Encouraged staff to work harder and take on more responsibilities without increases in wages. .04 cents after a year of hard work and non-stop overtime is NOT a raise. Constant fear mongering by managers. After they laid everyone off to send ALL of their Billing and Customer Service workforce to India, that Management/Supervisors were trained to inflict fear into staff with threats of Audits and Write ups if staff didn't perform at inhuman levels of production. Lack of funding for ergonomic equipment for staff. HIPAA Violations and confidentiality violations ran rampant. Management didn't know how to perform the jobs they delegated to staff, but were far too happy to hand out disciplinary actions to "weed out trouble makers". Low Morale was rampant. Upper Management would yell at staff and isolate individuals who needed coaching or teaching, to teach them a lesson, often resulting in further low morale and resentment from staff. Benefits eventually changed after several staff cuts, to be nearly as low as a Bronze level Obama Care plan, but cost twice as much pre-tax. If you took 3 days bereavement leave for a direct loss of a family member, you were given additional work and harsh treatment upon return. Very toxic company. STAY AWAY!