medical assistant

surgery scheduler

medical receptionist

health screener

patient services representative

Texas Orthopedics

Functions like a large business, but acts like a small one.  The culture and relationship among staff is fantastic.  They have a real sense of teamwork in most departments.  While the job can be stressful and sometimes feel thankless, once you go home your works stays at work.  granted sometimes you work late hours to meet deadlines or insure quality patient care but this is not common (depending upon the department).

Working there is similar to high school in the way that each department acts like it's own clique, rarely branching out to get to know anyone else which leads to awkward Christmas parties. But once you're a part of the group they are like a family.  They do lots of events outside of work, and act as a good support group if you have trouble at work or home. 

The management is difficult to describe. Sometimes it seems like they have no idea how to manage such large departments, or don't care.  There is good opportunity for advancement in the company, however the managers play favorites and sometimes don't post open positions because they already have someone in mind for that position even if someone else is more qualified.  However the most managers care a lot about their employees and will back them up in internal issues. 

The company makes a habit out of making large choices that affect day to day processes without fully explaining the benefit or why we are doing it,  which leads to confusion, miscommunication, and mistrust.

It's hard to 'prove' yourself to the company and the people who work there, and once you have the pay off isn't really much.  Some of the physicians don't try to get to know you due to the high turn over.  Some of them never bothering to learn your name.

All things considered I really enjoy my job and working there.  It's not without it's faults, but neither is any large family.

A typical day consists of triaging and discharging patients for multiple doctors, taking/assessing xrays of pre-op and post operative patients, and assisting with cast placements/removals. QC for the radiology equipment, and assisting the medical assistants/LVNs as necessary in clinic flow are daily responsibilities. In addition to my knowlege of xray as an RT(R), I have learned much about data entry for the patient charts, various medications, their dosages and how they are administered, and working closely with the doctors and physician assistant. In such an office, I have also sharpened front desk skills, such as answering multi-lined phones, checking patient in and out, as well as scheduling appointments. Cast placement and removals are a weekly duty, especially with the orthopedic surgeons. I maintain xray file jackets, as well as any diagnostic testing images and reports from outside vendors and facilities. I am conversational in Spanish, and have had to translate on several occasions for the doctors and physican assistants alike. I am a people-oriented type of guy, and I have a great report from all the patients I come in contact with, as well as outside physicians and reps that come into the office for various reasons. I have proven myself efficient, knowledgeable, and responsible. I am abitious, and working myself into a management role, and eager to learn new ways to make myself more valuable and needed in any type of setting.

There’s multiple dept’s for a person to move into in order for you to grow within the company and learn new roles. I’ve traveled among all of the offices and each one makes you feel more like family. My current office manager makes us feel appreciated, helps us grow as a person/employee, and finds ways to incorporate our entire office as one whole team.  However, if you want to get into a management position you have to play favorite with the right people. The current COO and Director of Patient Services (his “mini me”) micromanage all of the satellite office managers and team leads to the point that they aren’t allowed to do their job to the full extent. It’s almost as if they don’t trust the managers/team leads to do the job they were hired for while others are set up for failure. There’s way too much going back and forth with protocols for all departments-between changing names/roles of each department to saying “we’re going to do this and then doing the exact opposite.” This also causes the employees to feel like they’re very unappreciated for the amount of work put on them for the amount of pay they’re given. Also, when you’re hired into the company you’re not given the appropriate training required for you to do your job correctly. It’s more of a “learn as you go” type deal and how well you do depends on how good of a support system you have behind you. Just like any company, we have our ups and downs, but lately it seems to be more downs than ups. 

What is the best part of working at the company?
The best part of working with TOH was being part of a team that truly values precision, patient care, and teamwork. In orthopedics, every case impacts mobility and quality of life, so knowing I played a role no matter how small in helping restore someone’s movement is incredibly rewarding. I also appreciate how supportive the surgical and clinical teams were, which makes even high-pressure situations run smoothly and safely.

What is the most stressful part about working at the company?
One of the more challenging aspects was working under a supervisor whose leadership style didn’t always reflect or acknowledge the effort and impact made by the team. While it didn’t take away from the pride I had in my work, it sometimes made it difficult to feel fully supported or recognized in the role.

What is the work environment and culture like at the company?
The work environment and culture were generally positive and team-oriented, which I appreciated. However, at times I felt an unspoken pressure to overextend myself, and certain expectations weren’t always communicated clearly, leading to situations that felt emotionally taxing or misaligned with reality.

A typical day at work is you come into the office and have the schedule and charts prepared for the day but with no notice the physicians add patients on to the schedule. You have to be on your toes and ready for anything, Watch for the patient history and physical to be filled out, be sure they are not Workers' Compensation patients and most of all the insurance coverage.  You get help from the office manager at times but if you expect help from the Dallas office then you have issues, I experienced this when we went to EMR and the patient volume was not decreased as recommended by the EMR company.  The work is expected to be done and completed by the end of the day. Checking in all patients, taking co-pays, scanning in ID and insurance cards with patient paperwork, updating insurance coverage and pulling charts. 

The staff their was great and helpful. Its a small 5-6 office staff but we knew how to help each other. The hardest part of the job is the add-ons when the schedule is full and the doctor/ doctors are running behind.  But because of the staff it makes it easier to handle the day since they are there to help and full in where needed.

Prepare all monies collected from the front desk, the mail, and the PT office for deposit making sure all of the cash and checks collected were equal to the deposit to be made and the amounts entered in the computer matched also.  Credentialed all 6 physicians and 3 PA's so I had to check my email for CAQH notifications and respond accordingly.  I had to check on all certifications to be sure they were up to date.  I went on line to renew them.  I learned to balance to QuickBooks, how to do payroll and accounts payable when the staff accountant was out on maternity leave.  I usually worked 50 hours per week that was the hardest part of the job.  They just brought in a new Administrator and that is when my job was eliminated.  I knew the new Administrator and had much respect for her.  They were in a payroll crisis and were cutting jobs everywhere.  I was one of the oldest and highest paid employees so I guess it lessened the payroll burden to eliminate my position.  I loved my job and I was never so hurt in all my life to lose it.

The three letter titles treat everyone like expendable employees while the doctors turn a blind eye because they don’t want to deal with it.

They nickel and dime you for all your PTO - if you make less then 40 hours a week you will be forced to use your PTO, but if you make over 40 hour per week you have to prove why you did and still get in trouble for not “managing your time” and threats to be written up.

I use to love working here but unfortunately the upper three letter titled people have turned it into a VERY unhealthy work environment.

There is absolutely no HR department since the one lady that works it is very good friends with the three letter titles so if you do go to her with a problem you will literally get a blank look and nothing will happen so she is a waste of time.

They have caps on salaries and the insurance is horribly expensive.

TXO doctors please start paying attention and stop turning a blind eye to your management that is running all your good staff away.

1) Clean and organize work area and disinfect equipment after treatment.

2) Observe patients during treatment to compile and evaluate data on patients' responses and progress, and report to physical therapist.

3) Instruct, motivate, safeguard and assist patients practicing exercises and functional activities, under direction of medical staff.

4) Secure patients into or onto therapy equipment.

5) Transport patients to and from treatment areas, using wheelchairs or providing standing support.

6) Confer with physical therapy staff and others to discuss and evaluate patient information for planning, modifying, and coordinating treatment.

7) Management really took their time on providing hands on training and really make you feel comfortable.

8) Hardest part, was having to say Bye to the patients when  they are done with therapy.
 
9) Most enjoyable is getting to interact with the patients and build a professional relationship with them.

It becomes rather obvious after working at Texas Orthopedics after a few months that the only people that matter at this practice are the surgeons and the management group. If you are not in either your in a dead end job. The cost of benefits are way to high and the pay is way to low. If I wanted to insure my family it would have taken 3/4 of my paycheck. It's very telling that a health care provider has a majority of it's staff on Obamacare or Medicaid. The Christmas party is nice but obviously big tax write-off for the practice. The real party is the Doctor/Management Party where the end of year bonuses are handed out and not the $50 per year of service bonus the normal employees receive. The CEO,CFO, and COO are a dysfunctional leadership group and the HR Manager is either oblivious or turns a blind eye to numerous policy violations by management. If you go in with the understanding that keeping the wages low and benefits high results in greater profit sharing for the Surgeons and better bonuses for Management.

A typical day at work was constant adjusting and changing roles to the needs of the unit. I believe I learned as a nurse but I also learned the cold reality of politics and how it poorly affects my perspective of med surg nursing. Management was flexible most times however their style in leadership was not transparent and had hidden agendas for their staff. Workplace culture was not fair. Favoritism affected the growth in nursing. It was favorites in what it seemed of certain races and ages who grew and was acknowledged by administrators and leaders over senior nurses with skill and great patient satisfaction. The hardest part of the job was seeing nurses loose their glow just to survive or maintain their position. The most enjoyable part is the work life balance which is bitter sweet because of the inability to retain a steady positive income. 

Top Job Titles	Average Salary
Medical assistant 115 salaries reported	$20.96 per hour
Surgery scheduler 59 salaries reported	$22.76 per hour
Medical receptionist 52 salaries reported	$20.32 per hour
Health screener 53 salaries reported	$32.38 per hour
Patient services representative 3 salaries reported	$20.25 per hour

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