A community of 30,000 US Transcriptionist serving Medical Transcription Industry

From in-house to Nuance - sls9700

Posted: Jun 21, 2014

So, my in-house clinic job was outsourced to Nuance. We have been promised that we will work only on that clinic after moving to Nuance. It is a huge clinic with a lot of doctors. Has anybody gone through this that can tell me if they keep their promise on that -- where you continue to type your original clinic work?

It may be that way initially... - False Sense of Security

[ In Reply To ..]
...but as soon as you get settled so to speak, your account will run dry because it's been overstaffed, they'll move you around onto MANY accounts and they'll cut your pay by 40%! Get ready for a wild ride and demoralization or find a new job and don't look back. Read archives from this site. It's actually worse than what I've written.

Initially but don't count on this promise forever. - Nuance will add staff to your account

[ In Reply To ..]
You will run out of work and they will add another account and perhaps a third. It's musical chairs at Nuance.

overstaffing - see message

[ In Reply To ..]
Especially if it is an account that has a lot of American-born dictators. Those accounts will be given to all the "newbies" they hire or sent offshore, irregardless of what you have been told.

As an American Nuance newbie I was given a difficult account. - one they could not keep staffed

[ In Reply To ..]
Good accounts go to India after awhile and do not stay in the US other than long enough for American MTs to train the VR,

Promises, all lies - anon

[ In Reply To ..]
Sorry, but it will not stay that way long. You will be bounced around until you just can't handle all the account specs, QA nit-picking and OOW situations. Read just a few old posts and you will know that everything they promise is a lie! You have been warned.

They will keep you on initially, few weeks maybe - until VR learns the dictators. After

[ In Reply To ..]
that, they'll open it up to the rest of the team and offshore. If it's simple clinic, it'll go offshore quickly. Good luck. Transcription as you knew it is over. If you have a solid backup plan you should be okay.

Please read all posts below this one. Go - back for at least 2 weeks.

[ In Reply To ..]
You will learn all you need to learn if you just please read all the previous posts. You will NOT be sorry, I promise.

This post bears repeating. Please read before - it is too late for you

[ In Reply To ..]
Every time there is a hospital or clinic acquisition, those "acquired" MTs will be crammed onto existing accounts as their own account/work types become more streamlined and less available as more and more of it is done more efficiently with voice wreck and 3 shifts of people to do the work.

Think of it like when a larger dog moves into a pen already crowded with too many dogs. All the pre-existing dogs have to scooch over yet again (exist on less) to make room for the new dog in the cage.

You will never be told when this is going to happen, of course.

All the recent talk about capacity optimization? That is just a fancy name for what they been doing all along. Shifting everyone around trying to keep too many clients happy while losing experienced old dogs who just got way too tired of scooching over to make room for the new people all the time just to stay alive.

They lie to "acquisitions" to avoid paying - unemployment insurance.

[ In Reply To ..]
An accusation of lying is a serious charge, and it is not one I take lightly.

Nuance just out-and-out lies to potential employees at all "acquisitions" to help the facility avoid paying out unemployment claims and avoid paying it themselves when they lay you off. This is a matter of routine for them. But, they will ABSOLUTELY let you run out of work repeatedly, day after day, lose your house, go on food stamps before laying you off. No, no, they will let you starve and then quit on your own. It is absolutely their modus operandi.

This is on the Ambulatory side... - sls9700

[ In Reply To ..]
...Does anyone know if that makes a difference in being able to stay with the clinic you transitioned over with? We were told by the recruiter that Ambulatory is different and that the unhappy people were on the main Acute side. I would love to hear from some people currently on the Ambulatory side about their experiences.

You can bet they told the acute care side people - Val

[ In Reply To ..]
that all the unhappy people were on the ambulatory side. It does not matter. It's all lies, lies, divide and conquer and send the good stuff overseas. If you made good money, you will lose income and self esteem. Get out of MT. The experiences documented on MTStars are real.

I was on the ambulatory side and it's no better than - what I imagine the acute side to be. SM

[ In Reply To ..]
They still can't keep everything staffed properly. A few weeks ago there was some rearranging of managers and accounts, they wanted people to take some assigned accounts and to be responsible for the TAT on a 24/7 basis.

Apparently that's not going so well...

The dictators aren't really the best, some okay but you're not left on any specific dictators long enough to learn them well. It's constant shuffling and they were usually begging for more help and more people to take more accounts.

The InScribe system pretty much sucks as far as being able to figure out your QA to understand exactly what your error was. I still never figured it out, and pretty much gave up on it.

Managers are never around when you need them for a question answered.

Specs are extremely vague, no samples at all to go on, and you need to print out about 20 pages or so of specs. I condensed mine by changing margins and spacing.

Don't believe managers when they tell you the "other people" are all the unhappy ones. All the managers lie from both of their faces. This many MTs on one site with the same complaints are not all wrong.

Please re-post this from time to time, please? - More people need to read this every week.

[ In Reply To ..]
There are always newcomers to this board and they sometimes don't really understand that they should read a couple of weeks back into the archive of this board. This is one of those I think should be posted and re-posted again (the information is just that SPOT ON)!

I am referring to the post immediately above this one, "I was on the ambulatory side and it's no better than..."

Good job, somebody, please re-post this every once in awhile!

Dont believethe hype - Backwoods Typist

[ In Reply To ..]
Dont believe that you will be the "only" ones to work on that account. When the hospitals I worked for sold out to N, we were told we would be the only ones to work on our account for at least the first year....LIE. Within a couple weeks there were constant OOW situations because they had overstaffed the account. I got my secondary account, which I now despise. I am supposed to get a new primary account, but surprise...there is little to no work in it today. So now I have to work in the secondary. I cannot go back to my original account because of OOW situations.

They lie to get you to come over to them, train their system and then they overstaff to your account. Be careful how you agree to go on another account full time...I regret ever agreeing to it. QA will pick your work apart. They make all these promises that they do not keep. They say you will be making the same as you did with your clinic....LIE. Unskilled pay for skilled work. Might as well work at a convenience store or Mickey D's.

Run....while....you....can!

Thanks for the input - sls9700

[ In Reply To ..]
Oh, believe me, I don't trust anyone anymore. I'm sure it was a line of BS. I am working on my exit plan from this career, hopefully within the year. Thanks for all the responses.

Nuance, aka nuisance. - hulagirl

[ In Reply To ..]
Nuance not only trained us on their eScription software, they TOOK Over our entire hospital. I came from Alaska. I was told I would get to keep the hospital account since I was familiar. LIES LIES LIES!! THEY LIE. They treat you like SH** and don't care. Run very fast and far far away from this company. All you are to them is a butt in a seat with 10 fingers. They WILL send most of the work to India like they did with our hospital account, called Follow the Sun. I quit without notice and didn't even as much get an email or a phone call from the company. I was very fortunate to get a clinic job that allowed me to move to a different state and work, and get paid .18 a line! NUANCE, YOU SUCK!

Keeping fingers crossed... - sls9700

[ In Reply To ..]
Well, I just got a call for an interview this afternoon that could save me from having to take the Nuance offer. Keeping fingers, toes and everything else crossed.:)

Similar Messages:

Oct 14, 2010

I applied for an in-house transcription job in August back at my old pre-MQ hospital. They decided the work load was too light (they had lost Radiology) and we not going to fill it at that time. Another position has been vacated and I got a call from a friend that they are definitely filling it this time. There were only 2 qualified applicants in August. I am hoping the other person found something great already. I have my fingers crossed, am nervous, and need ...

Nov 09, 2011

I really have no idea if this is fair compensation or not, but I am looking at a job that is an in-house MT job, a 45-minute one-way commute, with full benefits, and the pay is 0.075 cpl. The job will not come home, and the pay will only increase every year. Any opinions? ...

May 16, 2012

Have any of your hospitals purchased a Nuance VR product that they've used for their in-house transcriptionists? If so, does the VR quality get better and better since you have a limited number of MTs doing the editing? It's not my hospital but one I know of that's starting with this new product, so I'm not sure of the exact product name. I've worked for a huge MTSO where the VR never, ever improved in the 9 months I used it; but with soooo many MTs m ...

Mar 25, 2010

Have not worked in-house in over 10 years. What is the ongoing rate for in-house transcriptionist in California. ...

Aug 06, 2010

I wonder why companies post on internet job sites for in-house employees? Why don't they just advertise locally in their community paper, etc. ...

Aug 18, 2010

Does anyone know good or bad about Transcription House ? ...

Aug 23, 2010

My job could be in jeopardy because we might be merging with another clinic, and there are no other local in-house MT openings. I've been working in a specialty clinic (in-house) the past 5-1/2 years. Even though I have 5 years of acute care/radiology experience and 1 year of multi-specialty clinic, and even though I took the M-TEC course and graduated with 98% about 3 years ago, it doesn't matter because I don't have recent acute care experience. Okay, I can unders ...

Nov 16, 2010

I have an interview with a local eye clinic (there are six surgeons). Just wondering what kind of salary to expect to be offered or ask for (!), having been paid as a remote MT/VR Editor by production for many years and haven't a clue about salaries in clinics any more. It is not as an IC but as member of their staff, permanent, full-time, 40 hours a week. Any advice would be appreciated. TIA. ...

Sep 09, 2011

Hi! I was wondering if anyone knew what the going rate for a MT is in house (central KY)? Do they get paid btl or hourly? ...

Dec 05, 2011

This is a kidney transplant report, and the doc says: "A 6 x 12 double-J stent was placed within the ureter up into the (s/)l house of the kidney." I looked up this term, but I can't find it with Google. Any suggestions? Thanks! :) ...

Jan 05, 2013

It's for third shift, which doesn't excite me, but from the second Nuance gave me a Christmas 25% pay cut I've been scouring jobs of all shapes and sizes. Imagine my surprise when I found an in-house job advertised looking for a CMT only. I really hope I get it so I can give Nuance the finger, which they will probably be glad about so they can give what little work I have left to India. I've been through several mergers and it's been relatively painless until the latest ...

Feb 22, 2014

MD Anderson Cancer Care in Houston, TX has an opening for MT F/T IN-HOUSE, with salary $39,500 to $47,400 ($19.53 to 24.68 per hour). Oncology and CMT preferred. Go to indeed dot com (illegal to post link on this forum) and search for "oncology transcriptionist" and it will come up with link to apply. ...

May 31, 2014

ANYTHING to make sure a sale goes through. They tell the hospital those lies so the hospitals can sell you down the river with no guilt. But those are lies. Things WILL change. Then your choice will be, is your compensation, in your opinion, adequate for the amount of energy you put into this job. ...

Dec 08, 2010

I may have to reconsider working in-house as a medical secretary. My friend is a PA at a local doctor's office. They all got their Christmas bonuses last week. All employees no matter how high up on the chain got between $2,000 and $10,000 bonuses. Can you believe it?? ...

Aug 01, 2011

I am excited to say that I have a upcoming job interview to work in-house in behavorial health. I am not real pleased to work in-house and will not get the opportunity to work from home which makes me sad. That said, I am looking forward to steady, stable, income along with health insurance, benefits, and being paid per hour. Guess, I just got tired of not being paid on time, working 7 days a week, etc. My last check was $200.00/2 weeks which makes me sick because how are you supposed ...

Sep 01, 2011

I just set up an interview for an in-house job. Problem is, I've only worked from home, so I'm really not sure what to expect. It is for a rural hospital district. My experience is with medium to large multispecialty clinic accounts. The HM manager said it was transcription, including radiology, as well as acting as assistant to her, which makes me think it might be more clerk work than transcription. I'm wondering if there are any questions I should ask m ...

Sep 26, 2011

Patient in hospital, in a code, bradycardic and unconcious; oncology doctor cannot examine he because he is about to begin to have "emery house". ...

Feb 06, 2013

Please sign this petition, just found it on the White House site and it has a long way to go to get recognized and responded to. https://petitions.whitehouse.gov/petition/bring-back-all-united-states-medical-record-transcription-be-performed-only-us-us-medical/TJzSQpZq ...

Mar 27, 2014

http://www.healthcareitnews.com/news/house-delays-vote-sgr-icd-10?topic=13%2C29 ...

Jul 08, 2014

In house positions, just go to Indeed and put in Medical Transcription without a location. Locations include Secaucus, NJ; Kalamazoo, MI; Idaho Falls, ID; Teaneck, NJ; Portland, OR; Kansas City, MO; someplace in Wisconsin (didn't say town), Florence, SC; Missoula, MT; and White Plains, NY. ...

Mar 19, 2015

In house in Marietta and pay is around 15 an hour. Dang, I am just not ready for that type of interview or ready to drive to Marietta every day, but sure does look like a great opportunity for someone! I would love to find something like that closer to home. The interview though - geesh, don't know if my confidence or lack thereof would even pass the mustard. Lots of competition in this area!! ...

May 29, 2015

For any of you who live in northern CA.... I'm in Southern, too far for me. Anyway, good Job State Hospital. Not a work from home position. Paste link to find. Good Luck if interested. Great pension. Check it out. http://jobs.spb.ca.gov/wvpos/more_info.cfm?recno=616326 ...

Nov 03, 2009

Does anyone know any information about the transcription positions at Labcorp? They are in-house. I have applied and they have called me (still playing phone tag with them). Just curious if anyone has experienced working with them. Not sure if I should take the big plunge and start working in-house rather than at home (with MQ for 8 years). I have been with MQ for my entire transcriptionist career and have never worked in-house, but I'm wondering if it's ti ...

Jan 14, 2011

. ...

Jul 22, 2011

at home for MTSOs? Some ads seem to want X-number of years of RECENT on-site MT experience. Others don't say that, but with so many failed job applications this past year, even for areas that I've specialized in for 20 years, I'm getting no interest, and often no replies at all. In addition to having more than 20 years' experience, do you think these employers have a problem with work-at-home MTs? Like maybe they see us as undisciplined, poorly trained ...

Jan 04, 2012

I was wondering if there are any hospitals that are hiring full-time transcriptionists for in-house transcriptionists -- not MTSO companies -- but actual hospitals or clinics. I might be willing to relocate. ...

May 30, 2012

Radiology Transcriptionist - In House (Las Vegas) from In house radiology transcriptionists, with recent radiology exeperience, needed for large radiology firm in Las Vegas. In house per diem positions available for 24/7 coverage. IN HOUSE ONLY. No work from home positions available at this time. ...

Sep 17, 2013

Check out site below. Signatures needed! https://petitions.whitehouse.gov/petition/stop-sending-our-medical-records-offshore/B8mSk5hN ...

Jun 20, 2010

Does anybody know why Silent Type requires an in-house training? Is the platform so complicated that it can't be done through a Webinar or even just on the phone? I've worked for a few places over the years, and there was nothing that couldn't be handled in a phone call with, at most, some graphics in a Go To Meeting type deal. I just find it curious and makes me worry, like--if the platform is that cumbersome and complicated, do I want to work for them? Even when I w ...

Jul 20, 2010

I was wondering if anyone out there could tell me which is the best way to go. I've been working as an IC MT at home for almost 2 years now, but I may have an opportunity to work in-house at a local orthopedic clinic. Which is the best way to go? Do you come out better "pay wise" working at home or working in-house with bennies? Any advice from those of you with experience in this setting will be very appreciated. Tx in advance! :) ...