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Serving Over 20,000 US Medical Transcriptionists

my acct has about 80-90% ESLs

Posted By: you are lucky on 2005-11-27
In Reply to: It's an awesome place to work... - MDI-MT

my back up account is worse. 

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I lost an acct with MQ, called the hospital and they told me who had the acct. I chose not to go wi
Older posts about them have the MTs bouncing from acct to acct and not being able to make
My acct mgr sent an update this morning stating a large acct sm
starting next week; another in 2 more weeks; another in early October; and another in November. This is just a normal end of summer / holiday slowdown. I'm sure other posters on this board are also out of work due to the same circumstances.
Give it a whirl. I WAS on that same acct, same pay. Asked and got put on an acct just as bad, so I
How was your acct at Amphion? I have a HORRIBLE acct...

I am new to Amphion and have this account that has a lot of account specifics, no automatic ADT (which means I have to search for the names, etc) which is not a problem for me, but there is one dictator who is ALWAYS awful, and I have been getting him back to back to back my first week with Amphion.  Did you find that you basically only had 1 or 2 dictators while there or did you have more?  Of course, I would not mind doing him occasionally but can't do this all day.  I will never be able to make any money, especially at the line rate that I am being paid.  I have 2 children of my own and 3 of my sister's children in my care.  I cannot afford to do this everyday and don't know what to do.  I work as an IC for another company making 9 cents a line, which is much more than Amphion, but really wanted employee status so was willing to make a little less, but I am afraid it is not going to work.  I do not want to have to find yet another company and start all over with them to only find out that they suck too.  Any suggestions?

Thanks. Yes I heard from others many ESLs and many very difficult ESLs. nm
VA acct w/ops 9. NM
It is probably true because it is a radiology account.

which acct
which account are you currently working on, or you would say is a bad one. Thanks
What acct
What acct do you work on? If you are on BeyondTxt T mode there is no work. I don't know how you girls who need benefits are paying for them.
Thanks for replying. The problem is I did have my own account and they decided not to pay me for over a month and because I said something about not being paid they took offense. SO what can you do. Its a win-lose situation. Now I just have to hope that the check clears!
KS Onc acct
If you are working on the KS onc acct please email me.
FN New acct
Are we talking about the new acct with the 1 million lines?.  What a joke.  I'm lucky to do 500 lines a day and that is only by working on 3 different accts.  And I found out the new acct will be going to VR, which I don't do.  I'm a transcriptionist, not an editor.
KS acct

Do you know which acct you would be working on?

If it were your acct, you would already know.
They don't keep it a secret. One of mine, large hospital on the East Coast, is leaving today. I've known for at least a month. They chose not to renew their contract with us. It happens.
.06 OB acct
I felt the same way, ladies. In fact, I recently went from a .0725 (knocked down from 0.825) GROSS LINE ACCT to a .06 transcription rate acct with HORRIFIC docs - worst I've had since starting ne.arly 23 years ago. I was offered VR (with even worse docs, so basically re-typing it ALL) for .02 cpl.

I guess you can understand why I'm on the job hunt
Arrrgh!!!  Is there any company out there that has a minimal number of ESL dictators?  This is my second week with a new company with a VA Clinic account that has to be at least 80% ESLs--I just cannot do them.  If I have a good dictator I can transcribe them with no problem--even with the myriad of drugs I'm unfamiliar with.  I'm on the verge of resigning.  Thank Goodness it's Friday!!
It comes with the territory. Focus and try harder.
ESLs for Joy
Joy if you keep at it, you will become familiar with what ESLs are saying.  It is like anything unfamiliar, allow yourself time to become familiar with the ESLs.  It is difficult, but it come together for you if you keep trying.  :)

There are maybe 3 doctors across the whole company that are ESLs.  I don't know if someone confused the name of this company with another or if things were different in the past.  But since you are not working in pools and there is very little ESL, you can request not do have to do them.  Also, you are paid higher for the more difficult dictators, so it doesn't waste your time.  But you are not "forced" to do anything awful, like some places I have worked before.

Out of all the nationals that I have worked for only 2 didn't have "clunky" software.  There is better software and there is worse; the software here is in between.

There are no more ESLs at TT than ...
I have had at the other company's I have worked for and I have been at this for 25+ years.
Just make sure you can type 100% ELS - and I mean, I haven't had an English speaking doctor now for DAYS. I have been doing this for nearly 15 years, and I have NEVER struggled like I am struggling with this account at Transcend ... I literally cannot understand a dang word these guys are saying, plus with the bold this, list that, don't do this, make sure to do this ... all I can say is, good luck. I'm not sure how much longer I'm going to be at Transcend. I'm losing money BIG TIME.
Many ESLs, but....
Many ESLs but most are good dictators.  Most accounts are specific with what they want, how they want the set-up and format to be, etc. But once you get it down, you have it.  FutureNet is an excellent company to work for.  They have plenty of work, very flexible with your schedule, they do not bother you throughout the day (they just send an email about three times a day to let you know the account count for the evening), pay is ALWAYS ON TIME EVERYTIME....People are very nice and supportive.  I have been there almost a year and I could not have found a better place.  Everyone has their opinion, but my opinion of it is THEY CANNOT BE BEAT!    Hope this helps.

As far as ESLs, it all depends what account you are assigned.  Some hospitals have more ESLs than others, and I have also found that certains states have more ESLs than other states in the US. 

I was on one account that had some wonderful ESLs.  I actually preferred them over the American doctors who like to talk at 3,000 miles per hour.  The ESLs seem to enunciate their words more clearly.  Again, every company has ESLs; they are just part of the job.


Used to ESLs
I've done them my entire career and I don't know how any account wouldn't have them.  I much prefer them over the fast-talking Americans. 
If you are going to try to avoid ESLs in this business, I would just avoid medical transcription all together!
Not all ESLs are created equal..................the ESLs that I had experienced at SS were of Russian descent and that accent was tough to pick up.  Mind you, I had 15 years in the business at that time, all aspects, all work types, and it was VERY difficult to pick up that accent.  However, with samples and help, it can be done. 
The ability to do ESLs is integral to being successful in this business. If you do not want to learn to do ESLs, you are severely limiting your chances of success. I have four huge hospitals, about 80 percent ESL, and that is perfectly fine with me. I always have work and always make great money.
I had ESLs too (sm)
Very poor sound quality.  I was almost in tears myself.  I left the company after trying my best.  Everything I read was good, people were extremely nice, just hated the ESLs and poor quality I had, so I moved on. 
more ESLs?
I am wondering is it common for companies to give new employees the accts others don't want, or are they just trying to 'break us in' good?
I still wouldn't just up and quit without asking someone for some samples or feedback. Take note of the people around us, we are no longer living in a world of just Americans. We have to expect that we are going to see more and more of this as time goes on. Best to make the adjustment and learn it now.
I do not think they have any more ESLs sm

than anyone else. Of course, I used to work for YOG and had an account that they admitted was 92% ESL (!!), so I guess nothing phases me anymore.

The other poster is right -- some of the worst dictators are the docs for whom English is their FIRST language, yet they talk at the epeed of light, mumble, etc., and seem not to care.  A plus with most ESLs, they tend to say the same things over and over again in their review of systems and physical exams, so you can make normals and such.

TransTech is a great place.  I wouldn't let the thought of ESLs scare me away if I were you.  More and more, it is the nature of the business. 

Good luck!  

She was smart to leave. I should have left a long time ago. I have lost thousands of dollars by giving this account a chance. I gave it months and have worked with the staff on trying to make things better, (long story). I have plenty of experience with ESLs but not 80-90%!! It usually takes me a month or two to get used to an account at the most, not this one!! I just got offered another position this week, and as it turns out I have done this account before working somewhere else so I know it is a good one. I can't wait to start making a livable wage again!! It is going to take me a couple of years to make up for the lost wages for giving TT's account that chance.
I am very proficient at ESLs but you can't make a living doing almost all ESLs!! There needs to be under 50% at least for crying out loud so a person can make a decent paycheck.
I would not like having to send so much of my work to QA all the time. I take pride in the quality of my reports with high production and little to no blanks. I understand blanks at the beginning when you are getting used to an account but after that you should rarely need stuff sent to QA but obviously that is impossible if you have such a high percentage of ESLs. Who has time for that???
There are ESLs (sm)
But I remember the sound quality to be horrible as well. I felt like a piece of equipment too, with the fakeness of the supervisor to make you FEEL like one big happy family. I moved on and now make twice what I did at Amphion.
How are the ESLs?
ESLs - sm
I probably do about 75% ESLs and most of them are right off the boat and barely seem to speak the language.  However, they do tend to use the same ROS and PE over and over and I have been able to get the hang of most of them through sheer determination.  My big beef is I am docked every time I leave a blank and send to QA because of their unintelligible mutterings that QA and then QC will often leave that same blank.  Tell me patient care is not being compromised here with blanks in reports that no one can fill in. 
ESLs are everywhere --
The ESLs on my end are
for the most part from India, I believe but I was shocked that Escription could get the first word that they said so I would not worry about where they were from, it really does good with ESLs, in fact I have some English doctors that it does not pickup as well. I was a true disbeliever before I actually started it. Oh, did someone tell you you would be doubling the amount of lines and also do you do any straight at all with the VR?
ESLs and VR
Obviously there are ESLs and there are ESLs.  Some of those I have done over the years I have often said God Himself couldn't understand what they were saying so how in the world could a computer program understand? 
Is this a rad acct and do they have openings? (nm)
I loved that acct too....
Typical M-Q then one day it just vanished.
That seems like it could be true, my acct is So Cal
and most of the patients are not Caucasian or are ethnic (is that PC?), as well as the dictators.
Same here, about 40-50 regular drs on my acct, with
probably 10 of them being so awful, I can hardly attempt them. I'm happy to say that some I hated at first are now ones I enjoy, so hopefully I will keep finding that to be the case. Others though, UGH!
No, DRC is not really "atrocious acct" but... sm
It is NOT easy stuff... My experience has been lots of cutting-edge oncology in all specialties. If you don't know your stuff you'll be researching more than typing. Very few ESLs and, yes, the platform is Word-based, and, no, no need to be a computer wiz--tech support is great at DRC and so is QA support.
Your radiology acct
Are you working certain hours/days/evenings and are you working weekends?  What is holiday pay per report?
Your radiology acct
Do you have a lot of ESL docs?
TT onco acct

Can't you get a backup account?  That's what I did.  They are not all slow at the same time, usually.  I get better count on onco acct than on my other.

Well I was doing VR for an acct at 1.80 report. sm
They cut pay to 3.5 to 5.5 cents per line under the manager I was under. I know a lot of people left. Just curious as to if any are here on this board.
Ortho acct
i have been offered ortho, which i have a great deal of experience. How much would you say per hour you make at 7.5 WI spaces. I really have a lot of quesstions and if possible would like to e-mail you direct. Also can the ShortHand program be used