They paid $12 ph for billing work (labeled a Patient Account Coordinator rather than billing, of course), which was $8 less than similar work in the region and $1 less than the average customer service position in the city. Corporate had been aggressively pursing acquisitions for at least a decade beforehand & that didn't change when they received the 2017 corporate tax windfall. That meant Billing (PACs) had to double as customer service without any adjustments in monthly goals. To make matters worse, they changed their bonus system to offer more vacation days rather than more actual money, but approval of vacation time meant that employee's "bonuses" were dependent on the whole teams performance (not individual performance), and weren't entirely theirs to control. They had the audacity to bill that as an increase in earnings, technically, based upon the value of those hours, but that wouldn't be true for any actual CSRs or anyone in Billing that hadn't been with the company for a few years. So, in all likelihood, the new "bonus" increases for more tenured employees was being paid for by less tenured employees and likely resulted in a savings on Labor Expenses for the Corporate offices. Conditions were so bad, they drove off all of the General and Department Managers in only a year. One of those Department Managers was their company-wide Medicare expert and one of the few people in the company that had read the entirety of the Medicare Handbook, and had the ability to remember most of it. Corporate managed to ruin one of the best, healthiest office teams I've ever had the privilege to work with through sheer callous incompetence. That office closed the following year.