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The 2-Second Commute


Based on the highly-successful Virtual Assistant training programs Chris Durst and Michael Haaren developed for the US Armed Forces and the US Department of State, The 2-Second Commute: Join the Exploding Ranks of Freelance Virtual Assistants brings you the knowledge without the classroom!

Training program participants have billed over $30 MILLION since our training programs started in 2002. Now YOU can learn from Chris & Mike, too, and start your own successful VA business!

2-SECOND COMMUTE
CHAPTERS


Preface

Introduction

Chapter 1
Why Become a Virtual Assistant?
  • personal & professional reasons to explore this industry
Chapter 2
Exploring Virtual Assistance
  • virtual assistance defined
  • industry demographics
  • services, fees, and trends
  • why businesses work with VAs
  • international outlook
Chapter 3
Reality Checks & Self-Assessments
  • exploring important considerations - motives, lifestyle, family, children, etc.
  • entrepreneurial self-assessment
  • VA readiness self-assessment
  • Spouse With a Mouse™ - from our Department of State and US Armed Forces training programs, a special section to help your "significant other" understand what it will be like to have a business in the house.
Chapter 4
Developing a "Service Menu" That You Can Live and Grow With
  • inventory your values, interests, and skills to determine your most marketable skills

Chapter 5

Estimating Costs and Setting Fees
  • projecting your costs, picking your "salary", setting your hour, and our special formula for calculating a reasonable baseline fee
  • comprehensive fee survey (see what other VAs are charging)
  • getting paid -contracts, credit cards, invoices, retainers, etc.
Chapter 6
Setting Up Your Business and Your Office
  • naming and registering your business
  • forms of business ownership
  • permits and licenses
  • insurance
  • home office setup
Chapter 7
Building a Healthy Foundation for Your Business
  • defining your ideal client, interviewing clients, partnering with clients
  • the art of virtual communications
  • SWOT analysis - discovering your Strengths, Weaknesses, Opportunities, and Threats
  • the benefits of "niche marketing" - identifying your target market
Chapter 8
Let the Marketing Begin!
  • image is everything
  • talking about what you "do"
  • marketing and email
  • your Web site - your "global billboard"
  • press releases
  • harvesting the local "business crop"
  • leveraging the media
  • guest lecturing
  • our 5 favorite marketing techniques
  • the Strategic Marketing Plan - your blueprint for building a successful business through effective marketing
Chapter 9
Pulling It All Together and Keeping It There
  • a collection of tips, tool, techniques, and pointers for making your business a success
Chapter 10
The VA Toolbox: Resources and Information
  • VA trade groups, email lists, certifications and training programs
  • specialized resources for homeschoolers, "trailing spouses", work at home parents, and people with disabilities
  • resources and other information for the "frugal VA"
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Work from home as a
Medical Transcriptionist

[Contributing Expert:
Michele Miller]


nutshellsThe niche in a nutshell:
A medical transcriptionist is responsible for typing dictated medical records.  These reports are dictated into a voice recording device by a doctor or other health care professional.   The transcriptionist uses a transcribing machine, which also includes a head set and a foot pedal to listen to the dictation.  The reports are then typed into a program like Word.  If the reports are sent via the Internet as digital voice files, the transcriptionist uses a software program to listen to the dictation.  These reports are necessary for the benefit of the patient, and are also submitted to insurance companies so the doctor can be reimbursed for services rendered.

Top 3 Services Provided in this Niche
  • Typing of recorded dictation via cassette tapes
  • Typing of recorded dictation via digital voice files
  • Pick up and delivery of work if self-employed and using tapes
Top 5 Hiring Markets
  • National companies that secure accounts and subcontract them out
  • Hospitals
  • Doctors' offices
  • Other health care facilities
  • Owning your own medical transcription business
Pay Range for this Niche

The average self-employed MT that secures his/her own accounts and works 40 hours per week can earn 30-50K a year, depending on what is being charged.   Transcriptionists are usually paid by the line, and the rates vary.  Myself and the people I network with charge an average of 14 cents per line, some slightly higher and some slightly lower.   If you type 200 lines per hour, that is $28.00 per hour.   With experience, most people can easily type this amount, and often more.

As an employee in a hospital setting or doctor's office, the average hourly pay is $12.00 to $18.00. 

Working for a national company the pay is usually much less than if you work as a self-employed person with your own accounts, as you are now the subcontractor and are paid a portion of the amount the company charges the doctor or facility.   Rates vary, and can be as low as 5 or 6 cents per line, or as much as 10 cents per line.  National companies often provide health care benefits however, as this is appealing to a lot of people.

Recommended Skillsets
  • Excellent grammar skills
  • Good Listening Skills
  • Basic computer skills with a word processing program
  • Research Skills
  • Ability to type – your speed will increase with experience
  • Must be detail oriented
  • Ability to work on your own
  • Ability to maintain work deadlines and be a self-motivator
Basic bookkeeping is necessary, but not difficult at all.  A good bookkeeper is great to have when it comes to taxes and advising you about saving money with tax deductions for your business.  However, it's not difficult to keep track of a medical transcription business. 

Niche Overview
Medical transcription is an interesting and rewarding career. It offers a lot of flexibility. The typing of medical reports is a necessary part of the health care system. It ensures that the patient has an accurate report of everything regarding their health care. It also is necessary for the health care provider to have documented accounts of all treatments and services provided for monetary reimbursement through the health insurance companies.

As a home business it is especially suited to parents that want to be home with their children, but many people start a home transcription business because there is no limit to how much they can earn. The more accounts you acquire, the more money you make. Over the years I have hired many subcontractors, and this is how you grow your business.

Here are some answers to popular questions:


What qualifications do I need to become a medical transcriptionist?


You can take a home study course or some classes at your local community college. It is not necessary to have a degree to be a medical transcriptionist. I recommend the VLC's training program as they have state-of-the-art training and excellent student support. For more transcription practice, in addition to training, or to see if this is the career for you, medical transcription practice tapes can be helpful.  www.medical-transcription-practice-tapes.com

What is the turn-around time for the reports to be completed once I've started working?

Usually 24 hour turn-around time is quite normal, however, many transcriptionists offer 48 hour turn-around. If you run your own business you can decide this with the doctor, but if you work for someone else, they will let you know when they expect to have the work returned.


How do I get hired as a newbie medical transcriptionist?


This depends on who you want to work for. If you want to work for a National company, they usually want experience unless you can pass their tests. There are some companies that will hire new transcriptionists however. They don't all require 2-3 years experience.  Working for the national companies is not what I recommend however, and that's just my personal opinion. I'd rather have my own accounts and have more flexibility and earn twice as much.

If you want to work doing medical transcription for a doctor's office or hospital, you may get hired a lot more easily than trying to get on with the national companies. A lot of people do this and make the transition to working at home, for these very same people. 


What books do I need to do medical transcription?

Over time you will collect a lot of "word books" for medical transcription. I have lots of them. I thought it might be good to give you a list of some of the ones you will need when you are just starting out. Remember, EBay is a good place to pick up these kinds of medical transcription specialty books, as well as www.stedmans.com  where I usually get my books. You will definitely need a medical dictionary. Get either a Stedman's or a Dorland's Medical Dictionary. You will need a drug/pharmaceutical guide book, such as
American Drug Index 2007
, published by Facts and Comparisons, www.drugfacts.com. It is an expensive book, and you will probably be better served by getting the previous year's book on EBay if you are just starting out. A must have is The Medical Word Book by Sheila Sloane. That's printed by W.B. Saunders Co. If you can get it, you might also want to pick up The Surgical Word Book, by Tessier, printed by W.B. Saunders Co. as well. Apart from that, you will just need to add "specialty books" to your collection as you go. For instance, if you are typing for a neurologist, you would buy Stedman's Neurosurgery Words. As you type for more and more specialties, you will get more and more books!  You don't need many books to get started however.


What are the Pros and Cons of a Medical Transcription Career?

If you work for yourself, I think self-discipline is a necessary part of this career. Since the business is so flexible regarding the hours that you work, you can easily put off work and then not feel like doing it because you've left it so late in the day or the evening. So it's important to be strict with yourself and set routine working hours.

If you have your own company, you will have to pay for your own health insurance, which can be costly, so make sure to shop around. However, you will make more money working for yourself, so I don't find this issue to be too relevant in my own situation. Having your own transcription business also provides you with business tax deductions, and health insurance is now 100% tax deductible.


Recommended Reading
Tools of the Trade
  • Computer
  • Printer
  • Transcriber
  • Word Processing Program
  • Software Program for digital files
  • Medical Dictionary and Specialty Word Books
Organizations & Associations
Resource Links


Michele MillerAbout Michele Miller

I have always enjoyed having my own home transcription business.  I initially started my company because I had a young child and I wanted to be able to take her to school and pick her up from school, and didn't want other people taking care of her after school.  It was a blessing to my family that medical transcription provided this opportunity.  That was in 1993, and I'm still running my own home transcription business.   It is very easy to run, as I have subcontractors, not employees, so the paperwork is minimal.   If you don't want to hire subcontractors, you don't have to.  You can earn a good income on your own.  If you would like more information about a work at home career in medical transcription, please visit my website:  www.medical-transcription-at-home.com and sign up for my free newsletter or 5 Day Ecourse. 



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