Five things, in rough order of impact: whether the role is patient-facing (voice costs more than digital-only), how many hours a week (the published $8 to $13 band is the full-time rate, and part-time carries a higher hourly rate because the same recruiting, training, and management goes into fewer hours), how many assistants (rates improve with team size), how broad the scope is (one person covering both front desk and billing costs more), and shift timing (nights, weekends, and after-hours carry a premium).

No. $0 upfront, $0 implementation, and $0 replacement. We recruit, screen, assess, and present candidates before you pay anything, with no recruiting fee and no per-candidate fee. You are billed only once your assistant starts working.

Everything we provide: the assistant’s time (paid, taxed, and employed by us), a signed company-to-company HIPAA BAA, HIPAA-compliant virtual desktop access, individual HIPAA certification for every assistant, recruiting and screening, a dedicated account manager, and free replacement for the life of the relationship. You get a single vendor invoice: no W-2, no 1099, nothing added to your books.

Three things we would rather name up front. A phone system: if your assistant makes and takes calls, you provide VoIP (Zoom Phone or RingCentral, roughly $20 to $30 a month). EHR licenses and logins: you create the accounts, and any per-seat cost is yours. And training on your practice: in the staffing model you train day to day, and those hours bill as worked hours.

Two, and they are different things. Hours: 20 per week per assistant, lower than the 40 most agencies require, because we work with solo and small practices. Anything short of a full-time schedule is priced above the published band, so ask your account manager for a part-time quote. Term: a 3-month initial agreement that then renews automatically in 3-month increments until either side gives notice.