Overworked, understaffed, no communication, too many people that want to make decisions without true knowledge they need! A few supervisors and operations managers think they have the final say in all decisions and their supervisors let them get away with item though few of them have truly worked that area they are making decisions in and don't even help in there own departments work files. If you make a mistake be prepared to be to made to feel terrible. You should also know that you will be lucky to get 4 hours training and then be expected work on your own from there.. They outsource several things to an India partner and the Customer service lacks everything, hope my dr NEVER uses them. If you want to make it anywhere in this company be prepared to sleep with one of the Partners or be related to one! HR is useless and only there to make sure paperwork is in place to write up employees. Be prepared to be micromanaged and answer for every minute of your day.. Just nothing good about this Company I was an employee 6+ years at the main office in Carmel. You will break HIPPA on a daily basis as you have to share all password and usernames to all hospital and insurance websites. Be prepared to help other departments with phone calls and projects and get your yelled at for being behind in your own work files.