Don't work for a national. Find a small
Posted By: sm on 2005-11-10
In Reply to: earning ENOUGH as an IC - jojoTHEmt
MTSO that pays well. They are out there, as long as you hold up your end of the bargin. I left my hospital job to work for a national, several nationals now but who is counting. I found a small company and finally am making the $$$.
Good luck to you.
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How do you do 2000 a day? Do you work for a national or small company? nm
nm
A small national is a national company that is smaller
than a big national. There are a few "big" nationals, where they have hundreds, if not thousands of employees. I work for what I call a small national, only has about 30 employees. An MTSO could also be considered a small national.
I went from national to small back to national
My large national has all the resources and money to operate successfully and have decent platform, etc., to work on, the small company did not, and I went back to the national.
$18,000+, small national. nm
should have said that this is for a small national not
an individual. We are trying to put some new things in place and want to make sure that we put the right things in place.
Small national. nm
x
Small national definition
Would you define what you would perceive as a "small" national, and then maybe I could better have an idea how to respond to you with some ideas.
Small national. Better than it was a few weeks ago
run out and have to try again later. I had planned to type for 7.5 hours today but quit after 5.25 because I kept running out and got tired of wasting my time checking. Figured I'd just try again tomorrow and maybe it will have built up some by then.
national/small MTSO are both on-line companies
there is PT and orthopedic work.
You will not find a National who will
appreciate you; however, if you worked for MQ for 8 years, you might be able to tolerate Spheris. I personally did not like them but hey you might. Transcend is a good company. I have several friends who work there but also have several who work at Spheris. I would just research as many as possible. Personally, I have never heard anything good about Medware. Good luck to you!
(1) Don't work for a national. (2) Don't work for a national. (3) Don't work for a nation
If you still want to stay in MTing, which is a dying job, go to a hospital and apply to do radiology. They sometimes hire people just out of transcription schools.
But don't work at home thinking you will make any money at all - even with 20 years of experience - the nationals have wrecked that.
Be under the umbrella of protection at a hospital. That way when your computer breaks, the weather is bad, you are sick, there is no work - you will not be without a paycheck.
The nationals are selling a line of BULL. Gradually they have taken what used to be our built-it benefits------------> and moved it over to their pockets and called it their PROFIT. They are not brilliant - but they are unethical thieves.
Best way to find small MTSOs
Does anyone know the best way to find small MTSOs? I have found that I would much rather work for the smaller ones than the nationals.
Any ideas would be appreciated!
Thanks in advance!
Used it with a small service. Didn't find it as easy as ExText. nm
s
My advice: Regroup. Find a small cave, cheap, take the kids, get a stable job (1), quit trying to
need to stabilize.
Medical transcription is not a "living" - it is a sideline anymore, unless you can find a doctors office or hospital where you can count on an income and count on medical insurance.
Leave the BF - they are dead weight. They wear you out and rarely help you find any solid footing. If your's did you wouldn't be here asking for advice.
I used to think I need to be married - then I began to ask myself: WHY AM I MORE BROKE AND MORE TIRED WITH A HUSBAND?
There were more hours in the day and more money in the bank when I was on my own with my children. We may not have had fancy things but we were happy because their mom was happy - ME.
Again, don't use 3 PT/transcription jobs or even 1 FT and some PTs to say you are making it. Either bring your budget down to living on the 1 FT and let the PT be the discretionary income (extra for savings, emergencies, etc), or leave transcription entirely. MTing is a losing proposition at this time. Unless of course, like I say, you are in a stable place like a hospital. And don't COUNT on the PT to carry you through - these nationals and side jobs are playing fast and loose with paying people or providing any security at all.
GOOD LUCK. 
I work for a national
and I have a ton of doctors (clinic and hospital). I type 1000 lines in 3 to 4 hours. I don't have a lot of normals. There are some but don't use them on a daily basis. I just put my nose to the grind stone and make myself sit there for a certain amount of reports before I let myself get up. It can be done.
do you work for a national?
Then why do you work for them if they are a bunch of crooks stealing from you? That is the only alternative to my theory, if they do not offer benefits, make you test even when you are seasoned, do not give raises, with no good reason other than they are greedy thieves? It doesn't make sense to me.
no. work for a national. nm
x
Currently work for a national
and all I currently know about the ENT office is that they have some system in place currently in-office that the doctors dictate into using a phone. Their work is currently done in-house by 1 full-time MT who is retiring and 1 p.r.n. MT. I currently use high-speed (cable) internet but might possibly be soon moving to a location that would only have satellite for high-speed (or dial up).
No (IC)....but I work for a small MTSO and have set deadline each day for my work
I will not be working on Thanksgiving day, though I will have 120 minutes waiting to be done and turned in by 8:00 a.m. on Monday morning.
When you take on too much work. Getting 2 PT job offers plus have FT with national (sm)
Two local doctors offering me 2-3 hours per day each, plus the FT (about 6 actual hours of typing a day) with a national.
One doctor is orthopedic, the other vascular surgeon (H&Ps in office). One is a mumbler, the other has a lisp. The national job is radiology (fairly easy - would be faster if I could master IT, though).
What should I do? Am afraid I will take on more than I can handle and at same time, refuse a job that I later will regret. I need the money, needless to say. Anyone ever face this?
Well, I work for a national, but my account
is a big hospital, doing acute work. It was a heck of a way to learn starting off, but I know it will benefit me in the long run, just one of those days!
Closing in on my 2 years now, I thought about maybe applying at a hospital inhouse here that hires starting out at $20, but once you add all the expenses (not counting any deductions), you come out to about the same. It's just not worth it. It would probably be less stress considering I would work set hours instead of all the crazy ones I have been doing, but then you have to add in at least 2 hours of drive time to that each day. It evens all out I suppose.
I average $32,000. I work for a National. nm
xxx
also, I work for a national - not my own clients! nm
x
Has anyone asked for a raise lately? How do you go about it? Work for a national and have not
increase for five years. Just pumped some gas and realize my cost of living is going up but my pay is stagnant. How do you go about asking for a raise?
Why do you say $20/hr? I work for a national, and at 11 cpl, 300 lines per hour, sm
that's $33/hour. I'm not driving a Lexus or anything, but I'm comfortable. Generally speaking, find a mid-sized national, big enough to have enough work for you all of the time, yet small enough to care and realize that quality work deserves quality pay.
They are out there. Good luck!
Our hospital laid us all off and I went to work for the national that got the bid. nm
x
Yes, midsize national. Low work. Overhiring. nm
nm
The national I work for has a no blank policy. sm
Plus you have to have 90% no blanks to QA to get bonuses and to maintain full-time status. This is very hard sometimes with some of the dictators that dictate from across the room, while the ward is going ape, and this all right next to the telemetry monitor and the ringing phone or at home with the yapping dogs in the background.
But I have found our QA to be forgiving and understanding, so I am getting more comfortable. I think they have a high standard so we will step higher, but they understand the reality, which I think is good.
DH says he definitely would not go through what I go through to be sure there are no blanks, but I am hoping that in time it will get easier, and I will get more productive, and I think it is.
I work for a national, and we're allowed
.
Question: If you work for national that provides computer,
can you ask their Tech support to move their files onto the laptop computer?
One other question: If you are required to have HSI connection for dictation and files, do you have access to that and how?
I'll bet I work for the same national! While I have great dictators, seriously they never say the
same thinge twice, save one surgeon who always ends his op reports with the same paragraph, which, of course, I have in my expander. I mean it - there are probably 30 doctors, and I never ever get a repeat or any pattern at all! Again, I have a huge expander that I've set up on my own over the years, and rarely type more than a few words "longhand", but I still am not hitting over 200-250 lines an hour. Oh well! At least I have great dictators, right?
when you work for a national, you sign a confidentiality agreement...?
the same rules would apply, and you must have signed a confidentiality agreement with whomever you work for. you can be fired, if breached.
my opinion, as a professional, you transcribe it and mums the word...
when I worked in a hospital, someone was caught 'sharing' information about the CEO from a transcription report, and was fired on the spot.
Actually, it is quite easy to skip jobs, and I work for a national. sm
Depending upon the account, just press the appropriate number on the C-phone, and *poof* you're at the next job. In my case, I have no "proof" per se, but when jobs skip from 7 a.m. to 10 a.m. then to 1 p.m., etc., and then it gets back to "normal" when you get to the non-ESL docs where I guess they stopped working. it's not too hard to figure out that someone took what they wanted and left the rest. It doesn't matter to me. As has been stated, the MT who cherrypicks cheats himself/herself out of the chance to master everything and assure himself/herself of a larger pool of work. That goes also for those who limit themselves to only certain work types. Sure, we all have our preferences (I prefer admit notes and consults), but if you can do everything, then you're more likely not to be one of the ones coming here complaining of no work.
Just my opinion, and you know we all have one. Happy Friday the 13th! I have the weekend off for once, and it is actually beautiful weather here. Yippee! 
I work for a national, $600 yearly deductible and 15-30 copay
nm
If you work for a national, what difference does it make where you live?
If you work locally, then yes I think it makes a difference. I work for a national, live in the boondocks and still do well.
The one national that I am aware of, employees would be thrilled to work just 8 hours a day. They
:)
Can a national require full time MTs to work overtime?
?
I don't work for one of the larger nationals, but a good-sized national and
in 5 years the hospital system has been down twice and my company wasn't able to pull work and the company's system was down once for a hurricane and once the power was out for part of a day. I never went a full day without work.
I think maybe some of the nationals are poorly managed and they use "server down" as an excuse for no work. For a company that depends on their servers for their livelihood I don't believe they actually have the much down time. I don't think most companies pay for downtime.
Oh, bull. I'm with a large national and those clients whose work is offshored
That one statement is bunk.
I work for a national. Most of the time the voices are pretty good, but
I have been getting some of late that have background noices, door slamming, people talking, Sometimes the doc will stop talking but the noices sound so close to him that it is annoying. Do you think the sound card would interfere with my company's computer? It sounds nice to have even though it does not help the background stuff. I guess that is a good question for tech. Thanks again!
I have 2 clinics still on tapes, love'em! Also work for a national. Like that too. nm
nm
I work for a small
company and make 10 cpl straight typing, 1 account. I have worked for large MTSOs and made much less and had multiple accounts.
Just return the work, submit your bill, the scurry and find more work elsewhere. sm
They will never meet with you before next week. It is Thursday, already. Be prepared to sue for payment, because you will probably need to. But, most of all, find other work elsewhere, because I have a feeling this final payment will be a long time coming.
The midsize national I work for has a nice tiered incentive plan sm
for employees, not sure about the ICs. In order not to qualify for one of the incentives, you'd have to transcribe at LESS than 150 LPH. Pretty easy to make bonus each pay period. The faster you are, the bigger the bonus. 
I didnt ask for ANYTHING. Merry Christmas and watch your back when u work for a national.
thats MY point.
No, I work for a small company in AR
Do you work for a national and, if so, do you like it?
Been at home for over a year now and I switched to night shift. I work for a national. Started out
working the night shift and sleeping in shifts during the day. My kids are way older but that doesn't mean they don't interrupt me. Besides, there the phone issue, more interruptions, the dogs bothered me a lot, too. Love them dearly but, oh so spoiled. It was taking me 10 hours to do what I can do in 8 on nights, plus I manage to get more sleep, if you can believe that. I still get supper on the table, vacuum, laundry, etc. So far it is working pretty good, so I think I will put in for permanent night hours for awhile. No sense in working 10 when I can work 8.
The national I work for usually offers jobs to the in-house people when they acquire an account. nm
nm
I work for a small local company.
It seems that the smaller MTSOs pay better than the nationals. Maybe that would be a good avenue for you to try. I just think the low rates offered by the nationals are insulting.
I used to work for a small MTSO that used gotomypc - sm
I would connect up to her computer and download the voice files to my computer. Then disconnect/log off. Then I would play the voice files on my player (Bytescribe) and go to work. When I was done, then I would just email the work to her. But if email was down for some reason I would just connect back to her computer with the gotomypc and upload the finished work to her that way. Your computer would probably run faster if don't stay connected via the gotomypc. I suppose you can do that of course, just doesn't seem much point to it though to me, unless you only get one voice file every now and then, so you just stay connected to see them come in on the remote computer.
I'm glad I work for a small MTSO....
I hope my boss never sells out like my last one did. My old company went down the tubes after that and I see lots and lots of posts about it here talking about how bad it is. These nationals sound awful.
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