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Serving Over 20,000 US Medical Transcriptionists

try starting with a doctor's office or small clinic.

Posted By: nm on 2007-02-22
In Reply to: How is one going to get experience, when no one will hire without experience???? - Birdie

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It's a small doctor's office so I am doing it as a favor for a mutual friend....
Nice to do something different every now and then.


I need some advice on starting my own small side business. sm

First of all, I have worked for several nationals in the past few years, and equipment has always been provided.  I currently have a f/t position with a national that I use my own personal computer for, they just put their software on it.  I had what I needed already, as far as foot pedal, Expander program, etc.


I have just been sort of rolling ideas around in my head about possibly starting up something small perhaps on a p.r.n. basis just to bring in a little extra income.  As I am still just mulling this around in my mind, my questions are:  How do I go about getting started? Do I try to purchase equipment first, or start out using tapes? I am worried about spending the money and not having any takers, so I am thinking, I should send out some sort of letters first; but, without having the equipment already, how do I tell them I plan on doing their transcription.  Maybe mention tapes first, and tell them I have plans to go digital after I get up and running? These are all just things I wonder about.  If anyone has any ideas, please feel free to email me with any advice. 


I have been an MT for 16+ years, but as I said, I have always had all of the stuff provided for me and just don't know how to start. 


Thanks in Advance!


 


I did a clinic account once and this one doctor was
majorly ADD (we diagnosed him - LOL).  He would lay the phone down and look through the filing cabinet or his desk drawers, dictating the whole time.   There were almost as many blanks in his report as words. 
He is a Mayo Clinic doctor - he does a ton...
.....
I stopped going to the doctor since our clinic
decided to outsource transcription services and lay off the entire department. I don't want my medical records leaving this state. If I do need medical care, I'll go to the ER or an independent physician. The problem is that nobody knows or understands what happens to their medical records.
Multispeciality is usually clinic/office
work and it means what it says multispeciality.  Some offices are just family practice, some just ortho, some offices have multiple specialities and you would most like work on all of them at some time. 
It is clinic ortho notes , same doctor, very easy dictator
I am supposed to be p/t and he dictates between 30-50 min a day, many times 50-70 min even. It takes me many hours since I am a newbie. The paychecks just don't seem worth it for the amount of time that I am putting in.

my office is a small
table between the kitchen and the dining room. Books are in a closet right next to it. It helps so I can keep an eye on what my toddler is doing.
Doctor's office also in CT
I am also in CT in the Hartford area and I have not seen an MT job for ages. I used to work in a hospital for years in Hartford and saw a job on Career Builders.com. It has been there forever so not sure if it was ever filled.
Hopefully my doctor's office
hasn't sent anything there recently. Well maybe their place of employment will have to close and THEY will have to lose THEIR jobs. Karma sucks...
New doctor in the office
I picked up my work this morning from one of the four offices I type for (yes, some of us do still pick up work, I'm from ancient times, I know :).  The doctor hired another doctor to work in his office with him.  Don't you think it is not very nice not to let you know that?  I'm grateful, and can use the extra money, but surprise surprise!
New doctor in the office

I also pick up tapes from 3 offices. I like doing it this way. I would be very happy if another doctor joined one of my groups. I guess it's better than the other way around.


doctor's business office...
It depends on the office. I personally know of a large clinic in my hometown where the physicians are required to see a certain number of patients per day, bringing in a minimum amount of $$$$ based on office visit, labs, and other ancillary services they order for the patient.

Their doctors are under contract for 5 years; then after they make partner, they still have to adhere to the daily minimum requirement.
How to get a transcription job in a doctor's office. ??

In the past 3 years, I have never once seen an ad in the papers for a Transcriptionist to work in house (or at home for that matter) at a doctor's office.  For those of you that have those jobs, how did you get them?  Did you know someone at the office?  Maybe no one ever quits these jobs and that is why there are no postings?


Anyone just sit down with the phone book and start calling?  


Working in doctor's office

I have a small MTSO, two I/C's but last January started working in a clinic that used to me one of my clients -- but they put in electronic charts and after 4 years of pulling their hair out and late notes I now go in 2-3 days a week and one of my subs 2 days a week to do their notes.   It is as an employee and no where near what I get with my own accounts but gets me out and with other people.   Nice mixture.   Out here in Oregon we have several large clinics that only use in-house people.   Need to go to the medical offices located by hospitals.   They are out there but don't expect big bucks as you won't get them. 


 


Just got hired by doctor's office.
Yep, can you tell I'm happy! Was working for a large national who took over the transcription department at the hospital I used to work for.
You'd think a doctor's office would be more understanding - DUH!
Ever tried to do your transcription with bilateral ear infections?  Can't hear, running a fever, dizzy-can hardly sit upright, but still expected to do work that requires HEARING and sitting at a computer!  And, I can't win, because as soon as I get this work done (which is taking 2x as long), there are going to be so many mistakes I am going to get ragged about that as well! 
doctor office dictation
Does anyone out there know of any companies who do doctor office dictation instead of clinic work or acute care?  I am looking for work and I have 25+ years experience in doctor's office transcription in many fields, but all the ads I keep seeing are only offering acute care or clinic work.  All the clinic accounts I have checked into put you in a pool and you never get the same doctor twice, so you don't have a chance to get familiar with them or get your speed up when typing.  There has to be companies out there who have doctor office accounts that consist of just a few docs.  Any names come to mind?
Doctor office trans
Probably smaller companies is what you want to look for instead of large nationals.  Have you looked in your local newspaper?  How about approaching a few docs on your own?  I've done that before and did overflow for them. 
A tan corolred 8x12 office w/a small desk
I have a large closet in it that has my daughter's toys in it so she can play beside me if she is awake while I am working. (quiet toys like books, baby dolls, etc).
Don't you love these doctor's wives who have to be in the office
but we all know they're just keeping an eye on the checkbook they married. So pathetic.
Doctor's wives as office mangers
is such a bad idea!  All of the offices I have worked for have had the "wives" as OM's.  They act like every penny they pay comes out of their pockets!  Gawd, once one tried to get rid of me and go to some Indian company and her hubby Dr finally spoke up for himself and said "no way"!!
They did test first time at doctor's office.
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I had a doctor that was having problems with the office manager ...sm
So he would be in the middle of dictating and would see her walk by and under his breath he called her a few choice words everytime he saw her. I emailed the lady and told her that enough was enough and until they could make friends I was off the account. It was only a few hundred lines a week and was ready to quit the account anyway, but their feud had gotten to be too much for me. ;o)
I'd suggest you look for a local doctor's office if you
want no ESL.   If you do acute care you're going to have ESLs. 
I worked in house in a doctor's office and it was the same for me...
and I had to answer phones, make copies, et cetera, basically was an MT/secretary...and I hated it...I am making much more money now working at home part-time...
If I call the doctor's office and ask for results of an
MRI done on me, do they have to give me the results or do I have to just wait on the doctor to call me?
I have my very own very small office at home.. It's decorated in lighthouses and serene
r
No, I've worked in doctor's business office.
That is what the insurance company allows, not what they dictate.  Who is to tell the doctor how long he can sit and talk with his patient.  It is up to him.  True insurance companies get together to decide what is the appropriate amount for the doctor to "charge" for a service but I've literally seen where the doctor sees the patient all of 2 minutes after patient is worked up by techs, but they still get paid for that visit.
I know a lot of people it helped (I worked in a doctor's office) SM
BUT you have to really want to quit before you start it. It doesn't make you want to quit - it just helps you w/ the depression and the withdrawal symptoms that come along w/ quitting. Good luck.
I work in-house for doctor's office now and Love My Job!
Good Luck.  I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them.  It really is the way to go now instead of working for the really big transcription companies.  I feel like I am appreciated.
I would not do it. Go with a free FTP site for use by you and the doctor's office access only.
All you need to do is create files or folders, for example by date, upload them to the FTP site, and the doc's office can in turn download them directly to their computer. This uses a secure password on both parties' end, and is much securer than emailing.
I started in the file room of a 6 doctor urology office....
The file room in any office is a nuclear dumping ground...any paper that nobody knows what to do with gets dumped there. Then and there I made up my mind that I was NOT going to be a file clerk for the rest of my life.

I actually started by filing part time and typing part time. When we got a new Peds Urologist in the office, fresh from a fellowship at Mayo, I was right there. We used tapes back then as that was in the early 1990's. As he could fill up a 2 sided tape with 8 hours of seeing patient's, the other girl in the office did not want any part of his work and left it for me. The rest, as they say, is history.

I had no professional training, just 2 semesters of medical terminology and a killer spelling ability.

After I had typed urology, I was then farmed out to our other offices and I learned GI/GU, family practice, sleep labs etc.

I now work for a major hospital on the west side of Michigan and still type for my Peds urologist. The only difference is that he now has his practice in AZ, not MI.

If you can find somebody willing to take a chance on you with no experience, jump on it with both feet. You will be glad you did.
If you want to work at a local hospital or doctor's office, go to community college. Otherwise
if you want to work from home, for a national company, you need to take the course from either Andrews School or M-TEC. It does you no good to save money by taking the Penn Foster course, because most companies will NOT hire grads from that school, it is a poor course and does NOT prepare you sufficiently for MT work.
Right. Can't compare the two. Just like you can't compare clinic and doc office work to acute
.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


Have most people had good luck with their MQ office closing and moving to the regional office. Have
things gotten better or worse for you.
Yes, I lost mine. I upgraded the Office 2000 package to Office 2003. sm
I have over 2000 autocorrect entries and lost them all as well as my supplemental dictionary for my Stedman's spellcheck. Lots of grief!

Maybe you will be lucky and not lose anything. Good luck to you.
Might be able to rent one from an office supply or office machine repair shop
s
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
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I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
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Call your doctor - this is not a doctor forum! nm
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You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
Office politics. That is why I enjoy working at home. In the office,
people are in other people business. Just mind your own business.
Can anyone suggest an office in MQ that is not run like this Amherst office. They are absolutely
pathetic. I wonder how many other MTs are in that office in the same situation.
Just DQS from my office was transferred and the rest are getting on DQS before the office closes.
:
Pay kids work around office, renovate office.
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Office 2003 so far, but going to Office 2007 as soon as I can. nm
nm
30 day TAT in this office ... office politics at its best

I have kept in touch with an MT I worked with at the last in-house job (radiology).  This was inpatient radiology and also an outpatient radiology clinic the hospital operated.


One of the girls, a person who at one time folded towels but who was hired as a clerk, was just discovered to ahve not mailed out reports for 30 days.  These include both in house reports and outpatient reports.  They have been sitting on her desk because she "has not had time to do them." 


What do you make of this?   The lead MT is close to this girl (hence her being moved from housekeeper to clerk) and is trying to minimize the impact that not having the reports mailed to referring physicians' offices, as if it is a minor problem (how they found out about it is a doc's office called the MT's supervisor and asked why 30 days worth of reports were mailed to their office yesterday.


They were keeping it from the director of radiology.  I think this is BIG and that heads should roll for negligence.


What do you think?


at home vs office - i am in office
well, I really was referring to the MONSTER MANAGER that I have, who has her favorites here, and she assigns them the easy doctors who say the same thing over and over, you know.  I have to do something.  I am losing my SELF at this point, with no church and no family.  The stuff on here about running out of work, my lack of computer savvy, all  has me just frozen. MOre about in-office.  Do you have little habits like talking out loud to the dr?  Someone will complain about you.  Do you ever say a cussword?  Someone will complain.  Do you ever sigh?  Complaints.  About age - I was offered 2 trans. positoins in San Diego before I came here.  I had gone to a seminar about how to look for work over age 55, had revamped my resume and my "presenting" self, and it made all the difference.  Things are way different than they were evern 10 years ago, you will be judged by someone younger than you, but in this line of work they do appreciate experience and reliability.  And the computer doesn't care if you're pretty.  It's not your age unless you are sickly.  Don't give up!!  if that's what you want.