medical assistant

front desk coordinator

registered nurse

endoscopy technician

registered nurse - infusion

GI ALLIANCE

Pros:
Physicians were approachable and willing to teach. This might be a good opportunity if you're early in your career, without family responsibilities, and looking to gain clinical exposure — but expect to work well beyond standard hours.


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Cons:
Unclear expectations at hire subject to change any minute, minimal support staff, no protected admin time, and excessive after-hours work. No work-life balance and very poor compensation. You are there to serve everyone else and your concerns will be ignored. APPs are expected to do all their own clerical and administrative tasks — including scanning, faxing, record requests, and patient calls — often late into the evening. There was no scribe, no triage nurse, no AI support, and very few patients on the portal. Communication policies were rigid and time-consuming. Expectations shifted months into the role with no discussion.


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Advice to Management:
APPs are providers — not just support staff or stopgaps — and should be treated and valued accordingly. Stop overloading them with clerical tasks and give them tools and time to do their jobs well. Protected admin time, AI scribe tools, call center support, and leadership accountability would go a long way in improving retention and patient care. Hold regular check-ins, take feedback seriously, and make changes when providers raise concerns. Rethink PTO policies and compensation — time off on paper means nothing if the workload makes it impossible to take. And if you want to force so much more into APPs then make the compensation worth it to stick around and tolerate the mistreatment.
 

It fells short to say this is a Toxic Work. After COVID-19 in 2020 and changes in downsizing staff to later fill positions. I was overwhelmed and overworked without proper compensation.  The manager is without zero experience or education in medical office management, just what the higher ups tell them to do. I always knew it was a toxic management after COVID-19,  but I was scare to leave after so many years. Now I am glad I did as I got so much better opportunities. Don't get caught in their fecal talk like meet me half way, we are all in the same situation, we have room to grow.  None of that is true. The benefits were shrinking over the years. And they will lie in evaluations so you don't get a proper raise. If you consider this as a job opportunity and get hired, the moment that something is not right leave! Management will absolutely won't care so you don't care back. Don't even talk to HR, which I am still expecting their phone call after my exit interview. After I left found many jobs that offered me more economically and life balanced and growing properly. I would have never thought to write here but I just want to advise all possible candidates to reconsider working for this company at least in San Antonio,  TX.  There are so many others Healthcare companies that will treat you better with better benefits. If you need to jump away from this company do so. 

What is the best part of working at the company?
Collaborative efforts between RN & MD’s. 

What is the most stressful part about working at the company?
1 nurse is on her own. No other nurse to help out with hundreds of patients and 2 clinics. . No day off. No vacations. Cannot take a sick day because no other nurse to step in. Patients must get their infusions so you are the only way it can happen. Company “model” is 1 RN to 225 patients”. 

What is the work environment and culture like at the company?
Heavy work load. No recognition from company. When I gave my notice of resignation, infusion director did not respond for 9 days. High turnover. They don’t really care about nurses unless they are producing numbers. Very “corporate”. Not patient-centered. 

What is a typical day like for you at the company?
10-12 hours a day Monday - Friday running 2 busy infusion suites built from the ground up. Coordination of hundreds of patients, infusions, scheduling & rescheduling patients, managing inventory and ordering supplies for 2 clinics, charting, coordinating with benefits team for drug auth, educating patients on drug side effects, answering patient questions on symptom concerns, collaborating with MD’s on patient decline or concerns, receiving & documentation of all inventory, listening to patients, dealing with micromanaging clinic manager, etc.

Typical day may find you working 12-14hr days especially on migration assignments. Most enjoyable was you are always learning new tech, pretty much everyday.  Offer online in-house learning courses at no charge. Will cover partial cost of getting additional certs /degree (directly relating to the job). Occasional bonus (not guaranteed) in summer and year-end. Proprietary software means likely you won't see it in any other industry. Hardest part of job is company seemed too eager to rapidly expand without having enough staff for appropriate coverage. Long hours and Work-life balance, hard to incorporate. Sometimes management slow to respond. Even though they ask for suggestion on how to improve the company overall, did not seem to implement some of those suggestions. High-turn over rate except a "select" few.  Overall a place to get your start in I.T., build your experience to put in work. Then advance elsewhere.


Very busy .. high call volume office. I learned a lot about different GI diagnosis and how to maintain your digestive health. Management was 50/50. The manager was actually nice .. respectful and works with your schedule. Sometimes she would act oblivious to office issues and not address certain people but overall she was okay… very understanding about home/work life balance. Now lower management.. that’s another story! Passive aggressive AF ..they spend so much time finding peoples problem to blast them versus finding solutions and creating teachable moments. They really took their titles way too serious but would watch the phones ring off the hook and never pick up a call..  this place needs new .. personable managers in place .. work flow needs to be restructured entirely. And I’ve never seen medical assistants that literally do nothing medical besides send in prescriptions. they don’t even want to room patients .. go over prep instructions.. none of that. Unbelievable! 

The worst company I have ever worked for. The only thing they care about is their bottom line. They tell you to communicate with them often through teams/text, but then they choose at their leisure when to get back to you & leave you hanging. The orientation process is quick they are eager to get you done & then you are punished & made to feel incompetent if you ask for help or make a mistake. Everything you do is based on legality so if you chart something wrong that loses them money you will be punished. If they decide they don't like you they will be quick to nit pick everything you do to build a case against you so that it looks like you are a bad employee. Toxic work environment & backstabbing co-workers. Management is terrible & relies on full-time staff to report back to them as to your performance...they don't actually spend time with you to see for themselves. They bother you on your days off & want you to attend way too many Teams meetings on your off time. The worst job I've ever had in 19yr RN career.

Work with wonderful co-workers and enjoy what I do but there is no room for growth.  Benefits are very bad and expensive- it takes a huge chunk of my check to pay for lousy health benefits and I'm unable to afford the better coverage they offer. You think working for a health care company would offer something better to their employees.  They do not offer any sick leave. You get 6 PTO days the first year then 10 days after that. They do not allow/offer any overtime.  Raises are poor and does not even help with the cost of living.  Other companies offer better wages, benefits, 
etc. Your work is very mentally demanding, never really done, and they use the worst system ever which makes everything take so much longer to do, adds so many unnecessary steps to complete something,  and therefore causes a lot of unhappy patients which you end up having to deal with.  The system used always has issues.  You get stability though! 

The Medical Assistant Midlevel Checkout position is a unique position, because you have your assigned job duties as well as whatever additional assignments that management or nursing staff assigns to you for that day. Staffing is a HUGE issue for Gastroenterology Associates/Gi Alliance. Employees are overworked, creating a tense, stressful and unpredictable work environment. The company has lost many strong and dedicated employees due to burnout and exhaustion. You will not be paid what you are worth. All the doctors and midlevel providers are wonderful as well as the nursing staff. Management-not always clear with their policies and frequently changed policies. The company/management is not willing to make mild modifications to your schedule, to be able to keep you on staff there. 

This company wouldn’t be bad if they did more for their employees, and was more organized. Many of the departments don’t fully do their job and it ends up causing denied claims that only falls back on the authorizations dept. They continue to add appointments they can’t keep up with, but blame workflow as the problem, when it’s a staffing issue. The doctors get luxury meals while the office staff gets pizza and chic fil a. The insurance benefits are horrible and the pay schedule is something I’m not a fan of. They only give raises once a year and changed their policy to where they no longer cover employees colonoscopies, but get upset for calling off for gi related issues. I would only recommend working here for the experience, nothing more. If they could run the office more efficiently and they can, it would be a better job to work at but with all the changes that are happening day to day it’s very hard to know what you’re supposed to do and not supposed to do

My perspective is from corporate, in HR on the talent acquisition team. The current manager lacks the experience and skills necessary to lead a talent acquisition team. 
We were understaffed with growing acquisitions and requisitions causing the team stress and anxiety. No plans for growth and how to manage growing tasks when I was there. There was no formal training program and overall lack of SOP. Leadership was dismissive and disorganized. They fail to roll out compensation/payroll changes accordingly and never took accountability. No advancement programs, no bonus or commission incentives and we were paid below average. 

HR was dismissive with our issues with retaliation. 

This was one of the worst organizations I’ve worked for but I’ve learned what to look for in my next employer. 

Top Job Titles	Average Salary
Medical assistant 74 salaries reported	$20.06 per hour
Front desk coordinator 51 salaries reported	$19.20 per hour
Registered nurse 25 salaries reported	$39.97 per hour
Endoscopy technician 19 salaries reported	$21.34 per hour
Registered nurse - infusion 9 salaries reported	$117,500 per year

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