I am sure there are better employees out there. The challenge is to find one and keep her. Despite working harder in 2015 than in 2014, I made less and it is very hard to pay them more or afford an office manager. It costs to check eligibility, benefits, do billing, get PAs and referral authorizations and it is only getting worse. I find that some of the girls going to school to work in medical office do not have the commitment and devotion that is required. Just yesterday, at the end of a busy day, some of the employees left without finishing the work (placing orders for all the labs) as it was getting late. I am glad the remaining ones realized orders were not taken care of.