You can make more at Walmart with no skill and half the effort.
Pros
Work from home, and that's it.
Cons
They expect perfection, but won't pay for it. They try to motivate the MLS by telling them that the patients' lives are in our hands with our accurate typing of their records, but they pay us like we are serving hamburgers somewhere. I am an experienced MLS and have done it for 20 years. I am paid the same as those with little to no experience. In addition to that, a bad or inconsiderate dictator can determine what my hourly wage is. The speech engine is horrible. Depending on the dictator, you have to edit almost every other word and cannot take your hands off the keyboard. It makes the same exact mistakes over and over and over. If it cannot understand what is dictated, it puts in non-sensible words that are ridiculous. I can type it faster with less effort, but they use the speech engine so they can pay the employees half the wage. I started as part time with the idea I would move to full time at a later date, but I am so exhausted after 4 hours, there is no way I could possibly do another 4. After all my hard 4 hours of work, I can barely make minimum wage. It is very disheartening and I would rather work a non-skilled job making minimum wage than work for Nuance.