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Serving Over 20,000 US Medical Transcriptionists

Would a national company hire me?

Posted By: NYMT on 2006-03-08
In Reply to:

I have several years experience working for a very prominent healthcare institution doing acute care, clinic, and hospital dictation in every specialty and subspecialty imaginable.  We were never assigned accounts, so my exposure to all of the specialties and dictation by hundreds of physicians at our institution was extensive throughout the years. 


Over two years ago I had to take employer-paid disability and have yet to return to work.  I have hope with my latest treatment that I will be able to return to work soon and have contacted my MT department head, but did not hear back.  Although my reviews were always exemplary, my attendance did suffer slightly prior to my taking disability.  I say slightly only because I still attempted to work a portion of each day even while ill and the actual amount of days absent was not that high; however, working at a healthcare institution our attendance requirements are necessarily strict.


If my department head is unwilling to take me back into the department, I don't know what I'll do.  I love MT, have great skills, am highly accurate, and don't want to give up on this career.  If worse comes to worse and a position will not be available for me when I return to work, do you think a national company would hire me with over a two-year lapse in my work record? 


Does anyone have any advice or ideas in this regard?  I desire to stay with my current employer, but don't want to leave medical transcription.  Thank you.




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national company
I have been with a national for about a year - was on one account for about 6 months - then all of a sudden the work load dropped and then was told the hospital went another direction.  I waited it out for a month, as they told us that they would place us on other accounts - they finally did - now some of us are being moved to another account - which I don't mind - other than the downtime in learning it - and this is supposed to be helping out another service.  I learned today that the reason they lost the first account that I transcribed was because they outsourced it to India and the hospital had specifically had in their contract that their work was not to be outsourced.  Why would a company take that kind of risk - and then lose a very large account?  Plus lose good transcriptionists who could not wait a month to be reassigned to another account?  I now have spoken with the company who has my original account and hopefully will be hired.  They know I worked the account for 6 months, so I could just pick up where I left off.  How many nationals do this, though, contract for US work and then outsource?  I also heard of a company who is hiring only editors to QA and edit work coming back directly from India - now that is a job I want nothing to do with. 
The biggest national MT company....nm

Should I go from national to small company?

Hello. I am sure many have asked this same thing before, just looking for a rooting section to feel better about this.  I currently work for a national.  With many changes, not feeling like a person, production sinking, morale gone, on and on and on... I decided to seek PT position with a smaller company.  So, I found a second company.  They are small, but growing. The director is a former MT.  They currently have about 100 MTs. The pay is very standard at 8 cents.  Their platform is slowing me down a bit, but they say they are working on upgradiing it.  Their communication and personal attention to me has been excellent.  I have 1 dictator. I see what work is coming in and have 20 hours to get it done. 


Is the small company too good to be true?  Being burnt from national, I am finding it hard to grasp that this really could be this good.  sure, the pay isn't as great..it is an IC position, rather than employee...but I am not stuck with God knows what work, changing all the time...and I am heard and appreciated.


Do I just bite the bullet and transition the small company into full-time and do the national PT?  Any comments, suggestions, etc would be appreciated!


Anyone making more money with national company than (sm)
when you worked for a hospital, taking into account the benefit package you had with the hospital?  If so, any explanation as to how you are doing better or worse would be much appreciated. 
I've been with this company longer than any other national -sm

I think that says a lot in itself.  I've also worked for Edix in the past and Medware.  In comparing Precyse to those 2 companies, I feel it's better than Edix was because you do get paid for headings in the report, and you don't have to fish around for those headings either.  (I thought that was such a waste of my time as well as an insult to my intelligence.)  Of course, there's an upgrade coming up at Precyse, and I'll be sure to let everybody know if anything changes with that.  I'm not on it yet, so I can't say. 


 


And Medware, well, I'll just say that's probably a great company for people that don't have that much good experience, because otherwise they waste your time with a lot of things like that list of questions to answer and they send excessive QA feedback (very nitpicky feedback if you ask me) which Precyse doesn't do too much of.  (Of course, they do send feedback though, don't get me wrong.)  MW also forced me to work on too many different accounts on the weekend.  Their way of catching up I guess, but not a good idea for anybody, quality and production-wise.  So, if you've got a lot of good experience, really do work well independently, and don't mind having a few accounts, Precyse is a great place to be. 


 


They pay on time and correctly.  They offer some really good benefits.  The PTO you're allowed to use right off the bat and you'd be surprised how fast it adds up.  You can use that PTO any time with no questions asked, even if you didn't take any time off.  I don't think it's unreasonable for them to ask for you to pick a schedule and adhere to it either.  No professional should have a problem with that.  I should mention you do need to type at least 5000 lines per week to keep full-time status and benefits.  Of course they give a reasonable time when you're new to work up to that as well as if you start a new account. They really prefer 6000 which gets you a bonus.


 


Good luck to you with whatever you decide.  And remember, if you don't like your supervisor, account or schedule, try asking for a change.


Does anyone what national company has been hired to handle...

ProHealth Care of Wisconsin hospitals. I heard that they have now changed to a national company to do all of their work for all their facilities.


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High insurance costs are a national problem, not just in MT. My husband's company sm
charges us $210.00 per paycheck for him, me and our 2 children. The deductible is $500, each visit costs us $25, prescriptions are $10 for generic and $25 for everything else. It is getting crazy everywhere.
Do what you think is best. I just left a major national, went to another national but after
6 weeks found it did not fit. Just happened to luck into another smaller national and things couldn't be better. There are other jobs out there.
They only hire ICs. They are a nice company.

Re: Axolotl: Do they hire for QA within company or....sm
can someone apply there for it. Looking for PT MT/PT QA. Any info appreciated...............
It is an Aussie company, but they do hire in US MTs.
nm
Not all companies hire PT. My company
does not because of fees they have to pay for rights to programs, etc.
No company will hire a newbie if they can't spell better than you can
nm
Not me. I have been with the company for a while but every time they hire they overhire so
obviously that affects all of us when they do this.
Who then will hire for part time and is a decent company?(nm)

Gerri, I worked for a company as management that had would hire
a lot of American transcriptionists just to get the ball rolling on new accounts, and little by little would send it over to India. The company would have me send a little bit of work to India, have it QA'd on our side, and send it to the hospital. The better the Indian company got with the account, the less work we would give to the US transcriptionists. The nasty emails from the US transcriptionists got to me after awhile, along with my conscience, and I quit for the company.
Just thinking it may be nice for others to know the name of the company IF they happen to hire
again in the future.......
If this company begins with D, your pay goes back to new-hire rate if there are ANY blanks in it
s
Can anyone tell me if Administrative Assistants is a good company to work for and if they hire IC
or employees.
Me too. As soon as there is a little extra work they hire and hire and then noone has any. This
goes on all the time.  I get sick to death of it.  I think having 2 part time jobs is better so you have 2 jobs to count on.
Does KS only hire employees or do they hire ICs too? nm
x
9 cpl, national, 10 yrs exp.
Unless you are an I/C then 9 cpl is good.
Which national is that?
nm
You are less apt to do it with a national!
More apt to do it with your own accounts or land a great paying job with someone who is not using the internet MTSOs, the internet robbers!

They pay you crap and suck the life out of you! Go independent.
Can you get a job at a national
with going to a community college for your MT education?  Thanks!!
Which national is the best for...
flexibility, clinic work and fair pay.  I have about 17 years of experience, looking for STEADY part-time work for now. If it works out with a company, I would consider full time.  Who is the favorite national here?  TIA
at the BIG national I get 7.2 CPL for ASR

but I have been an MT for 26 years.......


4 CPL???  Unheard of in my world....actually....sorry



I used to be AC at a national for $32,000
//
Pay with National
I made 41K last year with very little overtime, and this included incentive pay. My account is going to SR shortly, though, and this kind of money will be a thing of the past. For that reason, I will be moving on soon to a company where I can do straight transcription and be paid a decent wage for it.
The national I work for does not do that. sm
If low on work, they do not take away benefits. 
you work for a national....nm
x
Forgot to say that was with a national. NM
x
National Certification for MTs
Can someone refer me to a website or something so I can get certified.  Finished my course with a college and they don't of course deal with the National Certification.  Anyone out there done the certification part.  Please help.  Thanks
When is National MT Week? TIA

They were the first national I worked for, and sm

Giselle had a wonderful personal touch with the employees, and swore they would never outsource their work overseas, and it was pasted proudly over their website.  The accounts I had were sucky and I left, but with no hard feelings.  Now, I see their web site no longer says anything about them not keeping everything in the US -- sad.



Small national
Try - www.milnertranscriptionservices.com
No other national beginning with "M"...
I worked for Cymed and stayed with SPi. I hate it. Absolutely. TAT is so tightly controlled that there is almost never any work. It totally sucks. And they don't give a damn about us MTs. Just in it for the money. A HORRIBLE company.
in my first year of MT at a national
I was making $130 a day with my main account...then the rug was pulled out from underneath me and my company lost the account (would not say why).  I have not made that money since and that was 7 years ago.
Pay is much much much lower than any other national
/
TT is my favorite national so far
NM
Is it possible to make 35K/yr with a national?
employee status
The national that starts with an S.

I am wondering if the message regarding Spheris, stating that should they want an MT to go, sabotage of their work may take place, could be elaborated on.


It is important that I stay with this job.  I have BC and ins. is an issue and honestly, I love it.  But, it is very stressful for me to work under these conditions. 


If I thought that there was a possibility that the more hostile arm of my management team could retype my work to include an error that would place the patient in jeopardy, just so they could get rid of me, I would take action now. 


I would like to know if ex employees who left with heavy hearts would e-mail me confidentially and anonymously to let me know how they came to the conclusion that the sups were brutal and ruthless.  


 


I work FT for a national,
and a few hours a week as an IC for a local doc, whose transcription I have done for nearly 11 years now. The full-time job is 32 or more hours per week, and includes benefits. The IC gig might take 3 hours a week, but the line rate is a LOT more than for the national, and in fact is keeping me alive.
Is this normal for a national?

In my 12 years, this is my first IC position with a national and I'm spinning my wheels. Just wondering if this is normal stuff I need to get used to?  


Things like, their field codes sometimes are there and sometimes are not, so if not, I have to go back and put in say the patient's name or DOB by hand. Ok, so that's not too big deal. But most of the referrring doc addresses are not in their system. So I have to look up in their info or search internet, enter into their system, but if there are no codes, have to go put all that in each document by hand. Their templates are mess, IMO. They don't have necessary spaces and some even have grammatical errors. But the worst...sometimes at the end of a report that has a lengthy template where I've had to delete some of it because it wasn't what he said (for example, they have a limited number of templates so maybe I have to use a stress echo template for a nuclear test, so I have to delete much of doc's canned words), it gives me a NEGATIVE LINE COUNT for that report. They have told me they can't fix this, that all in all I'm doing better in the course of my shift by getting paid for the templates, i.e., that it all equals out.


Their system is very slow, bogs down, all this click and point stuff I'm not used to, and I can't produce more than about 150 lines an hour. It's just a part-time gig for me, trying to make some extra money in these crappy times, but it's getting frustrating. Have I just been pampered with awesome MTSOs and docs all these years? Or should I jump ship? Sorry so long, thanks for your input.


National Disgrace?
I don't think I would take it that far, but I do understand. The way things are getting outsourced, some news media would certainly get more physicians and groups to start hiring local ICs instead of making use of the big name companies. I talked to one physician a couple of days ago (Tuesday I think) when I took my son in and she said she has to call in her dictation to the medical group's line and then one of the big companies takes it to transcribe. The last year or so she gets the files back and they still need a lot of editing by her because neither the Transcriptionist nor the QA person could understand her. Now, I've done per diem for her when they get backed up or she needed something back that day, her dictation is very clear as are most physicians in her group. They speak slowly – but not overly – and they enunciate very well. She will even pause and say: instruction - put that in bold: or something like that so you know it doesn't need typed, just done. There is really no reason for this much QA to be done by her.

She is working with many other physicians in the group and they are trying to get approval to hire in house instead of this stuff. I think that if attention is drawn to the fact that physicians are paying the same amount per report, and the reports are being outsourced with very poor quality, that more CEO's of these major groups will pay more attention and hopefully get their heads out of their rears and stop outsourcing. CEO's only see the bottom line and that is very bad for patient care!

Bottom line, when a company is screwing their employees most people immediately think union - but that is kind of hard to have in this field. I have printed some of the posts from this site and taken them to her. They are gathering for a meeting the first of May to discuss this with the group’s CEO and CFO and VPs. I am hoping they succeed. They hire their billing and coding in house so why not their transcriptionists. After all, they had to setup the dictation system, so they could use IC’s as well as in house to do their dictation without much change in the structure that the physicians use! Yea, it would be a bit more expensive to start, but the end reward would be significantly improved! Let’s cross our fingers that this works out and that other groups (Kaiser Permenente, etc.) follow suit!!

The national out of GA, cannot find anything on the
the other one.  At least that is the one I am talking about, and from the other posts on here, it seems that everyone else is too, the over-kill with emails, low work, changing time sheets.  I would steer clear of them. 
10.75 cpl National; 11 cpl smaller MTSO. 25 yrs exp. nm
x
14.5 cpl National, 16.0 cpl small MTSO
Happy, both accounts are California accounts which is a higher pay!!!!
cascas: what national is offering 11 CPL?
thanks 
Yes - it's the 2nd largest national, begins with S. :) NM
x
Medquist. No other national compared that I sm
worked at Transcend, Spheris, MDI-FL, Webmedx. I work for local doctors and get paid by the hour.