Healthcare outsourcing companies take administrative and back-office work off clinical teams: scheduling, insurance verification, prior authorizations, records requests, billing and AR follow-up, patient communication and, at hospital scale, the whole revenue cycle. The right company depends on who you are. A five-provider practice, a medspa or a telehealth startup needs something very different from a 400-bed health system.
The admin load is real: in a 2016 time-and-motion study of 57 physicians published in the Annals of Internal Medicine, doctors spent nearly 2 hours on EHR and desk work for every hour of direct patient time. This guide ranks 8 healthcare outsourcing providers in two groups, shows what each costs where prices are published, and covers what to outsource, what to keep in-house and the HIPAA basics.
Quick Answer
The best healthcare outsourcing companies in 2026 depend on your size. For small and mid-sized practices, clinics, medspas and telehealth teams: VA MASTERS (dedicated healthcare admin VAs from $6.50/hr, about $1,040–$1,600 a month full-time), Hello Rache, HelpSquad and MEDVA. For hospitals and health systems outsourcing revenue cycle work: AGS Health, Conifer Health Solutions, Ensemble Health Partners and Sutherland. With VA MASTERS it costs nothing to start, and first candidates typically arrive in about 2 business days.
Best Healthcare Outsourcing Companies in 2026
Healthcare outsourcing splits into two markets. Practices, clinics and digital health companies mostly buy people: dedicated admin staff who work inside their tools. Hospitals and health systems mostly buy functions: revenue cycle management (RCM), coding and patient access run by a vendor at scale. We list four providers for each.
How we chose: every provider below is listed from its own website (services, who it serves and, where published, its price), checked in October 2026. VA MASTERS is our own service, so it is listed first; the other providers in each group are listed alphabetically. Where a provider doesn’t publish a price, we say so.
For Medical Practices, Clinics, Medspas and Telehealth
1. VA MASTERS: Best for a Dedicated Healthcare Admin VA
Best for: small and mid-sized medical practices, dental and therapy practices, medspas, medical tourism and telehealth companies that want one or more dedicated Filipino VAs for scheduling, insurance verification, prior authorization follow-up, records, billing support and patient communication.
VA MASTERS is a virtual assistant recruitment agency: every search is custom-built for your role through a 6-stage process, with a custom skills test where the role needs it, and you choose from the top 2–3 candidates. The VA works only for your practice, inside your EHR, scheduling and billing tools, and builds knowledge of your payers and protocols over time. Most of our clients are small teams: 87% have fewer than 50 employees (client portfolio as of July 2026).
Price: from $6.50/hr. Healthcare admin roles $6.50–$10/hr (about $1,040–$1,600 a month full-time); medical billing and AR roles $7.50–$14/hr. It costs nothing to start. See our medical virtual assistant services.
2. Hello Rache: Flat-Rate Healthcare Virtual Assistants
Best for: medical, dental, optometry and veterinary practices that want a healthcare-only VA company with one flat rate.
Hello Rache places dedicated healthcare virtual assistants, drawing on nurses and healthcare professionals in the Philippines, for roles such as virtual medical receptionist, administrative assistant and medical scribe.
Price (published): a flat $9.50/hr, with no contracts and no setup fees.
3. HelpSquad: Managed Virtual Medical Assistants
Best for: practices that want a managed virtual medical assistant with published hourly pricing and the option of a managed team with a team lead.
HelpSquad is a US-based company that provides virtual medical assistants for back-office work (billing, claims, AR, data entry, admin) and patient-facing work (front desk, scheduling, intake), plus managed live chat.
Price (published): $8–$10/hr for full-time back-office assistants, $10–$13/hr for full-time patient-facing assistants; managed teams of 3+ quoted individually. A 3-month initial agreement applies.
4. MEDVA: Dedicated Medical Virtual Assistants
Best for: medical, dental and specialty practices that want dedicated medical VAs, including scribes and remote patient monitoring support.
MEDVA places dedicated virtual assistants for healthcare practices (virtual medical receptionists, administrative assistants, scribes, billing and claims assistants) and handles the VAs’ payroll and HR. It also offers an optional secured-facility tier.
Price: not published; itemized pricing is shared on an initial call. MEDVA states no setup fees and no long-term contract.
For Hospitals and Health Systems (Revenue Cycle and BPO)
5. AGS Health: Revenue Cycle Services and Coding
Best for: hospitals and health systems that want patient access, coding and A/R work outsourced with an AI-assisted platform.
AGS Health describes itself as a technology-enabled revenue cycle management company. Its services cover patient access (eligibility and benefits verification, prior authorization, provider enrollment and credentialing), health information management and coding, and patient financial services such as claims, A/R and payment posting.
Price: not published.
6. Conifer Health Solutions: Revenue Cycle Outsourcing
Best for: hospitals and health systems, physician groups and employers that want front-end, mid-cycle and back-end revenue cycle functions outsourced.
Conifer Health provides revenue cycle outsourcing, patient access, clinical revenue integrity, A/R management and value-based care services. It reports managing more than $32 billion of net patient revenue a year.
Price: not published.
7. Ensemble Health Partners: End-to-End RCM
Best for: health systems and hospitals that want end-to-end revenue cycle management with performance-based pricing.
Ensemble Health Partners runs end-to-end revenue cycle operations, combining its teams, processes and technology to improve collections, reduce denials and strengthen payer strategy.
Price: no list price; Ensemble states its pricing is a fixed rate on collections plus tiered performance incentives.
8. Sutherland: Healthcare BPO and Digital Operations
Best for: payers, providers, MedTech and healthcare software companies that need large-scale operations together with digital engineering and AI.
Sutherland runs healthcare operations such as claims, member enrollment and provider credentialing, alongside digital, data and cloud services. It reports 5,000+ healthcare specialists across 15+ locations and 75+ healthcare clients.
Price: not published.
Looking only for medical VA services? See our separate ranking of the best medical virtual assistant services.
Healthcare Outsourcing Companies Compared
| Provider | Model | Best for | Published price |
|---|---|---|---|
| VA MASTERS | Recruits a dedicated Filipino VA for your role; you choose from the top 2–3 | Practices, clinics, medspas, telehealth | From $6.50/hr; admin roles about $1,040–$1,600/month full-time |
| Hello Rache | Healthcare-only VA company | Medical, dental, optometry, veterinary practices | $9.50/hr flat |
| HelpSquad | Managed virtual medical assistants | Practices wanting a managed setup | $8–$10/hr back office, $10–$13/hr patient-facing (full-time) |
| MEDVA | Dedicated medical VAs | Medical, dental and specialty practices | Not published |
| AGS Health | Revenue cycle outsourcing and coding | Hospitals and health systems | Not published |
| Conifer Health Solutions | Revenue cycle outsourcing | Hospitals, health systems, physician groups | Not published |
| Ensemble Health Partners | End-to-end RCM | Health systems and hospitals | Fixed rate on collections plus incentives |
| Sutherland | Healthcare BPO plus digital operations | Payers, providers, MedTech | Not published |
Prices as published on each provider’s website, checked October 2026. Compare like with like: hourly VA rates are for one dedicated person, while revenue cycle contracts cover a whole function, usually priced per claim or as a share of collections.
Traditional BPOs were built for repetitive tasks managed through middle management layers that separate the client from the worker. Modern business leaders don’t want an isolated call center. They want dedicated team members who understand their brand, work directly in their company tools, and help them accomplish high-level work.— Alon Pearl, Founder & CEO, VA MASTERS
What Healthcare Businesses Can Outsource (and What to Keep)
Outsource the high-volume, rules-based admin work that surrounds patient care. Keep anything that needs a licensed clinician’s judgment.
Safe to Delegate
| Function | What the outsourced team member does |
|---|---|
| Scheduling and reminders | Books, reschedules and confirms appointments, manages waitlists and sends reminders |
| Insurance verification | Runs eligibility and benefits checks in payer portals before visits and flags problems |
| Prior authorization coordination | Submits requests, tracks pending cases, follows up with payers and routes denials to your clinicians |
| Referral coordination | Creates referral records, contacts specialists and updates referring providers and patients |
| Intake and patient communication | Sends and tracks intake forms, answers routine emails and chat, handles callbacks |
| Medical records | Processes records requests, prepares charts for visits and enters data into the EHR |
| Billing support and AR follow-up | Prepares claims, posts payments, tracks denials and follows up on aging AR (see our medical billing VA guide) |
| Credentialing paperwork | Collects documents, completes payer enrollment forms and tracks renewal dates |
Keep In-House: Clinical Judgment
Assessments, diagnoses, treatment and prescribing decisions, clinical triage, crisis response and in-person care stay with your licensed team. Outsourced staff handle the administrative work around those decisions, such as gathering the paperwork for a prior authorization, not deciding whether treatment is necessary.
Best Outsourcing by Practice Type: Medspas, Telehealth, Home Health and More
| Practice type | Highest-impact outsourced work | Usual best fit |
|---|---|---|
| Primary care and family medicine | Scheduling, insurance verification, prior authorizations, referrals | Dedicated healthcare admin VA |
| Specialty practices and multi-specialty groups | Chart prep, referral management, prior authorizations, documentation support, care-coordination admin | Dedicated VAs (a small team) or an RCM vendor for billing |
| Dental practices | Insurance verification, recall reminders, AR follow-up (see our dental VA guide) | Dedicated VA |
| Therapy and mental health practices | Intake coordination, scheduling, billing and insurance follow-up (see our therapist VA guide) | Dedicated VA, often part-time |
| Medspas, aesthetic and cosmetic clinics | Booking and rescheduling, consultation follow-ups, inquiry replies, reviews, membership and package admin, social media | Dedicated admin VA, plus a social media VA if marketing matters |
| Telehealth and digital health startups | Patient onboarding and intake, insurance verification, virtual visit scheduling, support tickets (see our telehealth VA guide) | Dedicated VAs that scale with volume |
| Home health agencies | Visit scheduling, intake and referral paperwork, authorizations, billing follow-up (see our home health VA guide) | Dedicated VA |
| Community health centers and nonprofit clinics | Appointment reminders, eligibility checks, grant and reporting admin, data entry | Dedicated VA (check grant and contract terms on offshore access first) |
| Hospitals and health systems | Revenue cycle, coding, patient access, health information management | RCM and BPO firms such as AGS Health, Conifer, Ensemble or Sutherland |
Pro Tip for Medspas and Aesthetic Clinics
Your bottleneck is usually the booking funnel, not billing. Give your VA the inquiry inbox, the booking system and a short script for consultation follow-ups, and track how many inquiries turn into booked consultations each week.
See How We Test Admin and Patient-Support VAs
A real VA MASTERS skill-test sample: the candidate builds a step-by-step SOP and writes a professional client email, showing organization, clarity and written communication before a client ever interviews her.
A VA MASTERS recruiter reviews an actual customer support skill test: Excel accuracy, SOP writing and a recorded Loom presentation, and explains how the process narrows applicants down to the top 2–3 candidates.
What Healthcare Outsourcing Costs
Through VA MASTERS, healthcare admin roles cost $6.50–$10/hr and medical billing and AR roles $7.50–$14/hr. Full-time means 160 hours a month; part-time at 80 hours costs half. That is up to 80% less than the full cost of a local hire (salary plus benefits and payroll costs).
| Healthcare role | VA MASTERS rate | Full-time (160 h/month) | US in-house comparison (BLS median wage, May 2025) |
|---|---|---|---|
| Medical receptionist / scheduling VA | $6.50–$10/hr | $1,040–$1,600 | Medical secretaries and administrative assistants: $45,930/year |
| Insurance verification / prior authorization VA | $6.50–$10/hr | $1,040–$1,600 | Medical secretaries and administrative assistants: $45,930/year |
| Medical records and data entry VA | $6.50–$10/hr | $1,040–$1,600 | Medical records specialists: $51,140/year |
| Patient support / telehealth support VA | $6.50–$10/hr | $1,040–$1,600 | Customer service representatives: $21.53/hour |
| Medical billing and AR follow-up VA | $7.50–$14/hr | $1,200–$2,240 | Billing and posting clerks: $48,500/year |
US figures are BLS (U.S. federal wage data) national median wages for May 2025, before benefits and payroll costs. For a deeper breakdown, see how much a medical virtual assistant costs, or model your own numbers with the VA cost savings calculator.
Without Outsourced Admin Support
- Clinical staff calling payers between patients
- Prior authorizations waiting in a queue
- Reminder calls skipped on busy days
- AR aging because nobody has time to follow up
With a VA MASTERS Healthcare Admin VA
- Verification and authorizations handled on a set schedule
- Reminders and follow-ups sent every day
- AR follow-up running weekly
- Clinical staff focused on patients
- First candidates in about 2 business days
As a medical tourism company operating globally across multiple countries and locations, maintaining organization and efficiency is crucial for our success. VA Masters helped us map out our processes and routines, identifying tasks that could be outsourced to optimize our workflow. Hiring four Virtual Assistants for administrative tasks, operations, customer support, and social media allowed us to streamline daily operations without losing control or quality. The cost savings have been significant—over 30% in administrative and operational expenses. …
Where Outsourcing Pays Back Fastest
The best return on healthcare outsourcing comes from work that is high-volume, rules-based and currently done by someone more expensive: a nurse or medical assistant making payer calls, or a practice manager chasing AR. For small practices, community health centers and home health agencies, three areas usually pay back first:
- Front-desk volume: scheduling, confirmations and reminders, so fewer slots go empty.
- Revenue leakage: eligibility checks before visits, prior authorization follow-up and weekly AR follow-up, so fewer claims are denied or written off.
- Clinical time: chart prep, intake paperwork and referral admin moved off clinical staff.
A simple test: a full-time healthcare admin VA through VA MASTERS costs about $12,480–$19,200 a year, against a US median wage of $45,930 for medical secretaries and administrative assistants before benefits (BLS, May 2025). Start part-time if you are unsure: 72% of VA roles opened between February and August 2026 were part-time (VA MASTERS’ analysis of 323 roles; see the report).
HIPAA and Offshore Healthcare Outsourcing
HIPAA does not ban offshore support staff, but it sets conditions for outside companies that handle protected health information (PHI). This is general information, not legal advice: ask your counsel about your own setup.
Business Associate Agreements (BAAs)
If your practice is a HIPAA covered entity, an outside company that creates, receives, maintains or transmits PHI on its behalf is generally a business associate, and the practice needs a written business associate agreement with that company before PHI is shared.
Minimum Necessary Access
Give each person only the access the role needs. A scheduling VA needs the scheduling system, not full clinical notes; an insurance verification VA needs payer portals and eligibility data. Individual logins (never shared passwords), two-factor authentication and removing access the same day a role ends are good practice.
Contracts That Restrict Offshore Access
Some payer, Medicaid and government contracts limit offshore access to PHI. Check yours before you plan the role.
How to Choose a Healthcare Outsourcing Partner
- Buy people or a function? One to a few dedicated staff points to a VA model; a whole revenue cycle points to an RCM vendor.
- Who picks the person? With a dedicated model, you should interview candidates and choose.
- Is the work tested? Ask for a skills test built on your real tasks, such as a scheduling scenario or an eligibility check.
- What does full-time really cost? Compare monthly cost for 160 hours, plus setup fees, minimum terms and notice periods.
- Support after the hire: who you call when something goes wrong, and whether a replacement is included.
How VA MASTERS Recruits Healthcare Admin VAs
Every search is custom-built for your practice through our 6-stage recruitment process. It is selective: about 1 in 508 applicants is placed (166,350 applications, January 2025 to July 2026; see the data).
Detailed Job Posting
We map your practice type, EHR and practice management system, payer mix and the exact tasks, then write a job description for that role.
Candidate Collection
Candidates are drawn from our database of 400,000+ pre-assessed Filipino applicants, with AI-assisted screening and human recruiters.
Initial Screening
Internet reliability, English and relevant experience (for example prior healthcare admin or US medical office work) are checked.
Custom Skills Test
Where the role needs it, candidates complete tasks built on your work; for a healthcare role, for example, a scheduling scenario, an insurance-verification walkthrough, a patient email or a billing follow-up.
In-Depth Interview
Our recruiters assess skills, communication and fit; for a healthcare role, for example, how a candidate would handle an upset patient or a denied claim.
Client Interview
First candidates arrive in about 2 business days. You interview the top 2–3 and choose who joins your practice.
Spending Clinical Hours on Insurance Calls?
Tell us which admin tasks are slowing your practice down, and we’ll recommend the first role to outsource.
Get in Touch →| What to check | VA MASTERS | What to ask other providers |
|---|---|---|
| Who selects the person | You choose from the top 2–3 candidates | Do you interview candidates, or is someone assigned? |
| Dedicated to your practice | ✓ Your VA works only for you | Is the person shared across clients or rotated? |
| Skills testing | ✓ Custom skills test where the role needs it | Is the test built on your tasks and systems? |
| Time to first candidates | About 2 business days | How long until I interview someone? |
| Cost to start | Nothing: no upfront or setup fees | Setup fees, minimum terms, notice periods? |
| Replacement | ✓ Free replacement if you’re not satisfied | Is a replacement included, and on what terms? |
What Our Clients Say
Real Messages from Real Clients
Hear From Our VAs: Happy VAs Do Better Work for Your Practice
Frequently Asked Questions
What are the best healthcare outsourcing companies in 2026?
It depends on who is buying. For small and mid-sized practices, clinics, medspas and telehealth teams: VA MASTERS (dedicated healthcare admin VAs from $6.50/hr), Hello Rache, HelpSquad and MEDVA. For hospitals and health systems that outsource revenue cycle work: AGS Health, Conifer Health Solutions, Ensemble Health Partners and Sutherland.
What are the top healthcare BPO firms for medical practices?
Large revenue cycle firms such as AGS Health, Conifer Health Solutions and Ensemble Health Partners mainly serve hospitals and health systems, and Conifer also serves physician groups. Most small practices get better value from a dedicated healthcare admin VA or a medical VA company, because the person learns your EHR, payers and patients instead of working a shared queue.
What is the best virtual medical outsourcing service for a small practice?
A dedicated healthcare admin VA who works only for your practice: you interview candidates, choose one, and the VA works inside your scheduling, EHR and billing tools. Through VA MASTERS this costs from $6.50/hr. For a ranking of medical VA services only, see our guide to the best medical virtual assistant services.
Which healthcare outsourcing gives the best ROI for small practices, community health or home health?
Outsourcing gives the best return on high-volume, rules-based admin work: scheduling and reminders, insurance verification, prior authorization follow-up, intake paperwork, records requests and billing follow-up. A full-time healthcare admin VA through VA MASTERS costs about $1,040–$1,600 a month, against a US median wage of $45,930 a year for medical secretaries and administrative assistants (BLS, May 2025, before benefits).
How much does healthcare outsourcing cost?
Through VA MASTERS, healthcare admin roles cost $6.50–$10/hr (about $1,040–$1,600 a month full-time) and medical billing and AR roles $7.50–$14/hr. Medical VA companies publish rates such as $8–$13/hr (HelpSquad) or $9.50/hr (Hello Rache). Revenue cycle firms for hospitals quote custom prices, often tied to collections.
Is it HIPAA compliant to outsource medical admin work offshore?
HIPAA does not ban offshore support staff. If your practice is a HIPAA covered entity, an outside company that creates, receives, maintains or transmits protected health information (PHI) on its behalf is generally a business associate, and the practice needs a written business associate agreement (BAA) with that company before PHI is shared. Some payer and government contracts also restrict offshore access to PHI. This is general information, not legal advice: ask your counsel before you start.
What healthcare admin tasks can be outsourced?
Appointment scheduling and reminders, insurance eligibility checks, prior authorization submission and follow-up, referral coordination, intake paperwork, medical records requests, EHR data entry, billing support, payment posting and AR follow-up, patient emails and chat, and credentialing paperwork.
What should a healthcare practice keep in-house?
Anything that needs a licensed clinician’s judgment: assessments, diagnoses, treatment and prescribing decisions, clinical triage and crisis response, plus in-person patient care. Outsourced staff handle the administrative work around those decisions.
Can medspas and aesthetic clinics outsource admin work?
Yes. Medspas and aesthetic and cosmetic clinics commonly outsource booking and rescheduling, consultation follow-ups, inquiry replies, reviews and reputation tracking, membership and package admin, and social media scheduling. Keep treatment decisions and any clinical advice with your licensed staff.
What is the difference between a healthcare VA and a medical BPO?
A healthcare VA is one dedicated person who works only for your practice, inside your systems. A medical BPO or revenue cycle firm runs a function for you with its own teams, processes and technology, usually under a larger contract. Practices that need one to a few people usually choose the dedicated model; large health systems usually choose a BPO.
How quickly can I hire a healthcare VA through VA MASTERS?
First candidates typically arrive in about 2 business days. You interview the top 2–3 candidates and choose who joins your practice.
Is there an upfront fee, and what if the VA isn’t the right fit?
It costs nothing to start: there are no upfront fees and no setup fees. If you’re not satisfied with your VA, you get a replacement, free of charge.
Ready to Give Your Clinical Team Their Time Back?
Tell us your practice type and your biggest admin bottleneck, and we’ll recruit the healthcare admin VA who takes it off your team’s plate.
- It costs nothing to start: no upfront or setup fees
- First candidates in about 2 business days
- Custom skills test where the role needs it
- Ongoing support and a free replacement guarantee
Anne is the Operations Manager at VA MASTERS, a recruitment agency specializing in Filipino virtual assistants for global businesses. She leads the end-to-end recruitment process — from custom job briefs and skills testing to candidate delivery and ongoing VA management — and has personally overseen the placement of 1,000+ virtual assistants across industries including e-commerce, real estate, healthcare, fintech, digital marketing, and legal services.
With deep expertise in Philippine work culture, remote team integration, and business process optimization, Anne helps clients achieve up to 80% cost savings compared to local hiring while maintaining top-tier quality and performance.
Email: [email protected]
Telephone: +13127660301
