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Serving Over 20,000 US Medical Transcriptionists

MTSO feast and famine

Posted By: Tired MT on 2009-06-23
In Reply to:

After working for a hospital medical records department for over 15 years, which I know realize was a cushy job and not the norm, and now working for 2 services and still not making enough money, I'm curious to know if anyone else is struggling financially because of the constant feast or famine syndrome.  I realize that on my FT job, they basically want transcriptionists available 24/7 even though you clearly have set schedule, and being available 24/7 is probably the only way to make your quota with the ups and downs in the work.  Unfortunately, I have 2 jobs, 2 children, a dog and a significant other and really can't be strapped to this computer day and night...not to mention I need to eat, shower and sleep....


How is one to survive?  Should I be working 3 jobs? I need help.




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If you like feast or famine (sm)
work on their demand and off when they command, evening and weekend work, poor management, poor communication, and don't mind companies that offshore, it might be the place for you.  I'd give them a hands down.
Feast or famine with VR (sm)
It seems they are constantly calling you off.  I hated working that way.You get momentum and then you are told to stop working.  Many empty promises with the VR accounts.  Too many I know have had high hopes to be shot down.  If you don't mind working under those conditions it might work for you.  Good luck.
That's how they are...feast or famine!
nm
feast or famine

The nature of the transcription business, from personal experience, is feast or famine, with usually not much in between.


In other words, learn to get while the getting is good so you're prepared for the leaner days and can carve out a decent average for yourself in accordance with your budget and paycheck you have to make to pay your bills. You DO have a personal budget and know the income you need to pull in on a consistent basis, right?


Having said that, if you're with a company for several weeks, and there is little to no work at all, that's when you begin sending out resumes and executing Plan B (you DO have Plan B, right? And C and D if necessary, right?). Cycles are expected. A consistent bare trickle that never picks up, is not. That means the company has really bad personnel management skills or is losing accounts and unable to pull any new accounts in, and so it's time for you to consider your options because things are not going to change.


If this is really your situation, then you should a) notify your current employer that you're scaling back to part time or per diem (and provide them with the times you will be available) and b) get another job ASAP to make up for it. I know a few MTs that work for more than one company, part time, and between the two pull in a nice paycheck. It's smart, especially if neither of them have guaranteed work for you to fill a full-time schedule and make a full-time paycheck.


Remember, you're working for YOU, not your employer. And you should have high expectations from yourself to meet your own needs instead of relying so heavily on other people, whether they send you a paycheck or not. :)


feast or famine

The nature of the transcription business, from personal experience, is feast or famine, with usually not much in between.


In other words, learn to get while the getting is good so you're prepared for the leaner days and can carve out a decent average for yourself in accordance with your budget and paycheck you have to make to pay your bills. You DO have a personal budget and know the income you need to pull in on a consistent basis, right?


Having said that, if you're with a company for several weeks, and there is little to no work at all, that's when you begin sending out resumes and executing Plan B (you DO have Plan B, right? And C and D if necessary, right?). Cycles are expected. A consistent bare trickle that never picks up, is not. That means the company has really bad personnel management skills or is losing accounts and unable to pull any new accounts in, and so it's time for you to consider your options because things are not going to change.


If this is really your situation, then you should a) notify your current employer that you're scaling back to part time or per diem (and provide them with the times you will be available) and b) get another job ASAP to make up for it. I know a few MTs that work for more than one company, part time, and between the two pull in a nice paycheck. It's smart, especially if neither of them have guaranteed work for you to fill a full-time schedule and make a full-time paycheck.


Remember, you're working for YOU, not your employer. And you should have high expectations from yourself to meet your own needs instead of relying so heavily on other people, whether they send you a paycheck or not. :)


IC only, work was feast or famine when I was there.
xx
Feast or famine is pretty much a given with
Sometimes you need to take the good with the bad. No employer is perfect, I guess.
Three words.. FEAST OR FAMINE..
That's all I have. Some good productive days, other times Mojave Desert and asked not to log on for a while to let the work built up. Wish I could be more help.
Feast or famine is all part of this field.

I know that is tough to get used to, but even when you have your own accounts, the workload can wax and wane. It can also change overnight.  I have my own accounts that wax and wane.  You can never really count on anything being absolute in this field.  These companies can only offer you what they have because it depends on the dictator and how much work there is at any given time.  Almost any company will tell you this if you haven't already experienced the same.  It is unfortunate, however, this field does require some flexibility.  I guess that may come with more years of experience and being in the know upfront that nothing is forever.  A lot of time these larger companies only can sign 3-5 year contracts.  I am an IC (not for Transcend), and when there is a need, boy the e-mails come sailing through asking can I help, but when the work is low, my e-mail is dry.  Adapting and adjusting is all part of this field for sure.    


P/S:  I was a employee at one time for Transcend, but I do believe they are offering contracts at this point to IC as I did see a recent post. 


My solution to the feast or famine syndrome

I work part-time with a daily number of lines to complete, no set schedule.  My work is usually pretty steady, but over the holiadys when things slowed down, I decided to get another part-time job.  I ended up in direct home sales.  I make more money at it than I do MTing and I get to set my own schedule.  I usually do 2 shows a week, averaging about $150 to $200 per show.  The shows take about 3 hours in total and the computer work is about an hour or less. 


It also gets me out of the house and gives me a break from my kids.  I will say that I'm pretty fortunate that my husband has a M-F 8-4 job, so he's able to be home with the kids on the evenings I do these. 


I keep a separate checking account for my business and it's really neat to watch it grow.  I'm saving the money for a rainy day (or famine) and when I get to a certain amount, we're putting in a pool.  I'm halfway there already.


No way would I stay attached to my computer.  If things are slow, I put that time into my new business and work on getting new shows booked or party games or invitations.  There's always something productive to do. 


Three words..Feast or Famine.., disorganized, and bad communication, anything else??
I wish I had more positives other than pay is on time. That is about the only positive at all.
Unorganized, feast or famine work, rude people, AND
Their new accounts are unpleasant to work on to say the least. They are no different than a lot of the other companies now.
Feast or famine. Always a different work load every day, and you often run out if the work gets
s
3rd shift radiology can be like that. Feast or famine. Same with 3rd shift sm
ER work. Sometimes the doctors are too busy to dictate, so they do it at the end. Why don't you talk to them and ask about a different shift?
Famine indeed
I would rather have bologna sandwiches and Kool-Aid that were a sure thing every day than to have a big steak once every couple of months.  My tummy would rumble a lot less.
when docs give mtso a check, then mtso pays you?
nm
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
MTSO
New here.  What does MTSO stand for?  Thanks
Looking for an MTSO where I can do mostly ops.nm
nm
Better MTSO
I would contribute myself. Sorry to sound conceited, but I'm really good at my job - and I want to work with other people who are good at it, too.
I think that the MTSO can
anonymously or pseudonymously respond with line rate range info to provide general info to the posters.
Another MTSO here

Feeling just like you.  Look at the ones who complain about working weekends - how many medical professionals do you know that don't have to work weekends?  Why are they in this field if they don't want to work weekends?  It's a pity trip.  How about working in retail or restaurants?? You want a 9-5 job, go get it, away from home of course.


Would like to talk privately but I don't spend much time on this board and don't really know how to do so.  Let me know if you do!



To MTSO - sm
I don't fish, so I don't know what you are smelling, but perhaps something from your personality? I have posted this before, and will continue to do so, as IT DID HAPPEN to me, IT IS THE TRUTH, and I have no reason whatsoever to lie. I want the original poster to know what can happen if she gets
hired by Keystrokes. I want others to benefit from my hiring experience so they don't have to go through what I went through. If my posts are so distasteful to you, do not read them. Your attitude in your posts leaves much to be desired as MTSO...wish I knew your company so that I never cross your path. Perhaps someone posted the truth about your company once too often?
MTSO
Not all MTs are employees. There are ICs and there is a difference.
To: MTSO
Many of the MTs who send that great looking resume' with what appears to be a solid work history...are totally bogus. They may have worked for company x, x, x, x, and x in the last five years, yet they condense and fudge to make it looks like they only worked for company x, and x in the last five years. Many MTSOs don't take the time to check. If the MT passes the test...the MTSO is usually so desperate to get somebody in to work, they hire them without checking.

Also, many claim that they job hop because a company runs out of work....guess what? This happens at almost every MTSO, so instead of quitting only to find yourself in the same situation a few months later, get a second part time IC job to fill in the gaps.
MDI, anybody know how big this MTSO
is and how many MTs they have?  Does any body know if it is IC or employee status?

Any info is greatly appreciated.  
Does your MTSO allow you to use your own

I'm torn on this issue.  My company has just strictly forbidden us to use normals unless they were created by the client, since apparently some MT's have left text in the document in error by not editing correctly.  I can see how this causes a serious QA issue, but I can also see that my pay just got cut seriously yet again by not being able to use them.


So, what' s the answer here?  How does your MTSO handle normals/standards, and what happens if you make an error with one?


To MTSO
At the risk of causing a stir, I am curious about your comment that no serious MTSO would hire a PCDI grad. I am the poster titled Another PCDI grad right below this post. Again, I state that I do not believe it is all about the school, I believe the person and the determination has a lot to do with how far you can go. I feel very comfortable with the 2 jobs I have. I also know that I am not the only PCDI grad with a job. I truly wish that more people would stop looking at just the school, and start looking at the person, because there are all types.
mtso
If I may ask, what does MTSO stand for? Thank you!
What is MTSO?
nth
Well, that's why you are the MTSO and we are the

MTs!! Its your responsibility to divide up the work, and sorry, but most MTSOs I have dealt with have asked me to commit to XX amount of work. They know full well that is all I can handle due to MY other commitments, yet the MTSOs are more than happy to have me at my commitment of XX. That is OUR agreement. I am an IC and on my own. So it is not my problem if Sally has an earache or Dr. Jones has extra work. That is YOUR problem. MTSOs should ASK if we can handle more due to the above situation, but when MTs get dumped on with 2 or 3 times the amount of the agreement, it is WRONG, and very frustrating for the MTs. Thus why most quit and move on to a MTSO who will keep the agreement. Its only common sense, really. Which seems to be a lot to ask for in this day and age.


Top 5 MTSO
Cymed advertises as the 3rd largest for domestic MTs. Not sure how you would verify that though.
Of course....but where are you and are you an MTSO?
It is just hard to give up all my info all the time only to never find out who an MTSO is or if they are legitimate. All of my info, address, etc. is usually on a resume which we submit via e-mail, but if a supposed MTSO never e-mails back, how do we know who we just sent OUR info to?
TO the MTSO
You are not being 'bashed.' People are merely using a public forum to forewarn fellow MTs of poor experiences. If you are truly concerned about your reputation, you will re-examine your business practices and make some needed changes.

Bashing implies an 'unfair' attack - that's not what is going on here.
This is why when you are an MTSO

You should have a payroll account.  Any business person knows that you must have an account to pay out subcontractors.  My brother pays his subs (painting contractor) every week.  He doesn't see his payments for work done until sometimes 90 days, but why then should his subs wait? 


If you want to run a business, you must have a payroll account and not rely on what the client pays to you and when. 


If you do not have the capital, then quit using subcontractors thinking you are making a buck.  Do your own work! 


Just yet another view. 


Which MTSO's allow you to use your own
nm
Seems to me an MTSO needs to see example of
x
MTSO
Where in the heck do some of you people get this mess? We have more work because the hospitals are busy. Stop trying to invent things. Pretty cut and dry if you really want to know the truth. You people always get on here to plant negative ideas in people's heads. Why don't you pay attention to the job numbers and you can see or is it just easier to assume. SHEESH!
me too!! Must be MTSO above..nm
nm
Which MTSO
was this?
Not only can your MTSO see....(sm)

your posts, management, supervisors, etc., etc., BUT anyone who Googles your name or anything associated with your post.  I have even gotten onto boards that are subscription only by Googling words and posts showed up on their boards.  True, I may not have been able to post on that board, but I sure could read whatever was associated with my search results. 


I have a second job as an IC. I let the MTSO
know when I can work and how many minutes I can transcribe. They will then assign me that many minutes and I have it in by their TAT time. If I can't work, I don't. If I request work and they have none, that is fine too. I have no set schedule and am not on call. I work when I want. They have requested I work 1 time when they had a backlog which I did, though I didn't have to, because at that particular time my FT was out of work. As an IC, you set your schedule, they don't tell you when to work.
You must be an MTSO?
x
To MTSO
Maybe it's time for you MTSOs to get together and lobby Washington to stop this off-shoring that is destroying the American dream.  Most MTs today are making less (including myself) than they were making in the 80s and I dare say the MTSO profit margin is probably also less. 
Because the MTSO will probably know who I am if I do this.
I am still working for both of these companies (no other choice right now). Both companies post job openings on this site, so I am sure that they also read some of these posts.
MTSO

because this was my company being owed $10,000, which was at the time about 6 weeks' worth of work.  It was easy at that time to rack up that kind of money...that is also about the time I found out that a company has 30 days to pay another company each individual invoice.  I was billing, per contract, every 2 weeks.


 


 


MTSO not MT

This person is looking for an MTSO with subs or employees to do 5000 lines a day not one MT.



 


Being an MTSO is not for everybody (sm)
I wish you luck, but be prepared for sleepless nights, major stress, and hassles you can't even imagine now. You'd probably be surprised how many MTs have done this in the past and gave it up because it's just not worth it. Being an IC and letting somebody else do the legwork, the marketing, the collecting, etc., is waaaay less hassle, believe me. I wish you luck, but I'm just sayin.... be prepared. It's more stressful than you can even imagine.
If an MTSO does not need 8 to 5
coverage, then they do not have to let an IC work those hours. They only have to let people work when they need the coverage if you are an IC.
They (MTSO) can also tell you when you
x
But the MTSO should tell them no, right?
Am I missing something?

If VR is not more cost effective, it's the MTSO's responsibility to educate the client. It's not right to make the MT pay by cutting their CPL. You're going to lose your experienced MTs, and all you'll have left to edit are the MTs who don't care about quality.