u/Cobra_Surprise

TLDR: dentist retiring & selling the practice where I work thinks I stand to make big gains if I stay, but I have an opportunity to leave for more moderate gains right now. Feeling guilty about leaving, but the offer is guaranteed and nothing is for sure if I stay. Help

Ive been at the same practice doing insurance verification, billing, and schedule for the last 13 years. Unfortunately we're only open three days a week, which just isn't enough for me to cover bills. I recently got a full time job offer at a new practice with a new dentist that is much closer to my house, AND I would be given free reign over managing everything on the administrative side (very exciting to me). Here's where the problem lies:

I told the dentist and his wife (the manager) that I would be leaving, and they were super alarmed. Apparently they're planning on selling the practice at the end of the year, and they were relying on me to maintain the continuity as the patients all transfer to the new dentist. I know all the patients and they know me, and I'm sure it would help them if I stayed on.

Dentist and wife said they'd increase my hours to full time till the sale goes through, and they seem to think I'd be guaranteed to keep those hours and be the office manager for the new dentist, but they don't even know who they'll be selling to yet. I don't want to mess up their retirement sale, but I'd have to give up a for-sure opportunity for a maybe opportunity.

Would I be seen as a valuable enough asset to a prospective new owner that I can reasonably expect the same salary (or more) and a semi promotion to front office head? Is it worth staying? Our patient loyalty is currently INCREDIBLE. 99% collections, don't have to be in network for any of them etc. so a buyer MIGHT be very keen to keep me on, but that's just speculation at this stage.

What should I do? I care about the dentist and wife a lot, but I don't want to fuck up this new opportunity without any guarantees that staying would be comparable.

Greetings, knowledgeable elders! I have just started working at a new general dentist's office. Our dentist bought this practice 6 months ago and she wants to start upping our Ortho cases (she was an orthodontist in her home country). She has never owned her own office before, so we're both in the dark when it comes to common practices for Ortho billing in the USA. She is very anxious to cover her lab fees with the down payments, which I totally understand. That said, it seems a bit unbalanced to ask for a $950 down payment when the patient portion after insurance comes to $1500. What do most of you folks do?