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Commission

I am a hygienist in south carolina. I work for 25% commission of what I produce. My daily goal is $1,000. I get paid holidays at $150 per day and no paid sick days or benefits. I get 5 vacation days also at $150. After my last vacation day, my boss told the office manager he wants a fill in hygienist when I am out. I feel like this is taking money out of my pocket. Not only am I being paid less for a vacation day or holiday, someone else will be getting the commission for seeing my patients when I’m out. He has 2 assistants and there are 2 people at the front desk. They are all either hourly or salary and get the same pay for their days off. I’m not sure how to bring this up to the doctor especially since he has a short temper. Also, is 25% commission too low? I feel like it should be in the 30% range? Also, since I started a year and a half ago, hygiene production has been up every single month compared to the same month before I began.



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2 Answers

Having a fill-in hygienist when you are out is standard practice. To expect the doctor to cancel an entire day of hygiene for your vacation day isn’t practical business-wise. With that said, if your co-workers are all getting full pay for vacation days or holidays, so should you. The industry standard for pay based on production is about 35%. To be completely clear, this 35% is based on production, not collections. You shouldn’t take the hit if the patient doesn’t pay.
 
When talking to your boss, I would be very prepared. Print out your monthly production stats showing the increase month over month to prove your case. There are several articles online stating the 35% industry standard for production that I would print out too. Addressing the vacation/holiday pay is a tough one so I would just state the facts: both assistants and both front desk employees get their normal wage and paying you different undervalues you as an employee. It’s especially hard when the doctor has a short temper, but it’s important to stand up for what is fair.
 
Again, it’s a tough situation to be in, but having the conversation in a cool and collected manner, with facts in hand, will help your case. I hope this helps and I wish you the very best of luck!

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How to I bring this up to the office manager? I was getting paid full fee and at the end of the year she changed something in Eaglesoft that adjusts the price of treatments due to patients insurances. I’m now having to “pay back” where I was “overpaid” due to insurances paying less than our fee. These deductions are now coming out of my daily production. If I produce $1000 one day and 5 adjustments are put in totalling $250 from patients seen 2 months ago, I’m only getting paid off of $750 because that $250 is coming off my production for that day.

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