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Another Salary Negotiation

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I have been a PA for 16 years.  During that time I spent the first 3 years in Fam Med and Internal medicine, 2 1/2 years in ER, and the remainder of the time in Urgent Care with some overlap in CVT surgery for 9 months.  I've recently had an offer from a reputable dermatologist to take a position working under his supervision and taking over a practice in an outlying, under-served community which he is in the process of purchasing from a retiring colleague.  I'm consider the opportunity due to a concern about the future of my current job due to the process of a buyout.  The dermatologist initially offered me a base of $101,000 with a bonus of which he hasn't disclosed.  I declined his offer and now he's offering a productivity-based salary of 30% collections--no base salary.  I'm unsure of this offer, mainly due to the ignorance of dermatology billing and insurance/MC reimbursement.  At my current urgent care practice, we have outside billing and collections and my bonus is patient-number based, not collections or billing based.  What can I expect in this offer?  Is there a way to determine a projected salary?  I've asked for the current MDs patient numbers and billing, but I'm not sure if I can obtain his actual collections records or not.  Are you able to give me an idea of what to expect in collections numbers or help by giving suggestions as to what I need to ask for to determine collections numbers?

 

I would appreciate any help you may be able to offer.

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It's going to be difficult to predict how much you could bonus without knowing how productive you'll be able to be once you get going.  The PAs I know range from 20-50 patients a day, which all depends on efficiency of you and the staff you have. Personally, I'm at around 30-35 patients a day with one dedicated MA. You can usually predict collections to be around $80-100 per patient if you average it out, and at most derm conferences, they recommend that as a PA in derm, once established, you should be getting 30-50% of collections.  Derm does have more overhead than other specialties, so that has to be accounted for. 

 

I've also heard at conferences that they recommend salary + collection vs just collection because if it ever came down to an audit, you don't want it to look like you're incentivized to do more procedures. Just my two cents! 

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