There is no middle. You are either a manager or an hourly employee. There are literally no inbetweens. Employees that have been here 15-20 years are still treated as if they started yesterday, and new hires are treated wonderfully until they've been burned out by overtime. There is no incentive to do a good job, in fact they simply want you to get done fast. People are numbers, employees quite literally count for nothing, led by an equally disgruntled, just older and more beat down management that is ineffectual, does not offer change, and continues with an inefficient status quo simply to keep their jobs, it seems. The employees that have been of service for any amount of time are literally unhappy, more likely unable to get a job elsewhere than anything else. There is no "I" in team, nor is there any "team" in team in the Patient Access Department. It is almost like a contest to see who can "tattle" on who the fastest, the one with the largest knife in your back wins, sadly though, they win nothing. There is nothing to be gained. The raise is at best $0.25 per year, a Christmas "bonus" that was cut in half from a year ago at a "FOR" profit hospital. There is absolutely no "care" in healthcare unless you truly care about the patients you're trying to help, because it is not only not rewarded, if you don't follow ridiculous, and again ineffectual protocol, you can actually be reprimanded for helping a patient. I worked with someone that left their "designated area" for 45 seconds to grab an elderly patient a blanket. For this employees trouble, they were lectured by two members of management for 45 minutes about leaving their "designated area." They were taken away from thei "designated area for SIXTY TIMES the amount of time it took to help ONE patient by TWO managers. It is simply sad. Employees are micromanaged by bitter management, that likely went through the same things themselves. While doctors walk on air, nurses a close second, welcome to the lowest end of the health"care" totem poll. Stay away if you value people, life, sanity, dignity, and any amount of satisfaction in what you do.