More and More Outsourcing - Collections Specialist NextGen Healthcare Employee Review

We're told no lay offs but I read otherwise on here - they still insist no layoffs. More and more jobs are being outsourced to India, and all new clients will be fully staffed by India. Little to no direction about where our jobs are going, or if we'll even have jobs. We're told something else every week. Ridiculous time off policy, must use 2 days of vacation before we can dip into our sick time and only then if it's consecutive and/or related to the same issue. I've been here 3 years and there has only been 1 opportunity for advancement.