it happens. I am very worried now. The last hospital I worked for went with Medquist and we all lost our jobs. They did offer us jobs but not on the hospital we worked for. I went to this other one and now this :(
Out of work here, too--and I have 4 huge hospital accounts!! GRRR nm
x
You've got to be kidding! It makes a HUGE difference. I sure wouldn't want to work with

Cherrypicking is when you work from a pool of jobs and being able to reject the worst jobs to those
,
I guess this explains part of the reason we keep running out of work. My office lost a lot of huge
accounts in the past year.
Typing pool
Has anybody out there been in a typing pool and always running out of work?  I find it very frustrating when there is work in the pool and all of a sudden every MT is on line.  By the time you finish a report almost all of the work is gone and you are screwed and not making hardly anything.  Has anybody experienced this?  This month has been so slow it's ridiculous!!!!!!!!!!!!!!
hospital, no pool, just take what's there. nm
nm
no, usually you are in a pool; if they have many specialites....
you can end up on an account where you as the new guy get the ones nobody else wants to do; that happens; I've been there.
exactly. That's why I also mentioned POOL
/
That pool thing ?
Definitely not you.  Probably just the pool of We don't know what we are doing here, we need help but we can't get it through our skulls that we need to hire good MTs which would take the burden off every entity of our organization and then treat them well and pay them fairly so they will stay with us and never create this situation over and over again and time and time again of losing clients, getting new clients, hiring, overhiring, laying off or running out of work.  We simply have not figured out that stopping this repetitive cycle and treating our MTs well would only cause us to be more profitable.  Amazes me that I have never found a company that has figured this out.  I am really surprised with all the mismanagement anyone of them stays in business.  Somehow they do because we all need to work and just put up with it, I guess.  Good luck to you though, its kinda crappy in this profession most days.   
I am an IC, and I basically type from a pool.

The work is available for me to get and return in 24 hours from the time of dictation.  I have come to learn when the work is there.  I do all clinic though.  Some companies require ICs to have set hours, but I don't think that is right. 


Of course some companies will ask when you're available, but most that know the true meaning of IC do not care what hours you work as long as you get the work back in a timely manner.


I have my own accounts as well, so that would not apply as far as getting lines because I charge all different amounts.  One is subcontracted, I pick-up and deliver.  IC offers flexibility at least in my eyes.


I don't know anything about Tera Nova - sorry! 


We don't have the pool any longer- we moved

A Mexican family.  So, I'm not paying for anything.  The pool installers were American and lazy, broke the filter, and took all day and night and brought theird kids to play on my swing set and requested soda.  The Mexican landscapers required no water, did not ask to use my toilet, and were done in one-half day with a lot of digging and a lot of stone work that would have taken a lot longer if they didn't work as hard as they did in the blazing sun.  The American installers did nothing but cuss, moan, and complain about the heat. 


As far as healthcare, we'll be paying more anyway once Hillary gives everyone who can't afford healthcare, free healthcare.  Too bad, Americans are too lazy to work harder and smarter.  I'm all American, born and raised, and I work very hard, but hey if the foreign entity comes along (like it did on my hospital job) and says they can do it cheaper, then what can I do?


Right now, they seem to be pulling VR editors from their MT pool nm
nm
Throw a VR back into the pool?
My company has stated if this were the case, you could be terminated. I do not like to straight type anymore so definitely would not want to throw away a VR report.
quarterly bonus from company pool?

Anyone here work for a company that offers a quarterly bonus that comes from a pool set aside by the company and the transcribers who qualify for the bonus, split it at the end of the quarter?  Just wondering, if any, are you bonus checks worth the hassle?  Are they decent checks?  Thanks for all replies.


 


Ha! This is what dropped into my pool of its own accord. It was a "pocket" and that happens s
I am NO ONE'S PET.
My guess is someone messed up the pool scripts sm
which determines how the work is routed. I had work until about 1 on my primary and then moved over to my secondary and scraped together the last 200 lines. For the last 3 weeks I have been running out on my primary at 9:30 in the morning.
Years ago I worked for PHNS and it was a pool - sm
which I don't know if that is what you do, or if it is assigned doctors who you do the same ones day in and day out. But when I first started I only had PT in my pool, then I ASKED for more work to expand my horizons and obviously to make more money as PT would run out from time to time. I ended up probably with 300+ doctors in my work pool, more than enough work to go around then. As CB says above, you need to go and ask for more, it is the only way you are going to get enough work.
I am in a pool... see inside for the boring details :)
When I started with TRS I was a 36-year clinical-only MT, and the reason I took the job with TRS was, among other things, the fact that they offered to up-train me into acute care. (In fact I applied at Transcend just before I applied at TRS and they said no thanks, don't call us and we won't call you, and they wouldn't even let me TRY the freakin' TEST, so I find it mildly amusing that now they've got me anyway.)

But I digress. Anyway... at first I was assigned to a somewhat-limited pool on a large hospital account (an account that was brand-new to TRS and in fact I think we stole it from 'the Q') and all I was doing to start with was discharge summaries and letters. Well, once I got used to all the different voices, I started begging for at least some consults and H & Ps because even though I had only done 'clinical' before, I had done literally thousands of excruciatingly-detailed consults and H & Ps for internal medicine, hematology-oncology, orthopedics, and a few others I can't think of right now, over the years.

Then, apparently because I could actually do the work (plus I got kicked off the usual 1-month mentoring full-QA program after only 10 days, because it was mostly a waste of their time to full-QA me), they started trying me on another account, which I was later told was the VERY HARDEST account TRS had in its inventory, and before long I was in the 'all-work pool.'

So now the 'hard' account is my primary, the original account (still with only discharge summaries and letters) is my secondary, and I also have a tertiary (which fortunately I don't get hit with very often because it has REALLY CRAPPY sound 'quality', scratchy phone lines or something) on which I seem to be on just consults, progress notes, discharge summaries, and H & Ps.

I am told that the 'goal' at Transcend is to have everyone working something like 80% on their primary account, with the other 20% on secondary and tertiary, with no more than 3 accounts (except perhaps in extraordinary circumstances), mostly so there would be fewer account instructions to keep track of.

I can't find out how many physicians practice at the hospital that is my primary account (short of manually counting them) but it is a 350-bed hospital where they do pretty much everything. Just on a rough guess, there might be around 100 dictators I run into. A certain number of RNs and PAs dictate in addition to the doctors.

They keep me on that 'hardest' account because I am actually pretty good at deciphering most of it. Of course there are a couple of real 'problem children' still, and they usually have as many blanks after QA gets done with them as they did when I gave up on them, so that makes me feel better.

Not only that... our people are very proactive about actually talking to the clients to try to resolve problems. One of the worst dictators was just recently talked to and she has gotten a whole lot better. I e-mailed the liaison to report that, and asked them to please pass the word along that this doctor's dictation had indeed gotten a lot better and we, the poor saps at the other end of that phone line, really and truly appreciate her efforts....

Anyway. I had better get back to the work that is actually available this morning....

Anything else anybody wants to know, just ask, and I'll try to answer as best I can. :)
We worked out of a pool, and when a report came up from a cruddy dictator (sm)
they would hit "1" and send it back to the pool so the next Transcriptionist would get it.  It was so obvious, as soon as you went on in the morning the first few reports you got would be from the most God-awful ESLs and you can see that they were dictated the previous day, but then all of a sudden you start getting jobs that were dictated just an hour before.   
Friend of mine cleared out pool for incentive - never got it
and now theyve bounced her fourth or fifth check. She's been gone for months and they're STILL messing with her
Not to be referred to as a "scribe" or "typist" or "typing pool." nm
x
WEBMEDX- Assigned acct or pool and how is the platform?
ds
Yes, the pool to be contacted, should have made that clearer, and yes, MXSecure is the company I'
nm
I do not work for them, but I have done recruiting for companies of their type of work
It is A LOT different than regular medical transcription. The pay is a little less (unless you are proficient and fast), but the work is harder in that there are multiple people speaking and the nature of the medical advisory boards are quite detailed. I receive quite a few resumes of medical transcriptionists wanting to do this type of work, but when you test them, it is a whole different ballgame.

Good luck and let me know how you do on the test!

One would think if 5K was so huge ...
One would not let it accumulate to that.  Only gamble with what you can afford to lose, and letting it get that far was a gamble.  Though, sorry, you only wanted to hear how horrible the MTSO is (which it is horrible) and everything through rose-colored glasses about your friend. 
I know about TT's huge hem/onc
account but isn't it totally VR?  In fact I thought they had 2 big hem/onc accounts and both had gone to VR?  Am I wrong about that?
huge thank you from me, Have done it
and forwarded to all I know. Have already heard back from one senator, and I was the 49th person from Texas to sign that petition. Thanks again. Have you put it on the politics board?
Not small, not huge. When I was there it had 350+ MTs.
x
I think there are a huge number
who lie about their qualifications and experience. The company I contract with has hired MTs who claim to have 10 years experience. Their final product looks like they are recent graduates of IHA who failed high school English.
Because the accounts are huge
Yesterday was a holiday, so many docs took a long weekend. Transtech is not a company to jerk you around, if they promise work, you will have it.
There are HUGE variables
Formulas that MT companies give as average are usually based on average work that a MT is well versed in - which companies do not always make available to MTs then act surprised. Duh. Connections, software, familiarity, accents, account types, etc., etc. are huge variables for production and should be considered. Left on the same work for awhile I used to be capable of producing 2,000-2,500 lines, but that changes if my work is changed or if I'm put on a subspecialty I'm not familiar with. It's why companies that have people on a zillion accounts and are not rewarded for it have unhappy MTs. People making huge counts are usually people who are happily typing away at familiar work. Been there, not there now, and am miserable and burnt out.

It was a mistake and not a huge one...
GET OVER IT! The poster said they were sorry about the mistake twice now (I wouldn't have after the first time), and it's not that big of a deal anyway! What are you this guy's wife/mother/sister or something? I can't imagine getting so upset about a post about some guy you worked with that again was a MISTAKE?

Take a Valium or 12 and settle down, LOL You keep calling someone out for making a small mistake that's is not going to hurt anything or anyone and who already apologized twice! Plus, your getting yourself frazzled over nothing.