Last updated: 2026-08-24
Honest Taskers, Hello Rache, and MEDVA lead this year's shortlist of telehealth virtual assistant companies, nine firms ranked on how they support a virtual visit end to end, from booking and tech checks before the appointment to intake, in-visit documentation support, e-prescribing follow-up, and the post-visit summary and rebooking. Telehealth is the one setting where the assistant is as remote as the clinician, which removes the usual argument for keeping the role in the building. Below we set out which objection does not apply to a telehealth practice, where the risk concentrates, what the work costs, whether a provider names a scribe role, and what your visit pattern says.
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.
At a glance
- 1Honest Taskers
- 2Hello Rache
- 3MEDVA
- 4VMeDx
- 5DocVA
- 6HelpSquad Health
- 7Virtual Nurse Rx
- 8Wing Assistant
- 9My Mountain Mover
How we chose the best telehealth virtual assistant companies
We ranked these firms on five facts, read at each provider's own website on August 24, 2026: telehealth scope, the HIPAA and Business Associate Agreement position in each firm's own words, published pricing, commitment terms, and the verified detail each publishes. Two things matter more in telehealth than elsewhere. Hours coverage, because a virtual practice often sees patients across several time zones, and a real Business Associate Agreement, because in telehealth every interaction is mediated by software and there is no paper trail sitting in a filing cabinet as backup.
Best telehealth virtual assistant companies compared
The table ranks all 9 on the same columns, Honest Taskers first because we publish the list. Facts were read on August 24, 2026 and change often, so treat them as a starting point, not a quote.
| Company | Telehealth scope | HIPAA / BAA as stated | Published pricing | Commitment | Notable verified facts |
|---|---|---|---|---|---|
| Honest Taskers | Booking and tech checks, intake, documentation support, e-prescribing follow-up, post-visit summary, rebooking | BAA when PHI is accessed; HIPAA compliance verified by Accountable; compliance officer | $10.00–$12.65/hr | Hourly; two-week trial on first hire | Licensed nurses and physicians in pool; 99.6% average monthly retention |
| Hello Rache | Virtual medical scribe, receptionist and administrative assistant roles | "HIPAA-Trained & Certified"; "HIPAA-Compliant Assistants", no BAA terms stated | $9.50 USD per hour | "Cancel anytime - No Long-Term Commitment" | Scribe, receptionist, admin, optometry; dental and vet lines; Arizona offices |
| MEDVA | Certified medical scribes, receptionists, administrative assistants, remote patient monitoring, bilingual Spanish | Mandatory HIPAA and cybersecurity training validated by a third party (Compliancy Group), no BAA wording | Not publicly listed | "No long-term commitments required to begin"; free replacement VA | 1,000+ practices: 400+ medicine, 200+ surgical, 290+ dental, 75+ PT |
| VMeDx | Remote scribe, receptionist, prior authorization, RPM, patient communication, 24/7 availability | "HIPAA-trained" assistants; "follows HIPAA-compliant processes", no BAA wording | Not publicly listed | Not publicly listed | Prior auth, scribe, RPM, dental, vet; top 3%; 24/7; Nashville TN |
| DocVA | Live medical scribing, patient calls, scheduling, insurance verification, patient follow-up | "HIPAA-certified and handles PHI to the same standard as your in-office staff", no BAA wording | Not publicly listed | "There is a contract, but there is not a lock-in period. You can cancel anytime." | RNs, pharmacists, certified billers; Philippines; 150+ practices |
| HelpSquad Health | Patient-facing voice work and back-office digital work, plus live chat | "HIPAA BAA + virtual desktop" included in the rate; individual HIPAA certification for every assistant | $8–10/hr back office; $10–13/hr patient-facing; live chat $185–$600/mo | 20 hrs/week minimum; 3-month term, auto-renewing | US-based and US-managed; $0 upfront, setup and replacement |
| Virtual Nurse Rx | Scheduling, intake, transcription, referral management, after-hours answering, live chat | "HIPAA-compliant; BAA provided to every client" | Not publicly listed | Month-to-month; 48-hour average deployment | "No AI Does Your Work"; admin support only; Florida HQ, 50 states |
| Wing Assistant | Healthcare virtual assistants and customer service reps with 24/7 availability | Healthcare VA product named; no HIPAA detail published | Not publicly listed | Not publicly listed | 10,000+ active assistants; 2M+ screened yearly; 24/7 cover |
| My Mountain Mover | Medical receptionist, scribe and administrative assistant roles; EHR-experienced | "A signed HIPAA Business Associate Agreement (BAA) is part of the contract we provide to all our healthcare clients" | Not publicly listed | Hired within 7–14 days | 1000+ practices; 1600+ VAs; 50+ specialties; EHR-experienced |
Scribing is the capability to check first for a telehealth practice, because documentation load during a virtual visit is the main reason clinicians burn out on it. Five firms here name a scribe role. The second thing to check is coverage: VMeDx and Wing Assistant both publish 24/7 availability, which matters if your patients span coasts. Live chat, offered by HelpSquad Health and Virtual Nurse Rx, is a genuinely telehealth-native channel that most of this market ignores.
1. Honest Taskers
Best for: telehealth practices wanting the whole visit wrapper covered in their own time zone under a signed BAA.
Pricing: $10.00–$12.65/hrCompliance: HIPAA verified by Accountable; BAACommitment: HourlyFirst hire: Two-week working trial
Telehealth removes the geography argument entirely. There is no front desk to stand at and no chart to carry, so an assistant who is remote is exactly as present as the clinician. What a virtual practice needs covered is the wrapper around the visit: confirming the appointment and running a technology check so the first five minutes are not spent troubleshooting audio, completing intake and consent before the visit rather than during it, supporting documentation while the clinician talks, following up on e-prescriptions that did not reach the pharmacy, sending the visit summary, and rebooking. Honest Taskers places staff working your time zone inside your platform and chart on all of it. Staff are trained on HIPAA and data privacy under a dedicated compliance officer, with a Business Associate Agreement signed before access and HIPAA compliance verified by Accountable. The talent pool includes licensed nurses and physicians. Rates run about $10 to $12.65 an hour by role, background, schedule and location, with a two-week working trial on the first hire and 99.6% average monthly retention reported. See the telehealth medical assistant service for role detail.
Limitation: staff work administratively, so clinical documentation is prepared for the clinician to review and sign rather than authored independently, and the firm describes its security environment as SOC 2 audit ready rather than holding a SOC 2 or ISO 27001 certification.
2. Hello Rache
Best for: telehealth practices wanting scribing at the lowest published rate with no commitment.
Pricing: $9.50/hrCompliance: HIPAA-trained and certifiedCommitment: Cancel anytimeBase: US offices in Arizona
Hello Rache is the cheapest published route into this role. It publishes $9.50 USD per hour, the lowest openly stated rate among healthcare-specialized firms, on a "Cancel anytime - No Long-Term Commitment" basis, which together make it the cheapest way to test whether a remote hire works for your practice at all. Roles cover virtual medical scribe, virtual medical receptionist, virtual administrative assistant and virtual optometry assistant, with dental and veterinary specialisations alongside. It describes its assistants as HIPAA-trained and certified, and operates US offices in Arizona.
Limitation: it names no Business Associate Agreement anywhere on its pricing page, which for a firm handling protected health information is the gap to close in writing first, and its own placement and practice counters render as placeholder zeros.
3. MEDVA
Best for: telehealth groups wanting certified scribes and a provider proven at scale.
Pricing: Not publicly listedCompliance: HIPAA training validated by Compliancy GroupCommitment: None to beginScale: 1,000+ practices
MEDVA brings the largest verified practice base here. Its scale is the strongest verified claim in this pool: 1,000 or more healthcare practices, broken down as 400 or more medicine clinics, 200 or more surgical practices, 290 or more dental and orthodontic offices, and 75 or more physical therapy and chiropractic clinics. Staff include licensed medical assistants and certified medical scribes alongside receptionists, administrative assistants, billing assistants and remote patient monitoring support, with bilingual Spanish available. Screening is multi-stage with competency assessments, HIPAA and cybersecurity training is mandatory and validated through third-party compliance partner Compliancy Group, work happens remotely or in an optional Epic-approved secured facility, and a replacement VA is placed at no additional cost.
Limitation: no pricing is published anywhere, and its compliance position is a training claim validated by a third party rather than a stated Business Associate Agreement, so ask for the BAA explicitly.
4. VMeDx
Best for: telehealth practices needing 24/7 cover and scribing plus prior authorization from one vendor.
Pricing: Not publicly listedCompliance: HIPAA-trained assistantsCommitment: Not publicly listedBase: Nashville, Tennessee
VMeDx covers the widest span of adjacent roles under one vendor. Its role list is the broadest in this pool, covering virtual medical assistant, receptionist, prior authorization specialist, remote scribe, billing assistant, remote patient monitoring, administrative assistant, plus dedicated dental and veterinary lines and healthcare digital marketing. Training is stated in electronic medical record systems, medical coding and billing, and US healthcare regulations, candidates are screened to the top 3% through a multi-phase process, and availability is 24/7. Assistants are described as HIPAA-trained and the company states it follows HIPAA-compliant processes. It is based in Nashville, Tennessee.
Limitation: it publishes neither pricing nor commitment terms nor any Business Associate Agreement wording, and states no delivery location for its staff, which leaves three of the five things a practice needs to compare unanswered.
5. DocVA
Best for: telehealth practices wanting live scribing from staff with clinical backgrounds.
Pricing: Not publicly listedCompliance: HIPAA training (company-reported)Commitment: Contract, no lock-inStaff: RNs, pharmacists, certified billers
DocVA hires from a different pool than most, which shows up on anything clinically adjacent. Its differentiator is who it hires: it states that every DocVA virtual medical assistant is an experienced healthcare professional, naming registered nurses, pharmacists, certified billers and experienced medical scribes among them. Commercially it is unusually clear, stating there is a contract but no lock-in period and that you can cancel at any time. Delivery is from the Philippines with the Data Privacy Act referenced, assistants are described as HIPAA-certified and handling protected health information to the same standard as in-office staff, and it reports over 1,000 virtual assistants placed across hundreds of practices with 150 or more practices served.
Limitation: no pricing is published, and while assistants are described as HIPAA-certified there is no Business Associate Agreement wording, which is the document that allocates liability.
6. HelpSquad Health
Best for: telehealth practices wanting published rates and live chat alongside voice.
Pricing: $8–10/hr digital; $10–13/hr voiceCompliance: BAA and virtual desktop includedCommitment: 20 hrs/wk, 3-month termSetup: $0 upfront
HelpSquad Health publishes the only full rate card in this pool. It is the only firm here that publishes a full rate card, splitting back-office digital work at $8 to $10 an hour from patient-facing voice work at $10 to $13, with managed teams quoted separately and shared live chat from $185 to $600 a month. What matters more is that the rate includes a HIPAA BAA and a virtual desktop, and it states individual HIPAA certification for every assistant. It is a US-based, US-managed company, charges $0 upfront, $0 implementation and $0 replacement costs, and names client practices including Imagine Advanced Dental Arts, Keady Family Practice and Spark Orthodontics.
Limitation: the 20 hours a week per assistant minimum and a 3-month agreement that auto-renews in 3-month increments make it the least flexible published commitment here, so it suits a settled need rather than a trial.
7. Virtual Nurse Rx
Best for: telehealth practices needing after-hours answering and live chat on a month-to-month basis.
Pricing: Not publicly listedCompliance: BAA provided to every clientCommitment: Month-to-monthSpeed: 48-hour average deployment
Virtual Nurse Rx is the fastest to deploy and the most explicit about scope. Two published statements make it worth close attention. The first is commercial: it provides a BAA to every client, on month-to-month engagements, with an average deployment of 48 hours for a ready practice. The second is a piece of honesty rare in this market. Despite RN and MD staffing in its own positioning, it states plainly that it offers administrative support only and that clinical decisions always remain with your licensed providers. It also advertises a "100% Human-Performed Service: No AI Does Your Work", which is a direct answer to a question more practices are asking. It is headquartered in Sun City Center, Florida and serves all 50 states.
Limitation: no pricing is published, and the RN and MD framing in its own positioning sits awkwardly beside its statement that the service is administrative support only, so be clear internally about what you are buying.
8. Wing Assistant
Best for: telehealth practices spanning time zones that need round-the-clock cover.
Pricing: Not publicly listedCompliance: No HIPAA detail publishedCommitment: Not publicly listedScale: 10,000+ active assistants
Wing Assistant is the scale option, which means replacement speed and out-of-hours cover. It brings the deepest bench of any firm here, reporting more than 10,000 active assistants and more than two million applicants screened annually, with 24/7 specialist availability and a 4.8 out of 5 average rating. A healthcare virtual assistant is one of its named products, alongside customer service representatives, executive and administrative assistants, digital marketing assistants and sales development representatives, so scale and out-of-hours coverage are its real arguments.
Limitation: it publishes no pricing, no delivery location, no commitment terms and no HIPAA detail beyond having a healthcare product, which leaves a practice unable to compare it on any of the points that matter most.
9. My Mountain Mover
Best for: telehealth practices wanting a signed BAA in the standard contract and EHR-experienced staff.
Pricing: Not publicly listedCompliance: Signed BAA in every healthcare contractCommitment: Not publicly listedSpeed: Hired in 7–14 days
My Mountain Mover settles the compliance question in the contract rather than in negotiation. It gives the clearest contractual answer in this pool, stating that a signed HIPAA Business Associate Agreement is part of the contract provided to all healthcare clients rather than something you negotiate. Its talent is described as pre-trained healthcare staff experienced in widely used electronic health records, and it reports 1000 or more practices served, 1600 or more pre-trained virtual assistants and coverage of 50 or more specialties, with hiring completed within 7 to 14 days. It claims practices save up to 70% on overhead costs, a company-reported figure with no methodology published.
Limitation: it publishes no pricing at all, and the "save up to 70% on overhead costs" claim carries no published methodology, so treat it as marketing rather than a projection.
Which objection to hiring remotely does a telehealth practice not have?
Remotely, in almost every case, because the usual objection does not apply. A telehealth practice has no waiting room to staff, no physical mail to open and no patient to greet at a desk, so the entire administrative function can sit anywhere. That makes the cost comparison unusually clean: a medical secretary or administrative assistant earned a median $22.08 an hour, about $45,930 a year, according to the U.S. Bureau of Labor Statistics May 2025 wage data for secretaries and administrative assistants, against published remote rates from $9.50 an hour at Hello Rache to $12.65 at Honest Taskers. Buy hours against your actual visit pattern rather than a working day, since telehealth demand skews early and late. And buy scribing deliberately: documentation during a virtual visit is the load clinicians complain about most, and five firms here name a scribe role. What stays with the clinician is the record itself. An assistant prepares documentation; the clinician reviews and signs it. For the scope, see tasks to outsource to a virtual medical assistant.
Where does telehealth risk concentrate for a virtual assistant?
Everything in telehealth is mediated by software, which concentrates risk in access control and documentation.
- BAA versus HIPAA training. A Business Associate Agreement is a contract allocating liability for a breach. "HIPAA-trained" describes a person who sat a course. Ask which you are getting, in writing.
- Platform access. The assistant needs access to your telehealth platform as well as your chart. Scope both, then review them.
- Documentation authorship. Prepared notes must be reviewed and signed by the clinician. Write that boundary down.
- Coverage against visit hours. Telehealth demand skews outside office hours. Buy the shift, not the country.
- State licensure of clinicians. Not the assistant's issue, but confirm your own coverage, since telehealth licensure follows the patient's state.
How much does a telehealth virtual assistant cost?
Four firms publish rates. Hello Rache is $9.50 an hour, cancel anytime. HelpSquad Health is $8 to $10 an hour for back-office work and $10 to $13 for patient-facing, with a BAA and virtual desktop included, but a 20 hours a week minimum on a rolling 3-month term. Staffingly is $399 a week per person for 45 hours, falling to $299 at ten or more, under $9 an hour at the top tier. Honest Taskers is $10.00 to $12.65 an hour with no minimum. Everyone else on this list quotes on request. For context, a medical secretary or administrative assistant earned a median $22.08 an hour, about $45,930 a year, according to the U.S. Bureau of Labor Statistics May 2025 wage data for secretaries and administrative assistants. For telehealth the useful unit is cost per visit supported, which is easy to calculate from visit volume and assistant hours. Practices running a heavy documentation load often find a scribe pays for itself in recovered clinician hours alone. Rates were checked on August 24, 2026 and change often. For rate context, see how much a virtual medical assistant costs in 2026.
Does the telehealth virtual assistant company name a scribe role?
Scribing capability, hours coverage, platform experience, and a signed BAA.
- A named scribe role. Five firms here name one. Documentation is usually the real problem.
- Coverage matched to visit hours. VMeDx and Wing Assistant publish 24/7. Ask everyone else for the shift.
- Telehealth platform experience. Ask which platforms the assistant has worked in, not just which EHRs.
- A signed BAA. Four firms here state one; the rest describe training.
- Chat capability. If your patients message rather than call, ask whether chat is staffed.
What does your visit pattern say about the telehealth virtual assistant you need?
Start with your visit pattern, because it decides both the hours you buy and the role you need.
- Map visits by hour and day for one month, including the ones that started late.
- Separate the documentation load from the scheduling and intake load, since they are different hires.
- Decide whether chat needs staffing alongside voice.
- Get the BAA and scoped access to both the chart and the telehealth platform before the first shift.
- Review at four weeks on visits starting on time and clinician documentation hours recovered.
For a fuller hiring walkthrough, read how to hire a virtual medical assistant.
Methodology and sources
We read each company's own website on August 24, 2026, recording telehealth scope, the HIPAA and Business Associate Agreement position exactly as each firm words it, published pricing, commitment terms, and the facts each firm publishes about itself. Wage context is from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics. Business Associate Agreement obligations are set by the HIPAA Privacy and Security Rules. Where a company didn't publish a fact we marked it "not publicly listed"; practice counts, retention rates and savings claims are company-reported and were not independently audited. Portiva was excluded because its site redirects to a domain that refuses automated requests.
Related telehealth staffing guides
If documentation is the load rather than scheduling, a scribe is a different hire from a receptionist. Our guide to virtual medical assistant duties separates the two and shows what each can own in a virtual practice.
Speak with Honest Taskers about staffing your telehealth practice.