I would love to work inhouse, but...
Posted By: newbie MT on 2007-06-13
In Reply to: For some reason, the newbies of today seem real cocky. - Long timer
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
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inhouse work
I am thinking about going inhouse to work for a family practice group. What is the going rate per hour or per line? I have 10+ years experience. It would be working for 2 family practice physicians 25 or so hours per week. Because I have only done IC the last few years, I don't know what to charge when taxes are taken out.
Please advise what a reasonable hourly/line rate is . I am not sure at this point.
Thanks
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck
I am going to work inhouse again -
I just took a part time inhouse position to supplement my at home income because I am so short... and this is not the first pay period so I am in trouble.
The inhouse position is only part time, but at least I know it is enough to pay my house payment. It is also a lot less per hour, but I want some guarantees so I can stop worrying so much.
$18 an hour but I work inhouse in a hospital.
nm
I now work for an MTSO, but when I was inhouse we did tend
to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
You're right. Unfortunately, in some areas inhouse work is
I keep hoping some sort of changes in U.S. laws may come to the rescue before it's too late, and the whole industry becomes offshore and automated. Because if that happens, there will be less and less reason to want to entrust one's care to an HMO.
If you cant get a job inhouse, go to a local company and work in their house.
A lot of people who I went to school (college) with ended up working for a local company to Jackson, MS, MidSouth Transcription. They worked with you and got you ....further trained shall we say. We had school, real college courses, so we were very well-trained (had to take an anatomy and physiology class that was the same as the premed students) - we knew a LOT but Ms. Torri got us employable. Try a local transcription company for a while. It will help, I promise.
my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
I work PT and LOVE it!
I think what you may be looking for are actual experiences from people who have done this on a part-time basis, not as a full-time career. I'll tell you...it is very possible to do part-time to supplement your income, and it can be very enjoyable (and even somewhat rewarding) IF you find the right fit as far as specialty, employer, schedule, etc.
I started an on-line course about 4 years ago, it took me just under a year to finish it at a very casual pace, and I found a position as an IC when I was about half-way through the course. Over the past 3 years, I have applied with about 10 different companies and have received employment offers from the majority of them. I have a very good work ethic and track record, have never been a "job hopper," and it has paid off in this field, as this caliber of employee seems to be a rarity and it is therefore appreciated by employers.
I currently am working about 15 hours a week, make about $350 a week, and I love it. I won't lie, though, and tell you it was a piece of cake to get to this point. I had to work hard and "cheap" for the first year, but now I am so glad I did. It is actually very relaxing for me, and I look forward to working. However, I do not have a baby OR a full-time job. I have a husband who makes good money and supports the family and provides insurance and financial security. However, someday should I ever need or want to work full-time I at least have that option available.
I worked full-time (plus some) in a professional office for about 15 years, but after my first child was born I cut way back and have NEVER regretted it. My kids are now teens and pre-teens, and my time with them has been precious, to both me and to them. They are very well-adjusted, confident kids and have made me very proud.
Good luck with your decision, and I'd say "go for it." You seem like a very level-headed person with a lot of drive and ambition. Sorry about all the "negativity" on this board; you just have to learn to consider the source sometimes and read between the lines. It's really too bad, but there's no use fighting it; some people will just never be happy I guess.
Best wishes!
I would love to proof your work and see how that looks but I am sure you will tell us you are 100%.
:
I love the company I work for - sm
MDI-MD. Flexible schedule, wonderful and friendly staff and supervisors, pay always on time.
I also work on eScription and LOVE it.
.
because I LOVE transcription work.
I am 60 years old and neither need the $ nor the bennies, I just love doing transcription (of course with the caveat of having all the appropriate demographics provided as well as clearly enunciated dictation). Doubt, though, that you can understand this.
Can you share who it is? I would love to work for either sm
them or whoever gets their accounts. That way, I know that it will not go offshore. If more health systems do this, we will be in good shape down the road.
If all docs love your work, and only one is - sm
complaining about the bill, I would NOT lower my prices! Chances are he is more of a pain to transcribe than the others, too -- am I right? Stick with what you're doing, don't let them (or him) intimidate you into selling yourself cheaply. You are most likely already worth more than you're charging! Why work harder for less money, especially when you're very familiar wih the docs & their dictation, you do good work, and they AGREE you do good work? Sticking to your guns (AND raising your rates when your cost-of-living and other overhead go up) is one way to weed out the bad apples in the customer-pool. They can be easy replaced; your time, health, and financial security cannot. And finally, you just KNOW that they're raising THEIR prices to their patients every year. Some of that should be trickling down to you, as well. If not, you're being cheated.
LOVE them-- won't work without mine.
x
Don't ya just love having to work when the Superbowl is on? OMG....
Too many of the docs dictating are obviously watching the game and NOT paying attention to their dictation....pausing way too often, repeating themselves, stopping to say, "WHooooooo"
Just go watch the stupid game and THEN do your dictation!
Done venting. 
I work on eScription and love it.
With the part-time position I have using eScription, straight transcription I average about $27-$28 an hour and with VR I can average up to about $34-$35 an hour. It did take me a little time and concerted effort to get there, though. I had to learn to keep up with the dictation and I have to really pay close attention but even with difficult dictators, I still do as well or better with VR than straight transcription.
I get 10 cpl for transcription and 5 cpl for VR.
I agree. Love Canadians, but we need our work here.
What about their socialized med system? No work for them there? Nope, I love Canadians as our neighbors, but I agree we need to keep it in the USA.
I love my vet, the only blood work she does is an occasional - sm
heartworm test, about every 2 years. Only take the dogs (and cat) in for shots, no extra or unnecessary stuff. She is cheap (and good) too, compared to where we used to live. I'd say if there is a hint of a problem, then yeah it should get monitored. But if there is nothing wrong, then why? Once every few years should be adequate I would think for blood work. As for teeth cleaning, I have only done it once with 1 of dogs because she was going to be out anyways getting some teeth pulled, a tumor removed too, so we had her teeth cleaned. As for my other dogs, forget it, that is what Milk Bones and Dentabones are for. I already spend enough on shots for 3 dogs, Frontine, heartworm pills, special dog food for the 1 dog, etc. Some vets do whatever to get more $, others though don't get greedy (country vets) and think of the animal, not on pumping up their bottom line. If you aren't happy with your vet then either tell them you only want the 1 x a year visit, shots only, none of the extra crap, you can say NO, it's your pet. Or find another vet. Though we are in the boonies, we have 2 vets within 2 miles of each other, who are both very reasonable, go into town though and you pay a lot more.
I work in Meditech and love it. Like anything else, you have to get used to it. There are two vers
is awesome. The other is OK but it depends on the hospital. I worked at home for a hospital that used it and it was slow. I work for a service now that uses it and there is no lag time at all. It is radiology, so that might make a difference, not sure.
I work with eScripting doctors and love it. sm
However, some of them are such conscientious dictators AND the machine has them down so pat that, if they were in charge of their own dictation--like independent practitioners--routing their reports through an editing service might turn out to be completely unnecessary. Office staff could give them a quick glance-over instead. I know nothing about the business end of this, just what I'm seeing on the screen.
And, yes, I was also really intrigued to see that some of the most horrible-sounding dictators quickly developed a very good working relationship with the machine. For sure, accents are totally irrelevant as the machine doesn't know they exist--if a practitioner can't get his tongue around h's and r's and always pronounces "heart" as "et" the machine thinks that's the way it's supposed to be pronounced--by that doctor.
I do much prefer editing over transcribing-fits my skill set better, but undoubtedly fewer editors than transcribers per report will be rquired in future.
Yes and absolutely worth it. I love to work
outside when weather permits. I don't do it every day because hooking up and unhooking and having to carry everything gets to be a pain, but I do it on occasion. I also like to travel, which is why I got a laptop to start with. It allows me to work in the car or a couple of hours a day wherever we go so there is still some income, but I also have time to enjoy time with family.
sorry...not a great experience. I do love the work,
s
Yes, I work for one and love the work.
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IF by PT you mean Physical Therapy -- it's EASY! I love PT, don't get it where I work now tho
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I work in-house for doctor's office now and Love My Job!
Good Luck. I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them. It really is the way to go now instead of working for the really big transcription companies. I feel like I am appreciated.
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home. According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour. Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
Does anyone use a Herman Miller Aeron chair for work and if so, do you like/love it? nm
nm
no i don't love being MT but it beats McDonalds. no i don't work for a great company.
no raises and constant shift in management. no i don't make more than enough money to just pay my bills but i have cut down on overhead of regular job outside of the home.
it's an okay job relatively speaking.
I love the night shift! No interruptions and more work on the system.
I agree with poster below - Power NAPs! I am a napper, need my nap about 30 minutes to 1 hour, before my shift and a pot of coffee sometimes 2 gets me through!
Would anyone care to share where you work? I love OPs, but do CONS and DS all day.YUCK! nm
x
There's a tutorial in the program and yes you do create expansions while you work. Love it! nm
s
1990 VW Golf here, love it. Work at home, don't drive much.
x
I'm using it, but on my non-work pc (love it!) Sorry I couldn't answer your question re: foot
.
Oh and don't you love the "WOW, you work from home?? HEY! I can type - hook me up!" sm
That burns my hiney more than anything else. Working from home is NOT a piece of cake. I can relate to those who think since we work from home we can just get up anytime. I don't know how many times I have tried to explain that if I were working in a "traditional" office, that they wouldn't just walk in, call, etc. etc. but I don't think anybody will ever really get that our time is money, literally.
I love it too! I have my emails from work make a ringing tone
and pop up on my desktop,much like Yahoo messenger or IM. It's great. Never miss an email and can respond right away.
I have 2 clinics still on tapes, love'em! Also work for a national. Like that too. nm
nm
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.
I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.
On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.
Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.
I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.
Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.
I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.
I appreciate the advice.
OFF TO WORK...
I had one when I was inhouse and loved it! sm
I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable.
i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
pay for inhouse position??
I have an interview in the morning for a part-time inhouse position. What is the pay looking like working by the hour with no incentives? I don't know what a fair offer would be and don't want to sell myself short.
Sorry but I am not going back inhouse.
I do well at this work. I always have. Though my income has varied a bit over the last couple of years, I am still doing very well and I don't plan to join a union or go back inhouse.
It costs hospitals more money to payroll you inhouse because of the capital expense. More and more hospitals will contract their work out as the economy squeezes on them, too.
I agree that those who are new should try to work 1-2 years inhouse first. But to say that going back inhouse is going to "save" this work? No. Completely disagree. It won't even be an option soon for the greatest majority of facility MTs.
do you have 6 years of inhouse sm
doing acute care or doctors office MTing? If you have gone from strictly office stuff to hospital acute care, that is a big transition and one that you are not gonna make a ton of money at starting out. Experience as an IC is not the thing, do you have the 6 years experience doing the same thing inhouse that you are now trying to do at home?
I just love it when our cat plops down on my note pads with my work notes....have to pull it all out
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Couldn't work any other way. I love being portable, and the equipment takes up so much less room.
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