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Serving Over 20,000 US Medical Transcriptionists

I work as a hospital employee at home

Posted By: for a teaching hospital in PA.nm on 2006-07-12
In Reply to: 950-1000 weekly? - Amber

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My last hospital did offer home-based employee positions. sm
They paid the employee positions by the hour with incentive and IC positions by the dictated minute.

It still was not as lucrative for me as my national position.

What works for one, however, may not work for others.

It is all about personal needs and opinions! Bully for you!!! :)

I have a friend working in a hospital and she is looking for a company from home as an employee.
Would anyone care to recommend a good company?
I work at home as IC for hospital...
Stay put.  After 10 years of working at home for this hospital with no raise, I decided to venture out and try other MTSOs.  Good thing I kept my hospital job.   I usually do 200-250 lines an hour with the hospital but other MTSOs I was down to 120-150.  Mostly it is the different dictators and I can't stand leaving blanks so I would listen over and over to try to get them.  Then the styles of what this one wants and what that one wants also differs tremendously.  Stay where you are and maybe talk to the hospital about possibly doing at least some days at home. 
I work for a hospital at home also. sm
Fortunately, our hospital has the team approach. I am an IC for the hospital and my workload is the same as if I was an in-house employee. I see the entire work queue just as they do and we work first in-first out and abide by TAT. Not all facilities treat you like a second-rate citizen. There are wonderful people and well run hospitals out there to work for at home. You just need to seek them out.


Anybody work at home for a Louisville area hospital?

Would you mind saying who and what it is like?


 


Like I said - it depends who you work for. I work for a hospital at home - not a company. nm
x
I was paid by the hour to work from home for a large hospital. nm
x
Ahhhh! Okay...work as an employee at home with
very good work habits. I have a great schedule and very rarely interrupted. I use the expansions in Word and do have many. I've been doing this for 10 years and leave few blanks but I do think I spend too much time on referencing. Maybe I just don't type fast enough but my hands sure do seem to fly on my keyboard! I just thought that maybe there was a secret I did not know about how to format expansions or something on that line. Thanks so much for responding:)
You all have a point. I forget how this at-home thing works. I used to work in-house at a hospital.
and... we got paid extra for working holidays and even weekends and evenings. I am new to this at-home thing and it's pretty disappointing. I think I'm back to the hospital..
regarding hospital employee work - sm
again, as posted previously, it really depends on what state you live in. What state do you live in??? There are quite a few hospitals that although they do not advertise, they do hire transcriptionists from around the state.

As for Diskriter, and any company for that matter, please do not believe everything you read on this board. It reads like the National Enquirer for Transcription. For every good thing a poster might say about a company, there will be five people (or who knows, maybe it's the same poster over and over again), saying bad things.

Just because one company is not a good fit for a few transcriptionists, does not mean that every Transcriptionist should run. Sometimes these are really bad transcriptionists that were let go, or maybe they are great transcriptionists that were dealt a lousy deal by the transcription service.
anyone work as hospital employee for/through Diskriter?
Was wondering how that works out, if that setup is better than working for a service. Better benefits, workload?
Hospital at home now.

Please forgive me but I really need to vent.  I think  I am at my lowest now.  I have worked in local Hospital Radiology dept. for 10 years and was told I must work at home, or no job.  I must provide high speed internet and pay for it, I provide space in my home and desk and chair, must show proof that my homeowner's policy will cover their computer equipment, and must show picture of area in my home showing a door for HIPAA compliance, they say.  I get 9 cents per line, only what I type, one line each for headers and footers.  They won't tell me how they determine a line, they won't say if macros and normals are included. I went to personnel and they say my department head determines what and how she pays and they won't interfere.  I have a one year old mortgage so can't say no, and my pay is down to 8-9 dollars an hour, and that is before I deduct what I have to pay to work at home.  When I told my supervisor that the new program they put in is not Transcriptionist friendly, she said, no it's not, it is mainly designed for Voice Recognition.  I can't check my lines, they give me a paper with total lines for the last two weeks on it with my paycheck.  I feel abandoned and abused.  I called local labor board and they said if I was getting minimum wage and overtime pay as required by law, then I should be thankful I have a job!


I am about to default on my mortgage, and have three kids to worry about too.  Can it get any worse than this?


hospital vs at home

 


i would love to work at a hospital again.  i've been working from home for not quite 2 years now, and the ONLY advantages for me are the hours that i work and being able to be close by in case of a family emergency.  and of course, the price of gas. 


other than that, i now understand why all the people i know who tried working from home went back to their in office jobs.  the pay was so much better, you have contact with people who will answer your questions, most of the time you know your dictators, or at least have the same few, and if you have questions you can actually walk up to them or call them and ask them.  at home jobs just leave you clueless and payless, basically.   thats just my experience obviously.  lots of folks love working from home. 


Hospital versus At Home

The hospital I work for has finally said I could work at home.  I am wondering if there are experienced people that can tell me the cons of working at home.  I am looking forward to it but need to know if I need certain things and what kind of books to buy. 


At-home hospital jobs
Does anyone know of any hospitals that let you work remotely as a full-time employee with benefits?  Thanks!!
At-home hospital jobs
I have 12+ years of experience in most medical fields.  I am in the Fort Collins area. 
I'm moving to Hawaii!!! Here in PA our hospital sent the MTs home but
they must do 100 minutes a shift. They also have to go to meetings once a month at the hospital which they do not get paid for, then have to go home and make up that time. Pay isn't that great either.
Is there really any way I can go wrong to accept at-home hospital job?SM

My national seems to be losing ground as we have had DD taken away effective August 1 and already had had our 401k discontinued about 2 years ago.  I had said I would stay with the national until I actually did not have a job anymore.  However, there is an at-home hospital job open fairly nearly to where I live.  I'm making pretty good money with the national (although not nearly as much as about 3 years ago for various reasons), and so I'm wondering if it is pretty much always a good thing to go with a hospital job working at home if possible.  I know they provide all equipment but I'm not sure abut the line rate.  Minimum production is I think 1275 lines per day.  Not sure about incentive (I know this will be a big factor here, as well as line rate) but all overtime is approved and has been for several years.  I talked with the transcription manager earlier when the position first came open but we didn't talk specifics about pay.  I also am pretty sure I could get a job with a national any time also - I have 29 years of experience and am a CMT.  Any comments?


I went and got my own hospital account, at home, IC status. nm
x
Diskriter - Anyone go from their employee to hospital employee with them?
Thinking about giving up on being their employee and applying for a hospital employee position through them, they have one in PA right now that looks good.  How is it for scheduling?  Do you keep your line rate or get whatever the hospital pays? Who manages those accounts, is it the same PM and DR that are on the other ones?  I have DR and feel like she doesn't have a clue what she is doing and it is so annoying, but I just don't have the guts to let the company know she needs to step it up a notch because the transcriptionists are not happy under her.  Are QA the same people or through the hospital.  They have 1 QA that is constantly asking us questions on doctors and format, things we should be asking that QA person.  Annoying that new people move up to QA but people who've been there 2 or 3 years get treated like dirt and jumped account to account.
THE absolute best job for me was at home hospital empolyee, production. sm
If they only knew the money they would be saving cutting out the MTSOs and hiring direct with, like you said, one or two in house to supervise.

I predict (okay, I'm praying, or meditating, or universing, or using the Secret for) the day to come through some major MTSO/OFFSHORE FUMBLE that will cause this evolution in our favor.

Oh, antie Em...health insurance again!
The only difference is we are at home and doc is hunted down by the hospital/client's staff
after we or our QA submit it with a blank.

It is a phone call away at times. This is not as anonymous as ADHI would like. Doctors these days need assistance by qualified MTs as it appears to me there are many with ADD. That is time consuming when dictating. And errors are deadly.
I'm an employee and can take home office deductions. You
have to have a $$ amount equal to a certain percentage of your income to be able to claim expenses if you are not an IC.  I don't claim home office because it only made about a $50 difference in my report and I'd rather not claim it than worry about an audit since my office isn't 100% office use, my internet service isn't 100% work related, etc.   HR Block does my taxes too. 
Hospital employee
even if you are hospital employee status, the rug can still get pulled from under you.  There have been a few hospitals that have pulled out from Diskriter leaving the hospital employees without a job so beware.  Now, Diskriter may offer to pick you up but you're better off leaving and getting another job.  One MT I know was a hospital employee.  She was the queen of OPs.  This girl was amazing, consistently pumping out 2400 lines a day with 99-100% QA.  Then, all of a sudden, the OPs started drying up on her.  Where did they all go?  Outsourcing was what she was told, meaning either to Diskriter here in the US or there in India.  Her income dropped dramatically until she eventually quit.  I would think twice about any offer even if it is hospital-based because Diskriter still controls the work flow and hospitals don't always renew contracts. 
8.5-9 $/hr.? for employee of hospital??? cause if you do...
I've been blessed!
I am a hospital employee

Yes, the benefits are very good as a hospital employee, although they will vary with the different hospitals.   As far as what states they can hire from, it depends on which hospital.  There are different hospitals in different states, so the criteria is different for each. 


My experience has been very good.  Pay is average (8 cpl), but nice incentive, and am making decent $$. They pay for spaces, headers, footers.  They pay downtime, which is a plus. Management seems a little disorganized and I have has three supervisors in last year, but it really didn't affect me in a negative way.       


Employee for hospital....sm
I am employed by a community hospital and we have consistently been running out of work for a year. We are able to supplement it by going to work inhouse in Medical Records....but I have to pay day care to do that. I don't know what's going on...and it's not outsourcing...we actually nixed our contract with MQ 8 months ago and are STILL running out of work. I'm right there with you in the frustration department and have been looking myself. Just my 2 cents.
Do their hospital employee MTs use the same platform?
x
Sounds like were a DR employee not hospital (sm)
Your post sounds more like employee of Diskriter than hospital.  If you work for the hospital, you don't get the bottom of the flow, you are their MT, not an overflow MT.  If you work for DR on the other hand, you get the overflow and the cherry picking (not by the MTs per say but management deciding how they want your workpool set up or what jobs they want certain MTs to get).  They messed with my workpool so terribly it doesn't even make sense how stuff comes through now.  I'll get recent stuff before old stuff and then the old stuff is late to the hospital (poor management).  l  know that the managers now have never even worked as MTs, sickening.  So what if they have a degree, they have no experience doing the job or with the accounts, the MTs and QA know more how to run things.
Diskriter hospital employee
Is there anyone working on the hospital accounts through DR? I would like more information from those that are currently working or have previously worked on the hospital side. Good, bad, and ugly. Thanks!


Diskriter hospital employee
I wanted to post this again as nobody responded to my previous post. Does anyone work as a hospital employee through Diskriter? If you are currently working for Diskriter at all, could you give me some insight on the company and benefits from your perspective? Thanks!
That's because it's actual hospital employee and
x
To be a hospital employee (Diskriter), do you have
x
Diskriter-Hospital Employee Status

I've recently accepted a hospital employee status position with Diskriter.  Is there anyone else out there that works one of these positions that would be willing to network with me?


Question about changing from hospital employee

I am wondering about how training pay works with different companies as they do not say on their web sites how much it is or for how long.  I checked with one company and they have no training pay whatsoever, strictly production from the first minute.  Thanks for any advice.  I am going from a salary but don't want to follow the account to the company.  Is it for one week or two or more, and is it usually minimum wage or higher?  TIA


I'm a new hospital employee through Diskriter and you are correct. Ins kicks in 1st month after h
You cant beat the benefits and that is why I chose hospital. You get PTO, holiday pay, downtime pay, and sick time. The insurance is one of the best out there.
There's no comparison in being a hospital employee with benefits working rotating weekend and IC
Initially what made being an IC worth sacrificing benefits was having a flexible schedule. I have read the laws and have done research. An independent contractor is not obligated to a set schedule and this definitely includes holidays and weekends. So what if this is a 24/7 business? How many hospital workers do you know that work every weekend with no benefits?? Nada! I knew student nurses who chose 24 hours every weekend so they could go to school thru the week, but they were compensated quite well at 40 hours with full benefits.

A company may hire a lot of misinformed ICs for Sun-Th and Tues - Sat schedules, but by law they are pushing the envelope. ICs need to remind these companies what the legal definition of an IC is. I'm sure they remember that we don't receive benefits. They want it both ways. If I'm going to be an IC with the only benefit being flexibility, there's no way I'm giving that up!

A national I worked for, which I won't name (squid)tried that on us after taking over our company. They even used scare tactics. We still didn't get on every weekend. There was nothing they could do and they knew it.
First for hospital, then outsourced still on same hospital work
and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
A majority of at-home MT is overflow work with in-house getting the bulk of the work. If they clean
s
Ever thought of a home health care aide? Usually paid training and start work right away. Can work
m
Used to work for them at home--sm
You don't work for any certain facility. They now have the MTs working on all their facilities depending on the region you are in. They have heavy ESL.
You would not be sorry to work for them. Like any @ home job, it is a job and to be taken serious (
The pay is good, it is based on a line rate and bonuses for tier levels. You would not be sorry. A good group of people, excellent technical support and communications within the management!
Work from home
Does anyone work from home doing anything other than transcription? If so, can you share what your doing?
You are right, I DO WANT to work from home (sm)
and I chose this profession so that I would not have to send my kids to daycare. Money saved.

What is wrong with expecting to make a lot of money. I am in a profession that requires schooling, continuing education regarding medicines, their spelling; continuing education in operative procedures; computer knowledge, program education and yet I do not get paid top dollar, because the MTSOs are running a business and are in it to make money. What do you think I am in this for? A hobby? Ummmm.....no. While I love this profession, I do this to pay bills, get ahead and provide for my family.

Plus, let us not forget the MTSOs who want you to be an IC and then dictate when you will work. How is that right/legal. If the company I am working for cannot provide the work when they want me to work, I should be paid no matter what. I do not get paid to sit at my computer waiting for work to come in. In case you have not figured it out yet, that makes it impossible to schedule anything, even doctor appointments for yourself. Should I take my laptop with me to the doctor's appointment and transcribe while I am sitting there and during the exam? No. That is what I mean by having a life.

The offshore companies are willing to do it for a lot less money (and there will always be someone willing to do it for a lot less money), is because they are a poor country. I personally know of women in Costa Rica who work 10-hour days and only make 60 bucks a week. I hate to tell you this Toto, but we are in America - not some third-world country.

I have always worked extra and helped out when needed, but that does not mean that should be my regular schedule. It does not mean that I should have to change my entire family's schedule around to fit what an MTSO or a doctor wants just because they are having a power trip. They can wait 8 hours while I get some sleep.

It is just amazing to me that it is okay for doctors and MTSOs to have appointments, take their kids to soccer, dance, or piano lessons, but us - the low ones on the totem pole, are not afforded that option. We have reports to transcribe and every single one of us should be sitting at our computer typing all the time. I don't think so. And if that makes me a prima donna, then so be it. I am one.
And we who work at home are
so very ''screwable'' because nobody has to look us in the eye and nobody fears us storming into their office and causing a scene.  It's all quite remote and sanitary this way.  Send out a couple of e-mails, do a no-information informational conference call or two, ignore phone messages.  Hey presto!  No mess!  All done! 
In the early days, MedQuist said working at home was a benefit, therefore at-home sm
employees did not receive as many benefits as those working in-house.  As I believe, it was something like at-home employees got 3 days off a year versus 10 days for the in-office employees -- WHAT?!!!  I told them it made no sense to me, since by working at home I was saving them money -- no need to provide office space, equipment, references, utilities, etc. -- yet I get shafted.  I was only part-time when they took over the previous company with their great policies, and I told them to kiss where I can't. 
It is grand to work from home,
get certain things in writing, such as work times, how down time will be handled (server down), and if you will be required to go into the office to work for shortage coverage, meetings, etc. Been here, done this. Get it in writing or you will probably regret it.
I work for that account from home and it is
a great money maker. You have to move to Wisconsin for 6 months to train, though.
You can work in the office or at home....
if you dislike the office, or find it tense, you should ask to work from home. There are only about 15 people that work in the office, most are not transcriptionists, and my experience is that they would rather transcriptionists work from home.

Life's too short, go ahead and make arrangements to work from home. Why would you want to work in the office, especially if you dislike it so much?


Here is what you save because I work from home

The average cost per square foot of commercial real estate is $6 to $13 per month.  A cubbie for my work area would run about $864 a year.  You want me to give up taking off any time for the first year except for a couple of days.  HOW MANY DAYS DO YOU GET PAID TO TAKE OFF?  Oh, that's right.  Your job doesn't bring money in, does it?  I save you electricity.  I save you the resources you should supply me under IRS rules such as books, CDs, etc.  You should be paying 100% of my internet expense, provide a computer at no charge if you are an employer meeting IRS regulations and I worked on site.  You should contribute to my state unemployment fund regardless of what state I live in when you run out of work and I am left without an income (oh, that doesn't happen to management, does it?)  You should provide an email server to keep from cluttering my personal email account and causing me to spend extra money to keep all those informative emails that require server space.  You occasionally want me to fax something.  Did you provide me with a fax machine?  I'm getting further away from the definition of an employee aren't I?  You want me to be 100% responsible for my own health insurance.  What if it's so crappy I would rather find my own?  Do you contribute to my health premium costs, say $35 twice a month NOT to take your insurance  (like employers I've had in the past)?  If I am hit by a drunk driver, where is my short-term or long-term disability benefits?  Oh, that's right, you cut out those expenses because you didn't think we would need them and wouldn't notice what you did.


Lastly, do you think I don't notice that my wages have been going down instead of up over the last 7 years because of forces beyond my control?  My knowledge, skill sets, resourcefullness and employment values increases yet I make less money.  Is this how it works in management?  About that retirement fund, thank you for offering it and contributing to it as I am going to need it when I retire from MT at about the age of 72 because I can't make it on what I'll be pulling from the federal government if I try to retire in my 60s.


Gee, I'm glad you cleared up what you offer me.  I honest hope you can see my point too.


I hope this point does not get pulled because I think these are valid issues that ALL MTSOs should be aware that MTs think about.


Did I leave out anything?


Is that In-House or you work at home?
?