No, I've worked in doctor's business office.
Posted By: tia on 2005-10-14
In Reply to: They usually herd them because tis what the insurance companies - dictate. Minimums.. docs on production too. n/m
That is what the insurance company allows, not what they dictate. Who is to tell the doctor how long he can sit and talk with his patient. It is up to him. True insurance companies get together to decide what is the appropriate amount for the doctor to "charge" for a service but I've literally seen where the doctor sees the patient all of 2 minutes after patient is worked up by techs, but they still get paid for that visit.
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doctor's business office...
It depends on the office. I personally know of a large clinic in my hometown where the physicians are required to see a certain number of patients per day, bringing in a minimum amount of $$$$ based on office visit, labs, and other ancillary services they order for the patient.
Their doctors are under contract for 5 years; then after they make partner, they still have to adhere to the daily minimum requirement.
I worked in house in a doctor's office and it was the same for me...
and I had to answer phones, make copies, et cetera, basically was an MT/secretary...and I hated it...I am making much more money now working at home part-time...
I know a lot of people it helped (I worked in a doctor's office) SM
BUT you have to really want to quit before you start it. It doesn't make you want to quit - it just helps you w/ the depression and the withdrawal symptoms that come along w/ quitting. Good luck.
Doctor's office also in CT
I am also in CT in the Hartford area and I have not seen an MT job for ages. I used to work in a hospital for years in Hartford and saw a job on Career Builders.com. It has been there forever so not sure if it was ever filled.
Hopefully my doctor's office
hasn't sent anything there recently. Well maybe their place of employment will have to close and THEY will have to lose THEIR jobs. Karma sucks...
New doctor in the office
I picked up my work this morning from one of the four offices I type for (yes, some of us do still pick up work, I'm from ancient times, I know :). The doctor hired another doctor to work in his office with him. Don't you think it is not very nice not to let you know that? I'm grateful, and can use the extra money, but surprise surprise!
New doctor in the office
I also pick up tapes from 3 offices. I like doing it this way. I would be very happy if another doctor joined one of my groups. I guess it's better than the other way around.
How to get a transcription job in a doctor's office. ??
In the past 3 years, I have never once seen an ad in the papers for a Transcriptionist to work in house (or at home for that matter) at a doctor's office. For those of you that have those jobs, how did you get them? Did you know someone at the office? Maybe no one ever quits these jobs and that is why there are no postings?
Anyone just sit down with the phone book and start calling?
Working in doctor's office
I have a small MTSO, two I/C's but last January started working in a clinic that used to me one of my clients -- but they put in electronic charts and after 4 years of pulling their hair out and late notes I now go in 2-3 days a week and one of my subs 2 days a week to do their notes. It is as an employee and no where near what I get with my own accounts but gets me out and with other people. Nice mixture. Out here in Oregon we have several large clinics that only use in-house people. Need to go to the medical offices located by hospitals. They are out there but don't expect big bucks as you won't get them.
Just got hired by doctor's office.
Yep, can you tell I'm happy! Was working for a large national who took over the transcription department at the hospital I used to work for.
You'd think a doctor's office would be more understanding - DUH!
Ever tried to do your transcription with bilateral ear infections? Can't hear, running a fever, dizzy-can hardly sit upright, but still expected to do work that requires HEARING and sitting at a computer! And, I can't win, because as soon as I get this work done (which is taking 2x as long), there are going to be so many mistakes I am going to get ragged about that as well! 
doctor office dictation
Does anyone out there know of any companies who do doctor office dictation instead of clinic work or acute care? I am looking for work and I have 25+ years experience in doctor's office transcription in many fields, but all the ads I keep seeing are only offering acute care or clinic work. All the clinic accounts I have checked into put you in a pool and you never get the same doctor twice, so you don't have a chance to get familiar with them or get your speed up when typing. There has to be companies out there who have doctor office accounts that consist of just a few docs. Any names come to mind?
Doctor office trans
Probably smaller companies is what you want to look for instead of large nationals. Have you looked in your local newspaper? How about approaching a few docs on your own? I've done that before and did overflow for them.
Don't you love these doctor's wives who have to be in the office
but we all know they're just keeping an eye on the checkbook they married. So pathetic.
Doctor's wives as office mangers
is such a bad idea! All of the offices I have worked for have had the "wives" as OM's. They act like every penny they pay comes out of their pockets! Gawd, once one tried to get rid of me and go to some Indian company and her hubby Dr finally spoke up for himself and said "no way"!!
They did test first time at doctor's office.
x
I had a doctor that was having problems with the office manager ...sm
So he would be in the middle of dictating and would see her walk by and under his breath he called her a few choice words everytime he saw her. I emailed the lady and told her that enough was enough and until they could make friends I was off the account. It was only a few hundred lines a week and was ready to quit the account anyway, but their feud had gotten to be too much for me. ;o)
I'd suggest you look for a local doctor's office if you
want no ESL. If you do acute care you're going to have ESLs.
If I call the doctor's office and ask for results of an
MRI done on me, do they have to give me the results or do I have to just wait on the doctor to call me?
I have not worked for a doctor yet who cares about BOS.
It is the transcription company owners who sell it not the doctors or facilities. None of my docs want anything to do with the single space after a period. They all still accept the 1-10 spelled out too, amoung other things. They do not have the time to nitpic over stuff that the AAMT group is so fixated on. They want to practice medicine and be given well transcribed, neat, correct documents and that is exactly what I do. I say if you want to start your own...go for it! Transcription companies will tell their Transcriptionist to do it their way anyway and someone out there might like your ideas better!
When I worked for a single doctor, I
kept them a year. With the MTSO I work for now as an IC, I have to keep them 30 days.
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.
try starting with a doctor's office or small clinic.
x
I would not do it. Go with a free FTP site for use by you and the doctor's office access only.
All you need to do is create files or folders, for example by date, upload them to the FTP site, and the doc's office can in turn download them directly to their computer. This uses a secure password on both parties' end, and is much securer than emailing.
It's a small doctor's office so I am doing it as a favor for a mutual friend....
Nice to do something different every now and then.
I started in the file room of a 6 doctor urology office....
The file room in any office is a nuclear dumping ground...any paper that nobody knows what to do with gets dumped there. Then and there I made up my mind that I was NOT going to be a file clerk for the rest of my life.
I actually started by filing part time and typing part time. When we got a new Peds Urologist in the office, fresh from a fellowship at Mayo, I was right there. We used tapes back then as that was in the early 1990's. As he could fill up a 2 sided tape with 8 hours of seeing patient's, the other girl in the office did not want any part of his work and left it for me. The rest, as they say, is history.
I had no professional training, just 2 semesters of medical terminology and a killer spelling ability.
After I had typed urology, I was then farmed out to our other offices and I learned GI/GU, family practice, sleep labs etc.
I now work for a major hospital on the west side of Michigan and still type for my Peds urologist. The only difference is that he now has his practice in AZ, not MI.
If you can find somebody willing to take a chance on you with no experience, jump on it with both feet. You will be glad you did.
It almost sees like they are charging you as if you were a business. I thought if you worked out of
your own home you were not considered a business.
If you want to work at a local hospital or doctor's office, go to community college. Otherwise
if you want to work from home, for a national company, you need to take the course from either Andrews School or M-TEC. It does you no good to save money by taking the Penn Foster course, because most companies will NOT hire grads from that school, it is a poor course and does NOT prepare you sufficiently for MT work.
I sure wish I worked in your office!
We hardly ever get an update, we run out of work, we never get answers to our questions, raises are few and far between.... its definitely an office to office, management to management thing! I hope MQ management reads some of these posts and get ideas on how they could make their office better and happier!
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
I worked at one job where the office manager would
go to the gas station on Friday afternoons to buy a case of beer for the employees. It was his version of "corporate culture". As the only female working there, it wasn't a great place to work anyways. The guys told me that the only reason I got hired was because I looked good in a skirt and the office manager was going through a divorce. My resume spoke for itself, but the comments, which got harsher after a few beers, did create a hostile work environment.
Because think of the reverse, when you worked in the office...
did you ever see the director of med rec ask doctors to dictate their old stuff, so there would be enough work for MTs? when we were low on work in the hospital,a deficiency list would be sent out, and then boom a bunch of dictation...
hospitals are doing anything and everything they can to cut costs, even as mentioned above, hiring ICs on the side. health care is purely a business now, and I would bet not a day goes by every hospital in America asks the question, how can we cut back on the cost of dictation?
if that were not true, you would not have the HUGE push for the technology and the HUGE push for outsourcing, overseas or not.
think about this, also. we are only working at home for these companies, because hospitals decided it would be cheaper than paying health benefits for full-time MTs, office space, etc etc.
I do not put anything past people who are 100% money-driven these days.
you do make a great point, though, about the billing and DRGs, etc., but I still think they are told to 'cool-it' whenever they can...
I worked in a physician's office as well.
Normally they get paid only a percentage of that. If your mother has insurance she can pretty much disregard that initial bill. The hospital my parents used also chopped off a large amount due to their fixed income. The worst part about this system is that people with no insurance and who do not qualify for the indigent write-off have to cough up the whole thing.
I'm poorer than when I worked an office MT job, but - (s/m)
- I'll probably live longer, too! My blood pressure has dropped 20 points (for real!) since I stopped having to deal with the annoying little "management clique" at my old job. I've also lost 10 pounds, mainly because now I only eat when I'm hungry, (usally while still working, so it's a fast meal), and not because I'm ticked off, or because I want to get away from the office. So I'm definitely eating less. If I need to run a quick errand in the middle of the day, I don't have to drive like a maniac and nearly wreck my car (or anyone else's) worrying about getting back to my desk at a certain time. I just work later at night.
It's not that I agree with what most employers think MT is worth, but I made a conscious choice to get out of the rat-race and the back-stabbing office politics, and live a saner, quieter life. Meanwhile, I'm dealing with the added poverty by clipping more coupons, buying mostly generic products, and recycling aluminum. When I start getting itchy about moving out of my crummy, low-income apartment, I just go online and see what I'd have to pay to move up to a better apartment, and it gives this one a lot more appeal. And it sure beats living in my car. ;p
Back in the days when we all worked in an office
we got this new manager who I disliked immediately. She couldn't spell every day words, she had absolutely no background in MT and figured she was doing somebody to get the position. We had been promised an MT as our next manager. She said she could type 85 wpm and she believed she could handle the job - HA. We had an MT come in to interview and test and she had to ask me how to turn on the computer and how to print the report. They company lost the account and it closed down that office and the manager couldn't get another job and had to move back home with mom and dad.
I had a man looking for his wife to be able to do something where they could work and travel and he said his wife had a business degree and he felt she could do the job too. I also had an associate whose husband got fired AGAIN and she called me wanting to know how she could do what I do, like she could start tomorrow.
I've decided I'm going to tell people I'm a medical langauge specialist from now on and when they ask me what that is I'm going to say I'm a translator.
May I ask which office your all worked for. Sounds very familiar.
:
When I worked pathology office in a hospital
My experience was that I worked 3 times as hard for a set wage than I ever did as an MT - and in medical records as MT earned set wage plus incentive.
At pathology lab, we were responsible for getting there first thing in the morning and transcribing all the micro before 10 a.m. so the pathologists could then look at slides and dictate the gross report. Doctors tried to get the gross reports back to us by 1 p.m. -- because they had to be typed by 3 p.m. so the doctors could sign the reports, and get them back to us so we could get them sorted and in the mail before we went home. In addition, we fielded phone calls, took messages for pathologists, searched for and mailed slides when other labs requested them, provided courier coverage to transport slides and things between our lab and hospital lab in the next building, and when we had a spare minute, we entered Pap smear results from precoded sheets used by the technicians reading the Pap smears (like between 10 a.m. and noon, if we had all the micro typed)!!! Every day was hurry up and meet this 2-hour deadline, then hurry to meet the next 2-hour deadline...
I learned a lot of terminology -- but I would have to be very hungry to do it again. It is hard to describe or comprehend a pathology secretary job unless you have actually been there, done that -- you will either love it or hate it... good luck.
Started in 1979 when I was 18, worked in office at MQ while it was still
.
If you've been in the business
26 years you ought to know how the game is played. The out of work situation isn't exactly something that's just suddenly come up. Those who insist on "sticking to a schedule" are only fooling themselves. One minute out of TAT and up goes the recruiting ads, more fingers are hired and poof, the work is gone. If anyone expects to make a living in MT, then you grab the work when it's there; if you don't someone else will. Sorry, that's just a cold, hard fact of life. No sympathy from here. I don't like having to rearrange my schedule either but I do like getting a decent paycheck.
oh yes, i've been to the doctor since
an insurance card?
I started in the file room of the urology office I worked. And I was not
going to be a file clerk for the rest of my life. I only had 2 semesters of terminology, no other professional schooling. They had a fresh from a Mayo Fellowship peds urologist coming in and needed somebody to help with the typing. First it was half file-room and half transcription. Finally he was so busy, I became full time. I was there from 1990 until 2003. I then left to free-lance and start my own business. He has since moved to Arizona and I still type for him after all these years.
I've had a few service-oriented business of my own, though (sm)
they were not in the MT field. I dealt with the rude, hostile and nasty clients by having TWO sets of prices: One, lower set for the easy-to-deal-with people, and another, HIGHER set of prices for the hard-to-deal-with ones. And if they were REALLY negative, they weren't worth working for at ANY price, and I simply referred them to a competitor who did a lousy job, and that I didn't like.
I've noticed a lot of business owners
have their own way of doing things - sometimes too extreme for me. They either have done so long their way - they don't realize things have changed since they started - or they go by the BOS down to the letter - each and every single letter - and possibly your accounts have not followed that closely in the past - or they are just picky as all get out and have a huge ego and want to make you feel inferior. There is also the possibility you may be doing some things 'wrong' - but if you have been in the business for 20 years - cannot be that serious - and obviously you know what you are doing!! I have run into absolutely crazy things in the last year with different MTSOs.... you dont' even want to know!!
I've got my loverboy doctor to do today, too.
Plus, an unexpected check dropped off last night, and a cup of Italian dark roast coffee while sitting on the deck in the sunshine.
I've heard with Dell if you tell them you're a business,
you'll get someone from the US. I already have two HPs but tried it anyway. I used to say home or home office but said I use it for business and still got someone from India but he spoke very, very good English compared to some I've spoken to in the past.
Early in my career I worked for a service in the office. I gave my notice after almost two years...
with them because I got a job with a hospital that paid better and had better benefits. I gave my notice and the office manager made my life heck for my remaining two weeks. He gave away my desk, my chair, my transcriber (we were still transcribing cassettes back then). I spent the next two weeks shuffled between workstations and using the crappiest equipment they had. He also refused to give me any help on my account. It was a huge family practice from which I would get at least seven 90 minute tapes a day from them. Before I gave my notice, I was the lead on the account and had three other people helping. When I gave my notice, he couldn't spare anyone to help me and I got several tapes behind. I kept telling him I was behind and he would just say do what you can.
Long story short, he tried to stiff me on my last paycheck because he said my account was way out of turnaround time and I had cost them money. He had told the owner of the service that I had never asked for help and that I purposefully held tapes back to screw them. I ended up taking them to small claims court to get my money.
Some people are just ugly people that take EVERYTHING personally. You can't win with people like that. They are unprofessional. I wouldn't worry about your boss' attitude. In a couple of weeks, he'll just be a memory.
You've been trying to say doctor envy on the company board all morning?
No wonder you get flamed. You think people don't like other posters because they might be a doctor? You been posting all morning and now this afternoon and you are concerned about work ethic? Sorry Charlie your post and your actions make NO SENSE. 
Go for it.. almost every position in an office I've ever had
I started at part-time, and alot of time just wanted to stay part-time and actually had to fight to work only part-time hours. If you are a good employee they should realize that and almost certainly will try to get you to be a full-time employee in the future. Just make sure that you don't end up working "just short of full-time hours" and getting no benefits. If you're there 32 hours..(PT) you might as well be there 36-40 and get full-time benefits.
I've been screwed over by the big phone companies too, but once you switch to a business line,
a lot more options are opened up to you. Talk America has an unlimited long distance business line for $49.95. I've been with them for over a year now. I also tried calling cards, which are an even bigger rip off.
I've worked for both
I think there are two big differences. (1) Benefits should be much better than the national, and (2) in working for the hospital, you will only be working on one account (which makes a BIG difference in my opinion). I averaged about 225 lines per hour working for national on a main account plus a couple backups. I am averaging 300+ with the hospital.
The only advantage with going with the national might be better job security. If you lost the account, at least they could move you to another one. But personally, I would take the hospital job in a second. Good Luck!
I've worked with one of their
products. It was an excellent transcription product; they basically bought another company and added the product to their line. I've read some about the owner of the company. He seems like a very above-board kind of guy. He values the special knowledge that MTs have, and we used the product without VR, BUT ... he won't be happy until his VR product is worked in to the transcription process. (I think they might focus on radiology only). He is just SURE it can improve turnaround time, but he admits that VR on its own is not very impressive and reports will always need to be tweaked by a knowledgeable MT. What he doesn't realize is that the transcription process is much more active and able to catch errors when the MT is immersed in transcribing the report. I don't believe 95% of MTs could in a time-efficient way get the complete gist of each report and catch as many dictator errors, history errors, as she could when her mind was completely involved in the transcription of every word. Doing radiology, how many times is there just the briefest pause from the dictator and the MT's mind is already filling in the next word or phrase, and then the dictator says something else, and you think - wha?? and then the radiologist realizes his blunder and corrects himself at some point. Or if he doesn't, the MT's mind is reasoning out what is right or wrong and can bring any problem up with that report. Because of noticing, that report will get corrected before it goes out to the referrer and causes a phone call from an angry referrer.
Radiology needs to go out at 100% accurate, and IMO, insisting on the use of VR will lower accuracy rates and won't improve turnaround time much at all. When I was doing radiology, the better radiologists could dictate a note in a quick and efficient manner and the MT would get on and do it within about 3 minutes. Every 20 minutes the good radiolgists would sign a batch and the reports would go out. So it was about a 30-minute turnaround time for those reports that didn't need a different radiologist to read them. Turnaround time had everything to do with which radiologist was reading and how many specialty reports there were and how efficiently the off-site radiolologists were getting on to dictate. It seems like the VR guys think the MT is the slow one, but IT'S NOT THE MT - SPEED IS UP TO THE RADIOLOGISTS.
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