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Serving Over 20,000 US Medical Transcriptionists

MTSOs must post their own jobs

Posted By: . on 2006-03-04
In Reply to: oops - sorry then.....but I am an MTSO...sm - I just had a phone call that....


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No these jobs are expendable. Once these certain MTSOs realize...sm
that MTs aren't going to settle, maybe they will decided to get off their humps and make out a simple schedule! NO OTHER PROFESSION REQUIRES THIS!

I refuse to work that schedule so I found a 2 great clinic accounts I'm working on and I do just fine.

I don't know how these places can mandate weekend coverage with many of them are for ICs!
Also, if MTSOs want MTs who are loyal, hardworking, and take great pride in their jobs by truly ....
dedicating themselves to knowlegdge and producing correct, Grade A reports, then how about paying us as the highly-trained, skilled, hard-wokring, tecnical, workers we are....we are expected to always stay abreast of every medical procedure, drug, medical instrument, operatative procedure, and special procedures, in every specialty (especially for those of us doing acute care and surgical, also radiology/nuclear medicine), we must update references, computes, learn new platforms, train our ears to decipher the SLOPPIEST, LAZIEST, RUDEST dictating physicians, not to mention all the various dialects and accents from all over the world, have superior knowlegein grammar, punctuation, and style....there are highly-paid executives who cannot keep up with what we do, honestly. We have sold ourselves short for way too long, back when I first came home out of hospital, I was lucky to get 6.5cpl, back in 1994, doing all acute care, had 7 different hospitals, we were one of the first live systems. I was out of work, and after getting my associates, being a part of the AAMT (who never helped me personally), 28 years of in-house training, radiology, surgery, etc., it took me months to get someone to pay me what my knowlege/dedication/experience warranted, I still had MTSOs offering 6 and 7 cpl......what??? and I am an IC right now! I finally found an MTSO who is paying 12cpl, and I work my tail off for her, love the company, but I still believe by and large that we are being fed CRUMBS OFF THE TABLE. How do I know? I have a friend who has a company with 75 MTs, I see what she bills and what she pays, and I also know what other companies are making off our backs. Not all MTSOs, to be sure, but most. And remember MTSOs, a lot of us old-timers who were trained in hospital and college, are going to retire, if you want to attract really good young MTs for your company, you had better take a better look at your bottom line and what you are investing in...IMHO!
Re below post - This is what I believe about MTSOs
Can we post about MTSOs that are BAD?
If so, I sure have one to name. Someone had posted about this one before a few days ago and the post has been deleted; although you can find it if you do a search. I thought everyone had the right to know about MTSOs that pay late, or don't pay at all for some people, have horrible communication and aren't available to the MTs/QAs when needed.
Yes, you can use this post to send to MTSOs who might not come here.
The situation you describe, that the MTs should be pistol whipped by the supervisors on behalf of the client is more than evidence of a
lack of team spirit. Rather than a supervisor coming to defense of the team, the inadvertent (aren't errors always inadvertent) is used to whip the MTs to death - putting them in a state of anxiety as they type their next report.

This is the only field where I have seen all credibility is lost in a seasoned MT when the client communicates dissatisfaction.

No wonder MTs are so defensive.

This is a difficult job to do and those who have done it for years and done it well enough to make a decent living at it deserve respect and a supervisor who is on their side.
No MTSOs publicly post their pay wages, etc.
of the huge problem.  The MTSOs lie and bluff and change their policies any chance they can to save a penny or 1/4 of a penny.  If you believe they are honest and upfront about same, you have a lot to learn. Which is fine, we all do, but for sure you have been duped if you believe that.  Again, I can only say this with certainty after having been duped for years myself.
Re: The post asking if MTStars mods are MTSOs, Goldbird answered correctly.

I own the MTStars website and I have a team of 7 moderators and none of them are owners of transcription services, nor are they management of any transcription service.  We have never had moderators in any transription ownership or management position since we went live many years ago.  If anyone has any questions about this, you can email me directly at admin@mtstars.com.  I have removed any posts other than the post Goldbird made responding to the original poster below so everyone is clear. Thank you.

Only jobs post on Job board!! nm
only jobs post on job board
I was asking a question about a company on the company board and it completely disappeared. It's not on the job board or man board...I just replied to my own post to ask the question again though.
not all companies post jobs here -

why bother being so rude.

Hardly any jobs out there post the salary.

I don't think it matters if it's transcription or what.  I can't imagine testing for a company before calling them and flat out asking what the pay rate is for the position being offered.  What a total waste of time for both the company and the applicant. 

...and I personally do not think it is inappropriate to laugh at a ridiculous rate and slam down the phone either.  I think the asshats out there who are offering a nickel a line need to get laughed at and rudely hung up on to boot.  None of this PC politeness garbage of thanking them for their time either if they pull a number like that out of their hineys.  A man sure as heck wouldn't stand for that kind of pud pullin'...why should we?!  

Wonder why these companies post jobs

with low line rates but requiring years of experience.  Who out there is desperate enough to fall for this?  Maybe they should try an overseas job board somewhere.

why is OSI allowed to post jobs on this site??? SM
It is on their website that they have an offshore office in the Phillipines. 
Maybe it's because they post jobs and never respond to people.
Has anyone actually had them respond to a resume?
You are not supposed to post jobs on the job board
Again...you are not to post jobs on the job board unless you work in the capacity to recruit.
Don't know who this is but they only post jobs to stay legal..

I know exactly how it works, don't bother applying you will be wasting your time.

Did you read XO post? She said 23 jobs posted in 1
This site USED to post in house hospital jobs - sm
And this is just MY opinion, but I think what probably happened is that the hospitals were probably getting bombarded with every MTSO service contacting them, and individuals contacting them about outsourcing their work, and it probably became too much for them. An acquaitance mentioned one time that she had advertised on this board for on site and specified that it was on site, along with very specific job specifications, and apparently it didn't matter - everybody and their brother applied for the job, including waitresses and nannies who had never even had one iota of medical terminology, let alone job experience.

That's just my 2 cents
You missed my point in jobs knockin post and the
you want.  If you like MTSO you are with now, get more work from there.  If not go after what you want with different MTSO, different job, whatever.  Whats the big deal with askin for more work with MTSO you are with, if you like them.  No different that asking to work for (by applying to) any other MTSO. A real pro knows to get proactive and steer you life in the direction you want it to go.
To Moderator: Is Seroesh Saleem Akhtar allowed to post on the jobs board?

Cherrypicking is when you work from a pool of jobs and being able to reject the worst jobs to those
Monster Jobs and Career Builder usually have a few path jobs. nm
Don't think any do except for those in-house jobs. Some QA jobs are paid hourly. nm
They didn't take our jobs, QT gave them our jobs. The account is now
back in the hands of US MTs, or will be in just a couple of weeks.  
Are MTs that are looking for jobs finding good jobs right now with everyone looking or is it
getting more difficult to find a good job.  I am most interested in jobs for experienced MTs with more than 10 years service.  I wonder if it is better to put a resume on or just keeping applying or what is the best way to go about this.
Look at all the jobs on the jobs boards.
You can find a job and won't have to apply for unemployment. You would be surprised how many companies need qualified MTs! Go get 'em and get 'em now!

Don't wait until the 11th hour. Too many needs to put your hat in the unemployment slot.

What they lost is our gain.

My post should say the post above not the post below, Sheryl's post to be specific. nm
And what about the MTSOs that ...
yell and scream and write nasty emails just because they happen to be in a bad mood? And that goes for some QA people I can think of too. They don't know or care to be civil. I suppose the double standard would apply here though. Only the peasantry should be given psychiatric tests?!
Is this the correct board for me to ask a question of other MTSOs? I'm new to these boards.  Thank you. D

Thank you!  I have been in business 12 years and, if you can believe it, I have never implemented any guidelines for acceptable error rates from my transcriptionists.  I have 19 transcriptionists and am finding that I need to do something to make them realize that they can no longer be lazy and just figure, oh, Dell will fix it.  We have reached a volume of work where I cannot fix lazy transcription problems any longer.  I am unsure how to go about this?  What are various ways to figure out the allowable error rate?

Thank you for all the help you can provide!  D.


I currently do offer a three tiered pay scale where the transcriptionists work their way up -- but I nevertheless find so many things they simply are not looking up or aren't sure of themselves and so will put question marks.

Do you know how the nationals figure the 98% accuracy? That's my real problem, I don't know how to go about figuring the 98% accuracy. 

Good luck on getting that big account!!  We have a large one starting on 02/01 and I'm nervous that with the sudden increase in volume I won't have the time to QA the way I have to now.  In my area it is hard finding really top notch transcriptionists -- the couple I am having trouble with have been with me awhile and I've tried and tried to train them but they lack self confidence and don't THINK about what they are typing -- hard to teach that THINKING skill!!!

Who are the top 5 MTSOs (most MT's)? nm
To all MTSOs...sm

I am just curious.  I am sure it is very hard for MTSOs to find dependable, well-trained, honest people that work their required schedules as it is hard for dependable, honest, hardworking MTs to find companies that pay well, when they are supposed to, and have decent accounts and availability of work. 

My question is where are you?  I have close to 15+ years experience in multiple phases.  I have been burned by 2 telecommuting companies already.  I have been employed with this last company for over a year.  I thought they were great but over the past 5 months or so things have began to have turned sour.  Plus absolutely no benefits are offered.  I can handle not having any benefits as long as everything else is good. 

I have been skeptical to change jobs but things have just gotten to where I am completely dissatisfied. 

If any MTSOs are hiring, I would be happy to take any test, send resume, etc.  I just don't want to be burned anymore.  I love this profession but times have changed.  But like I said, it is hard for the MTSO as well as the MTs.

My opinion, I think part of the problem is with offshoring and the fact that offshored MTs can be paid less, therefore dropping US MTs pay. According to a lot of posts and my researching, MT pay has drastically dropped over the years and it's not getting better. Maybe if the MTSOs would post on what changes are happening on their end that makes them lower hire-on pay, that would help. From an MT standpoint, it seems that MTSOs are dropping MT pay but still lining their pockets, which is not a fair assessment, but that's the way some see it. We work hard and have to have a pretty much ongoing education to keep up with the medical terminology. I know some with 20+ years of experience are very frustrated that they cannot get a decent line pay. I don't know what MTSOs can do to make the situation better. Not all MTs are unhappy with their situation. I am very happy with the company I work with, although I do miss the statutory status and bonuses that I previously had at MQ, but times are changing and we have to adapt, and no I DON'T like it! Anyway, this is just my opinion.
I figure, it could get worse and for me, it actually has, so I try not to complain too much, but it does get frustrating and I try to look at it from both points of view, even though I'm not an MTSO and never actually owned one myself.
In the last 5 years that I have worked for an MTSO, I have seen a lot of changes in these companies and the way they treat their employees. When I first started working from home for one, the pay was good. They didn't bother you. They got your work to you...their were benefits. Now...with more experience and even certified, I get the run around too. Take a typing test with 20 minutes of dictation. Like being certified isn't good enough? My biggest concern is the fact they need to rethink how work-at-home employees should be treated. They tend to group us all together and try to treat us like we work in an office. It just isn't going to be the same. We obviously made this choice to work from home for our families. We give up a lot working from home, but they try to pretend that we should pay the same dues. The fact that they NEVER EVER CLOSE is a big one. Not to many companies out there make their employees work all hours, all days, all holidays with NO!!!!! reward for it. No thanks, nothing. They expect you to work on Christmas day in your home where your family is celebrating, perhaps 5 - 10 feet away and not participate?

For instance, I had to work last Christmas (and trust me, I've paid my dues on holidays). But it was a new job, so I had no choice. Sure I started late. I spent the first 2 hours celebrating with my family, opening presents, etc. As soon as that was over, I got on here and started working. I made my line count well before my shift was to end, but I got the mean e-mail about not working.

I think they need to get real. We work from home. We don't leave our problems at home when we go to work. Sure, you have to separate home from work while your working but I think they need to treat us with a little respect. Perhaps realize that we sacrifice for a reason instead of pretending that our reason doesn't exist.

Maybe they should take a clue from Google on how it treats its employees? Man I would just love to work there!

I feel so frustrated in this occupation lately, that I don't know what to do. I get the run around myself. Scheduling interviews and putting your whole day off for it and then the recruiter doesn't call!!! But e-mails saying sorry can we reschedule? NO, we can't.

I've seen and done it all in the last few years, offshoring, holidays, bad employers, horrible bosses. Its been a long time since I enjoyed my job.

Sorry if this runs on, but its late (since I have to work late shift to compete with the overseas people because they work while we sleep!) but I'm tired. Time to go to bed!

Here's hoping that something in the future happens and once again, our jobs are great and we brag to everyone about it!

This is what I believe about MTSOs

Most all of them are probably offshoring work secretly or not.  They overall don't respect their MTs.  They offer baloney rates.  They lie through their teeth.  They offer steak and deliver animal chow.  They punish all MTs supposedly because of the faults of a few MTs.  They keep tabs with countless instant messages and phone calls to keep their ignorant little children in check.  They are constantly running ads because they can't keep good MTs. 

How can any industry survive with this treatment?  I think almost every one of them is offshoring whether they admit it or not.  What other explanation could there be?  It can't be simply because the MTs put up with it.  There HAS to be something else behind it.  MTs as an industry don't put up with any more crap than any other type of employees.  BUT the MT industry has a way of offshoring work with nobody the wiser, unlike other industries and I think that is what is behind the whole sham. 


The way I see it (and probably others) is the reason many companies are struggling or not making it is because they did it to themselves.  Coming from a hospital setting, it's like comparing USA to Aruba, and I'm not talking scenery, here!



The way I see it (and probably others) is the reason many companies are struggling or not making it is because they did it to themselves.  Coming from a hospital setting, it's like comparing USA to Aruba, and I'm not talking scenery, here!


Shutting down the in-house hospital transcription department. Given the names of Alliance, Transcend, and Central Transcription Services. Not much of a choice. I need benefits. HELP!! Any information appreciated.
Those MTSOs
should spend the time making their company better instead of pretending it's so great.

You just wonder about people!
MTSOs and others
From what Im reading here on this board there are definitely some less desirable companies out there to work for.  There have been warnings many times on this board about these companies.  Its a vicious cycle it just keeps coming round and round, same company different month or week.  It could be that recruiters for these same companies keep posing as MTs and hooraying about what a great company it is, lots of fuzzies and smiley faces to reel people in.  Then, those very same people that were reeled in come back here to complain.  Heres a clue for ya, if the company is not talked about on this board its probably one of the rare ok places to work.  If you see too much bragging about a company then red flag- guess what, its a sneaking low down recruiter people!!!
if you ask me, MTSOs - sm
can cut corners by doing their own hiring and eliminating these recruiters.

with over 30 years experience I have said no to low-ballers because I started 20 years ago on production at - guess what - 8 cpl.

My personal favorites are the 'difficult' (and they know it) accounts that offer 7 - 8 cpl and claim commensurate with experience.

uh - run that by me again, and this time with a straight face, please.

JUST SAY NO, GIRLS. We can put them in a corner, too.

I work for 2 different services, one pays 10 cpl with differential for any weekend and holiday work typed. The other pays 9 cpl, but is very easy clinic work. These people who complain about not making any money on 9 cpl just aren't keeping their butts in their chairs.
Boy, you are correct!  I used to think the horror of horrors would be to work for someone who was not an MT.  For the past 10 years or so it seems that more than likely the strings are pulled by the suits who probably can't even type.  There are also those MTs who have sold out' and managed to get into management and they are just puppets for the suits so poor MTs have few anymore who will stand up for them. You are loyal to your MTs and chances are most of them reciprocate.
I think most MTSOs don't want MTs with
they don't want to pay for it. And it's quite obvious in my experience that the same goes for their QA people, as well!
$$$$ by MTSOs
As a past MTSO from the days gone by - not now... you cannot make a profit if you don't charge 3 times what you are paying your employee... so, 8 cents a line to the employee - the MTSO is making at least 24 CPL. Don't kid yourselves. We are all getting the screws from the MTSOs of today and they are getting rich as H-E-L-L.
you are so right! Plus the MTSOs sm
to put up with the whiny MTs who are worrying about what the MTSO is chargin and other things that the IC shouldn't even care about when its none of their business!
Need for MTSOs?

Despite working for an MTSO, it seems to me that I am receiving my work directly from the hospital already.  It's just that the MTSO QA and Admin people have access to the same platform and jobs as well.  In order for a job to go to our QA department, we have to pend it to them.  Otherwise, it goes directly to the facility.  I am an IC.  As I see it, the only thing that the MTSO has provided after my hiring has been the computation and delivery of my paycheck and QA when required.

If I were an IC working directly for a facility, I would be happy to cover stats for an additional fee.  Plus, I would charge an additional fee for the more difficult dictators, for rude behavior such as eating when dictating, for heavy lookups that could have been prevented if the dictator had provided sufficient information, and for those times when I have to spend several minutes listening to non-dictation, such as when the dictator is just having a conversation with a colleague or other person on the tape, apparently not able to push a pause button.   Contrary to these extra charges, I would look forward to being able to communicate directly with the facility to possibly effect changes/improvements.  As it is, I work for an MTSO whose owners are apparently afraid, too lazy, or noncaring to confront the facility in order to correct some problems that continue forever, never to change, that affect only the MTs and QAs.

Even with all this, I would bet that the facility could save money.  After all, it seems that right now there are a lot of people at the MTSOs that do not produce work, but still are receiving paychecks.

MTSOs would like you to believe that, but they
are ultimately responsible for the product they sell.
FYI - A lot of MTSOs do have
offices. Not everyone can work from home. The MTSO I work for has at least 20 people in the office.