Medical Billing Forum

General Category => New! => : djohnson1026 November 17, 2011, 06:40:24 AM

: Hiring Employees
: djohnson1026 November 17, 2011, 06:40:24 AM
This question is more so for the future, because currently I am the only biller for my office. I would like to hire an employee at some point, but would like to have it to where they have choose to work from home or at the office is this generally a good or bad idea? What are some different ways I can pay this employee, does it have to be by the hour?

Thanks,
Donyelle
: Re: Hiring Employees
: PMRNC November 17, 2011, 09:54:02 AM
This not only depends on you and your goals for your business, what you are comfortable with but also WHAT you are willing to do to maintain compliance. Having an employee is one thing, having them OFF site is quite another. You will need more insurance and there of course is MUCH more liability. Personally, for me this was not something I entertained due to all I would have to do to ensure the compliance of my business. I am already a 3rd Party, I did not want to have 4th party, and you would need to disclose this to clients in your HIPAA BAA.   JMO
: Re: Hiring Employees
: Michele November 17, 2011, 09:48:41 PM
Also, another thing to consider, in our experience it is very hard to find good employees that will do what you want them to do in the office, I wouldn't want to know what they would do if they were in their home.  It's probably a bad time for me to comment on this but we have found that many employees will take advantage and working from home really gives them an opportunity to.  I am personally against employees working from home.
: Re: Hiring Employees
: PMRNC November 17, 2011, 09:54:50 PM
I am personally against employees working from home.

Me too.. very much so. I am amazed at ones that hire out and do NOT disclose it to their clients which not only opens them up to HIPAA violations, but doctors are already skeptical about outsourcing, add to that outsourcing company has outsourced employees.. NOT good IMHO.
: Re: Hiring Employees
: djohnson1026 November 18, 2011, 09:36:29 AM
Thanks Ladies, for your opinion and quick response. You know after i read your responses I quickly remember, how I had a co-worker key word Had that was allowed to work from home, and to make a long story short, when the company had to downsize and lay off she was in the group to be laid off. Well, when she had to returns all equipment, claims ect. It was quickly realized that she was doing a whole lot of nothing, and that was why she didn't meet the estab goals each month. One of my close friends had the honor of cleaning of what a mess and had to try to correct the bad a/r and get the billing going correctly. It was a nightmare for her, but ok... yes thank you.

: Re: Hiring Employees
: PMRNC November 18, 2011, 10:34:48 AM
Thanks Ladies, for your opinion and quick response. You know after i read your responses I quickly remember, how I had a co-worker key word Had that was allowed to work from home, and to make a long story short, when the company had to downsize and lay off she was in the group to be laid off. Well, when she had to returns all equipment, claims ect. It was quickly realized that she was doing a whole lot of nothing, and that was why she didn't meet the estab goals each month. One of my close friends had the honor of cleaning of what a mess and had to try to correct the bad a/r and get the billing going correctly. It was a nightmare for her, but ok... yes thank you.

And just imagine, since they found out she was doing a whole Lotta nothing, who's to say she wasn't doing a "whole lotta illegal things" as well. Point being.. don't know because your not there. Not saying you can't trust people, just saying you have to protect your business FIRST and not even get into a situation where this could potentially bite you in the rear. 
: Re: Hiring Employees
: ruthie72 November 21, 2011, 12:00:31 AM
That is such a shame for people, Like myself, who would really love an opportunity like that, that is hard working and honest, and Compliant to all the rules...I think it could work if you just found the right person. GOOD LUCK
: Re: Hiring Employees
: PMRNC November 21, 2011, 11:54:08 AM
That is such a shame for people, Like myself, who would really love an opportunity like that, that is hard working and honest, and Compliant to all the rules...I think it could work if you just found the right person. GOOD LUCK

It's not just finding right person, many don't understand that in addition to ensuring compliance, there are also the issues of increased insurance on the employer (billing company) It's already bad enough most third party billing companies don't carry proper insurance, add the liability of a 4th party (off site employee/contractor) and the premium's rise. Then again, there's all the issue of your clients and how they would view an off site employee when they are already taking a leap with a 3rd party.   
: Re: Hiring Employees
: midwifebiller November 22, 2011, 07:49:37 PM
Maybe it's just the providers that we work with, but they actually like the fact that we are all women working from our home offices.  It has been a selling point for us.
: Re: Hiring Employees
: ruthie72 November 25, 2011, 12:22:12 AM
I see your point...my meaning of the comment, was not to come on as an Independant contractor but an offsite employee...But i see what you are saying about the third and fourth party and the liability. What kind of insurance would you recommend carrying?
: Re: Hiring Employees
: PMRNC November 27, 2011, 12:16:58 AM
An offsite employee would carry same liabilities to you and the provider. I recommend if you do this that you have full E/O and make sure all of your HIPAA BAA's are in place and disclosed to your clients.
: Re: Hiring Employees
: ruthie72 November 28, 2011, 10:26:27 PM
Thank you so much, you are always so helpful!!!