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Serving Over 20,000 US Medical Transcriptionists

I work in-house at a local hospital...

Posted By: BabyFirefly on 2008-09-05
In Reply to: No work @ AllType - Frustrated

And it's been pretty much famine conditions there, too. We're having to use our VH hours when we're called off for lack of work. I don't know where you're located, but I'm in central California. Perhaps it's a nationwide phenomenon for some reason.

Hang in there. The powers-that-be where I work keep telling us it's just temporary (although I'm preparing for the worst).

~hugs~


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JLG did work for our local hospital when I was there.
They charged us $3.50 a line. I saw the contract. I was shocked. We paid ICs $1.50 a line. And the work was horrible. Everytime they uploaded reports, 2 of us spent most of the day correcting them. After about 6 months, we fired them.


worked 3 yrs, went to work for local hospital nm
nm
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..
Local hospital - sm
I loved Medware until they started sending so much of their work to Medware India. I spent my days editing the offshore work.  Its incredibly frustrating.  It doesn't matter how much feedback you give, the same errors are made. A person cannot go day after day after day doing that without getting down. I made the decision to leave and have been so much happier.  I only have to worry about my own quality now. 
Our local hospital...
has closed the entire top floor, and the nursing students from the local college are lucky to get 1 patient for their clinicals. They are asking the older seniority nurses and other personnel to retire early. Another hospital has the healthcare workers down to 32 hours per week. I am in OH, and my area is really bad economy-wise.
Then a small co or a local hospital SM
would be better.  You are not going to find an MT service of any size that doesn't have a bunch of ESL dictators.  That's just the way it is.
Once, while working for a local hospital
I was also working PT for the service that the hospital used. The only conditions made for that were that I could not work on my hospital's account as that could be considered a conflict, i.e., less work for the hospital so more was available for the PT job. I have yet to have a problem working for 2 companies. Currently I work for a national company FT and a local company PT. They do not have the same accounts, so therefore no conflict.
Only when hired by a local hospital - sm
It is a little surprising to hear they want you to do this.  I was hired by a local hospital (an hour away) and had to come in for training there - up to 3 months, unless I got the hang of it earlier.  Some folks who worked there lived a little farther away (one was 3 hours) but all were within driving distance.  So I have been asked - however, I've not been asked for a place as far away as what you described. 
It's just a local hospital account, not a
national.  Most of the time I do their acute care work on Chartscript; I just help on radiology in Meditech if they are backlogged.  It's not the Meditech Magic version, though.  Don't know if that makes a difference. 
The local hospital I go to has it....I have to say it is impressive.
I have various scopes done periodically for surveillance, and for the last few years they have handed me a beautifully typed and surprisingly detailed report as soon as I wake up, complete with color photos. I recently asked how it was done so quickly. The nurse said the doc types it using a template.
Often it is better to apply at your local hospital. Many times they
train on-site. The training is invaluable as you can get training on acute care and radiology and you would have a mentor with you all day.
i just started working for a local hospital. sm
They pay for the entire phone bill and internet for an extra line to do their work.
Oh boy I will. It is nothing but depressing out there. I applied at our local hospital because I can
hardly stand another day of this disappointment. This business has gone down the tubes!!
I was hospital in-house for 13 yrs
and only did radiology. There were gals who did basic 4 called the MR people.

Pathology, orthopedics, cardiology and the morgue, among others, had their own transcriptionists. NONE of us did everything.

Fair question.
Try in-house at a hospital.
z
Do you work in-house here? I applied last August & was told in-house only and they weren't
s
I currently spoke with a local hospital and their pay was hourly with an incentive (nm)
x
Actually, my local hospital offered me MUCH less than what I make at my MTSO
By 4 cpl.
I used to make an hourly rate at a local hospital but s/m

The home-based MTs were on a tiered hourly scale depending on how many minutes we typed daily.  The in-house MTs were not on this scale and I believe they are the reason we lost our jobs to outsourcing.  They made the big bucks and could not even produce 80 minutes of dictation a day.  The home MTs had to produce 100 minutes a day to reach the maximum hourly pay. 


I feel that being paid by production is not such a bad thing because at least the ones who produce get paid for it. 


same here, i use it for my in-house hospital job. love it
/
I think she means in-house at the hospital. nm
nm
Recently applied at local hospital that paid incentive.
The local hospital here also pays hourly plus incentive. New MTs start at $15 an hour and then anything over 120 lines are paid at an incentive rate with the incentive rate increasing with the more lines you completed.
Anyone happier working for a national versus local clinic or hospital? SM
I'm with a national but from time to time, openings come up with areas places. None are in my own town, but would be 30 to 45 minutes away from home. In the case of at least one of these places, you are required to work in-house just to get used to their system, which I understand, but they say it usually takes a year before being set free at home. Now I can understand that if you are a brand new MT, but as far as just getting used to how they do things, that seems excessive. If you meet the criteria sooner, you can go sooner. It worried me about the length of time. That would put me in a bind with little kids and being away from home on certain days after they got off the school bus.

On the flip side, they pay hourly so I might like that, rather than make next to nothing on some days where the dictators are horrible on my current account. On the other hand, on a good day the lines are worthwhile and I'd come out ahead by LPH rather than hourly rate.

So many things to think about...oh, and another biggie...with this local place I'd get health insurance free for myself (not the family, but I have the kids covered on a plan I'm already paying for myself, along with me on the plan, which I could then drop myself from).

Anybody worked both scenarios and decided the national really was better? I actually interviewed here a year ago but didn't have to decide because they offered it to somebody in-house so I never got an offer. I have 3 years of experience but I still worry I would take forever to meet the criteria to work from home. I guess there are a few that have been there over a year and haven't met it. I don't want that to be me.
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
Jewish Hospital & St. Mary's in Kentucky has an In-House, days MT spot
s
I heard a year or so ago that Chestnut Hill Hospital in Phila. was hiring in-house MT's
.
A majority of at-home MT is overflow work with in-house getting the bulk of the work. If they clean
s
Do you work for local doctors?
If you do, how many do you work for to make that kind of money?  Do you charge $.15/line?  Thanks.
I work for local clinic 17 cpl
But it's only two doctors and another MT and I split the work.
They require that you work in house until your have clean QA for 3 paydays then you can work
e
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.
Do you have to be local to their office in order to work for them? nm
xx
Their website says the MTs work remotely. Could be local from home or far. nm
s
I'm sorry, I should have said I work as an employee for a local nephrology office
I tried working for a National, but it wasn't a good fit for me because I didn't like the fact that I had to work holidays and weekends. And yes, I know that sick people don't take vacation days and there's work 24/7, but it just wasn't the job for me. I love my 9-5 job. I guess that's probably the only way that MT's don't have to work weekends and holidays, by working for local doctors.
keep those local clients and work part-time maybe SM
Depend on ourselves for a change? I don't know.
Work in house
I currently work in house for a hospital in Maine who is going from pay per hour to pay per line
In-house work
I work for two hospitals directly as an employee. Both jobs I got after seeing their ads in the local paper, but would suggest to actually contact the hospitals in your area and inquire rather than wait for an ad.
Is that In-House or you work at home?
?
Is it work from home or in house ...sm
in New York. That is a good job.
The Transcription House - Anyone work for them?
I have done a search on this forum for a company called The Transcription House and I cannot find anything on them.  Does any work for them or know anything about them that they would care to share?  Thanks in advance
There are several. Are you lookin to work in-house or at home? nm
s
The rudeness on this board is why I won't work in-house. sm

In all the professions I have been in, I cannot believe how rude, condescending, and judgmental MTs are.  These boards are for helping each other to make wise career choices and sharing our input, not to go around being the spelling and grammar police and making people feel like they don't know what they are doing.  I am well respected in my job, have 100% QA ratings and don't belittle other people who make their errors here.  I think posters here need to spend less time being rude and more time thinking of how we can all help fellow MTs looking for advice.


The Ops could be staying in-house with the rest of the work being done by MW. nm
s
No offense, but do you work at line rate in-house?
s
Sometimes in-house people will work the holidays since we're only
s
H. told me the work was going back in house for some of the doctors. nm
x
That is one of many reasons why I chose to work at home! No thanks to in-house! Good luck. nm
x
Like I said - it depends who you work for. I work for a hospital at home - not a company. nm
x
As ICs at the hospital I used to work at ...
you got a contract for 2500 minutes monthly at $1.50 a minute. All minutes past 2500 in the month were $1.75.

Same here, no hospital work.....:(
Bills to pay and no work....
Hospital work
I do think spring breaks are playing a part in this. I work a few independent accounts and half of my docs are out this week. I also think the situation is made worse because of the services overhiring due to ridiculously promised turn around times. In the case of the account I work on for a service, the client expects and contracted for H&Ps guaranteed back in 2 hours, but on the other hand, no guarantee from them regarding the volume of business. A win-win situation for all but the MT.