Last updated: 2026-08-12
Honest Taskers, Hello Rache, and MedVA lead this year's shortlist of virtual medical assistant companies for hand therapy, thirteen healthcare-focused staffing firms ranked on how they carry a hand therapy clinic's administrative load, and from scheduling recurring therapy sessions and tracking insurance authorizations and visit caps to new-patient intake, all in your time zone and under a signed BAA. The companies here staff your clinic with remote people, not scheduling software or AI phone bots. Below we set out which work gets covered all day, what a denied visit costs, how these companies price, whether a provider has done therapy authorizations in your system, and which authorization to take on first.
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
- 4HelpSquad Health
- 5Portiva
- 6Pearl Talent
- 7My Mountain Mover
- 8CareVMA Health
- 9Wishup
- 10Neolytix
- 11Virtual Nurse Rx
- 12VMeDx
- 13Global Medical Virtual Assistants
How we chose the best virtual medical assistant companies for hand therapy
We ranked these companies on five facts, each checked at the provider's own website on August 12, 2026. Those facts are healthcare specialization, talent location, published hourly pricing, the hand therapy tasks they say they cover, and HIPAA posture. Hand therapy admin means scheduling recurring therapy sessions and plans of care, insurance authorization and visit-cap tracking, new-patient intake, plan-of-care documentation support, referral coordination, recall for missed visits, and patient portal work, so we weighted firms that name those tasks. Therapy evaluation, treatment, and any clinical judgment stay with the licensed hand therapist, and the assistant schedules and coordinates only. Blank facts read "not publicly listed" instead of a guess.
Best virtual medical assistant companies for hand therapy compared
The table ranks all 13 on the same columns, Honest Taskers first because we publish the list. Rates were checked August 12, 2026 and change often, so treat them as a starting point, not a quote.
| Company | Healthcare focus | Talent location | Published hourly rate | Hand therapy support (as stated) | HIPAA posture (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Yes | US clients; recruiting in the Philippines, Latin America, India and Pakistan | $10.00–$12.65/hr | Session scheduling, authorization and visit-cap tracking, intake, plan-of-care documentation support, recall | HIPAA-trained; compliance verified by Accountable; BAA when PHI; SOC 2 audit-ready |
| Hello Rache | Yes | Philippines | $9.50/hr flat | Scheduling, patient calls, intake support | HIPAA-trained |
| MedVA | Yes | Philippines | Not publicly listed | Scheduling, authorization support, patient communication | HIPAA-trained; SOC 2-monitored systems |
| HelpSquad Health | Yes (plus general) | Philippines and India; US-managed | $8–$13/hr by role | Scheduling, intake, prior authorization follow-up | Company-level BAA; HIPAA virtual desktop |
| Portiva | Yes | Philippines | $10/hr | Scheduling, insurance verification, front-desk support | HIPAA-trained |
| Pearl Talent | Yes (plus general) | Latin America and Philippines | $9.95/hr, or from $3,000/mo | Patient intake and coordination | Compliance managed |
| My Mountain Mover | Yes | Not publicly listed | Not publicly listed | Managed front-office and scheduling support | Signed BAA; in-house HIPAA officer |
| CareVMA Health | Yes | Not publicly listed | From $9/hr | Scheduling and front-desk support | HIPAA-trained (company-reported) |
| Wishup | General, with a healthcare option | India-primary; US option | $1,299–$1,999/mo | Scheduling and general admin | HIPAA and PHI-trained |
| Neolytix | Yes | Not publicly listed (headquarters Chicago) | Not publicly listed | Virtual assistants alongside billing and authorization work (as stated) | ISO 27001 certified; HIPAA compliance stated |
| Virtual Nurse Rx | Yes (RN-staffed) | US-served | ~$12–$15/hr | RN-staffed patient calls and coordination | HIPAA-trained |
| VMeDx | Yes | Philippines | $10/hr | Scheduling and records coordination (as stated) | HIPAA-trained |
| Global Medical Virtual Assistants | Yes | Philippines | Not publicly listed (flat weekly rate) | Full-time scheduling and admin support (as stated) | Company-reported HIPAA training program; BAAs referenced |
A pattern shows up fast. Most staff therapy admin from the Philippines at $9 to $13 an hour, a few add Latin America for daytime US overlap on authorization calls, and only a handful put a signed BAA on the record for the staff who touch patient records and visit histories.
1. Honest Taskers
Best for: hand therapy clinics that want a full remote administrative desk, from recurring session scheduling to authorization tracking, staffed by healthcare-trained people including licensed nurses.
Pricing: $10.00–$12.65/hrLocation: US clients; PH, LatAm, India and Pakistan recruitingModel: Managed staffingFirst hire: Two-week working trial
Honest Taskers is a healthcare-focused virtual staffing company that runs the administrative side of US medical, dental, mental health, and specialty practices, including outpatient rehabilitation and hand therapy clinics. Its virtual medical assistants schedule recurring therapy sessions and plans of care, track insurance authorizations and visit caps, run new-patient intake, support plan-of-care documentation, coordinate referrals from orthopedic and plastic surgeons, and recall patients who miss visits, all inside your EHR and practice management system. Candidates are trained on HIPAA and data privacy under a dedicated compliance officer, work in your time zone, and sign a Business Associate Agreement when they'll access PHI, with HIPAA compliance verified by Accountable. The talent pool includes licensed nurses and physicians, rates begin around $10 per hour and range up to about $12.65 depending on role, background, schedule, and location, and every client gets a Customer Success Advocate plus a two-week working trial with their first hire. Honest Taskers reports 99.6% average monthly retention, so the person managing your schedule stays consistent, and the assistant coordinates while your certified hand therapists own every evaluation and treatment decision. See the multi-purpose virtual medical assistant service for role details.
Limitation: not the lowest hourly rate on this list.
2. Hello Rache
Best for: solo and small hand therapy practices that want a flat, low-cost administrative assistant from nurse-background staff.
Pricing: $9.50/hr flatLocation: PhilippinesModel: Dedicated/managedTrial: Not publicly listed
Hello Rache staffs dedicated healthcare virtual assistants from the Philippines, many of them licensed nurses, for administrative work like patient calls, appointment scheduling, and intake support. Pricing is a flat $9.50 an hour with no contracts and cancel-anytime terms, and assistants complete HIPAA training and stay paired with the same practice rather than rotating, which helps continuity on recurring therapy schedules.
Limitation: the Business Associate Agreement isn't described publicly, so confirm it in writing.
3. MedVA
Best for: busy hand therapy clinics that want a managed admin team rather than a self-serve hire.
Pricing: Not publicly listedLocation: PhilippinesModel: Managed + account managerTrial: Not publicly listed
MedVA was founded by physicians and places medical virtual assistants for scheduling, authorization support, and patient communication across many specialties. Its assistants are HIPAA-trained and work inside what the company calls SOC 2-monitored systems, with a dedicated account manager on every relationship.
Limitation: no public pricing.
4. HelpSquad Health
Best for: practices that want a US-held BAA for the staff handling authorizations and patient records.
Pricing: $8–$13/hr by roleLocation: PH + India; US-managedModel: Managed staffingTrial: Not publicly listed
HelpSquad Health runs managed virtual assistants with US oversight from Doylestown, Pennsylvania, staffing patient-facing roles from the Philippines and India. Scheduling, intake, and prior authorization follow-up run about $8 to $13 an hour by role, and every rate includes a company-level BAA held with HelpSquad plus a HIPAA virtual desktop.
Limitation: 20 hours a week minimum on a three-month term.
5. Portiva
Best for: practices that want to test an administrative hire at a flat $10 an hour.
Pricing: $10/hrLocation: PhilippinesModel: Managed/offshoreTrial: 7-day (company-reported)
Portiva places HIPAA-trained remote staff from the Philippines for scheduling, insurance verification, and front-desk support at $10 an hour, work that maps well to a hand therapy clinic's authorization and rebooking load. It's one of the few here to advertise a short trial, a company-reported 7 days with no long-term contract, and its assistants are background-checked with HIPAA training certificates.
Limitation: offshore-only staffing from a single country.
6. Pearl Talent
Best for: practices that want Latin America time-zone overlap for daytime authorization and payer calls.
Pricing: $9.95/hr or $3,000/moLocation: Latin America + PhilippinesModel: Managed servicesTrial: Not publicly listed
Pearl Talent staffs patient intake specialists and coordinators from Latin America and the Philippines, with strong US time-zone overlap from the Latin America pool for daytime phone and payer coverage. Pricing starts around $9.95 an hour, or from $3,000 a month on a managed model that covers payroll and compliance, and candidates go through medical terminology assessments before placement.
Limitation: it also serves non-healthcare clients, so confirm healthcare depth.
7. My Mountain Mover
Best for: practices that want a signed BAA and a named compliance owner on the admin desk.
Pricing: Not publicly listedLocation: Not publicly listedModel: ManagedTrial: Not publicly listed
My Mountain Mover places managed medical virtual assistants for front-office and scheduling support across clinics, dental, and behavioral health. Its compliance posture stands out, with a signed Business Associate Agreement for every healthcare client and an in-house HIPAA compliance officer.
Limitation: neither pricing nor talent location is published.
8. CareVMA Health
Best for: practices that want a fast admin match at a low entry rate.
Pricing: From $9/hrLocation: Not publicly listedModel: Fully managedTrial: Not publicly listed
CareVMA Health provides fully managed virtual assistants from $9 an hour for scheduling and front-desk support, and advertises a match in about 48 hours. Its assistants are described as trained on common EHR platforms, which the company says shortens ramp time on a therapy schedule.
Limitation: talent location isn't stated publicly.
9. Wishup
Best for: practices that need scheduling plus general admin from one assistant.
Pricing: $1,299–$1,999/moLocation: India-primary; US optionModel: ManagedTrial: Not publicly listed
Wishup is a general virtual assistant company with a healthcare option, so its HIPAA and PHI-trained assistants can cover scheduling and intake alongside general business admin. Healthcare plans run roughly $1,299 a month for 80 hours up to $1,999 for a full 160 hours, with a US-based option at a higher rate and a dedicated VA manager.
Limitation: it's a generalist, not a healthcare-only firm.
10. Neolytix
Best for: therapy practices that want authorization and billing handled by the same firm as the front desk
Pricing: Not publicly listedLocation: Chicago headquartersModel: Outsourced functionTrial: Not publicly listed
Neolytix states RCM, billing, coding audit, credentialing, provider enrollment and virtual assistants as one service line, with explicit small-practice and mid-market tiers across 31 specialties and 40 states. Hand therapy runs on visit authorizations, so buying the authorization work and the scheduling together is a defensible shape.
Limitation: no published pricing, so comparing on cost takes a quote
11. Virtual Nurse Rx
Best for: hand therapy practices that want registered nurses fielding patient calls between sessions.
Pricing: ~$12–$15/hrLocation: US-servedModel: Managed staffingTrial: Not publicly listed
Virtual Nurse Rx staffs assistants who are registered nurses, which helps when a patient calls about swelling or a splint before the next session and the question needs to reach a therapist quickly. Assistants complete HIPAA training and work directly in the practice's systems in real time, and they don't answer clinical questions themselves, they route them to your licensed hand therapist.
Limitation: the highest hourly rate here, at roughly $12 to $15.
12. VMeDx
Best for: therapy practices that want a flat $10 hourly rate from a healthcare-only firm.
Pricing: $10/hrLocation: PhilippinesModel: Managed/offshoreTrial: Not publicly listed
VMeDx places HIPAA-trained medical virtual assistants from the Philippines at a flat $10 an hour, so a full-time admin seat costs the same every week and you don't have to re-run the math each month. It's a healthcare-only firm, and its assistants handle front-office coordination such as scheduling and records (as stated), which maps onto a hand therapy clinic's recurring session calendar and recall list.
Limitation: offshore-only staffing from a single country.
13. Global Medical Virtual Assistants
Best for: hand therapy clinics that want a dedicated healthcare assistant and can fill a full 40-hour week.
Pricing: Not publicly listedLocation: PhilippinesModel: Full-time dedicatedTrial: Not publicly listed
Global Medical Virtual Assistants is a healthcare-only firm staffing from the Philippines, and it places each specialist on a flat weekly rate that isn't published, so the figure comes from a quote. Every professional goes through a company-reported HIPAA training program, and the company's compliance materials reference Business Associate Agreements, which is worth confirming in writing before anyone opens a plan of care.
Limitation: full-time only at 40 hours a week, with no part-time option.
Which hand therapy work can a virtual medical assistant cover all day?
Scheduling, authorizations and intake, which is most of a hand therapy front office and none of the therapy itself. An in-house administrative assistant earned about $45,690 a year, roughly $21.97 an hour before benefits, according to the U.S. Bureau of Labor Statistics May 2025 wage data for medical assistants, while the offshore-focused firms here run $9 to $15 an hour. A medical answering service only takes messages after hours and doesn't work in your therapy EHR, and an AI phone bot can't chase a workers' comp authorization or explain a visit cap to a patient. Don't hire a virtual assistant company if you only need overnight message-taking, since a dedicated answering service is cheaper for that narrow job. The reason clinics delegate this work is the same reason they delegate charting, since the American Medical Association's work on administrative burden ties excessive front-office and EHR tasks to clinician burnout, and moving authorization tracking and scheduling off your therapy team hands time back. For a fuller comparison, see how administrative burden builds up in a practice.
What does a denied hand therapy visit cost when a virtual medical assistant missed the authorization?
The visit and the plan behind it, which is why denied visits sit alongside PHI exposure, turnover and scope creep as the four to settle.
- PHI in records and calls. Ask for the signed BAA and the device and network controls, since an assistant handling intake and plans of care sees protected health information all day.
- Denied visits and lapsed authorizations. Ask how the company tracks visit caps and authorization expirations, because a missed re-authorization means unpaid sessions.
- Turnover and continuity. Ask about retention, since a new assistant every few months resets rapport with recurring therapy patients and your training.
- EHR fit. Ask which candidates have used your therapy platform, such as WebPT, Prompt, Raintree, or Net Health.
- Clinical scope. Ask how the company keeps the assistant in an administrative lane, since therapy evaluation and treatment must stay with your licensed hand therapist.
How do virtual medical assistant companies price their services?
Virtual medical assistant companies price their services three main ways, by a flat hourly rate, a managed monthly plan, or a custom quote. Hourly staffing on this list runs from Hello Rache at $9.50 and CareVMA from $9, up to Virtual Nurse Rx at roughly $12 to $15 for registered nurses, with managed monthly plans like Wishup's landing near $1,300 to $2,000 for full-time hours (rates checked August 2026). Honest Taskers sits mid-range, beginning around $10 per hour and reaching about $12.65 depending on role, background, schedule, and location. Compared with an in-house administrative salary near $45,690 a year plus benefits, a remote assistant is the lower-overhead option, and price tracks talent location, hours of coverage, and the level of managed oversight. For the full breakdown, see how much a virtual medical assistant costs in 2026.
Has the hand therapy virtual medical assistant company done therapy authorizations in your system?
Ask which systems by name, then weigh healthcare specialization, HIPAA posture and pricing you can budget against.
- Therapy admin experience. A firm that names session scheduling, authorization and visit-cap tracking, intake, and recall ramps faster than a general agency. See the full virtual medical assistant duties to scope the role.
- Authorization workflow. Confirm the assistant can chase prior authorizations and re-authorizations before visit caps run out. Our guide to how a virtual assistant handles prior authorization shows the workflow.
- HIPAA posture in writing. Look for HIPAA training plus a signed Business Associate Agreement when the assistant handles patient records, and ask each company to put its safeguards in writing.
- Your therapy EHR. Confirm experience with your practice management and documentation platform, such as WebPT, Prompt, Raintree, or Net Health.
- Clinical scope in the contract. The assistant schedules and coordinates only, so the plan of care and every treatment decision stay with your certified hand therapist.
Which hand therapy authorization should a virtual medical assistant take on first?
The one closest to running out, because a lapsed authorization stops a course of therapy mid-way.
- List the tasks to delegate first, such as session scheduling, authorization tracking, intake, and recall for missed visits.
- Shortlist firms whose therapy admin experience, talent location, and HIPAA posture fit your practice.
- Interview one or two candidates and confirm therapy EHR and authorization experience.
- Sign a Business Associate Agreement before anyone touches patient data.
- Run a trial, then onboard with clear scheduling rules, authorization checklists, and escalation paths to your therapists.
For a fuller walkthrough, read how to hire a virtual medical assistant.
Methodology and sources
We verified each company at its own website on August 12, 2026, recording healthcare focus, talent location, published pricing, stated hand therapy support, and HIPAA posture. Wage context is from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics. Hourly rates are volatile and were captured as dated points, not permanent quotes, so re-check before you buy. Where a company didn't publish a fact, we marked it "not publicly listed"; self-stated claims are labeled company-reported.
Related virtual medical assistant staffing guides
If you're still mapping the role to your clinic, start with the basics. Our guide to what a virtual medical assistant does covers the day-to-day administrative work a remote hire owns, from scheduling and intake to authorization follow-up, so you can decide which tasks to hand off first.
Want the full picture of the role first? Our virtual medical assistant guide walks through the scheduling, documentation, and practice management work a virtual assistant does daily, which helps you confirm a candidate can step into your WebPT, Prompt, or Raintree setup without a long ramp.
Speak with Honest Taskers about building a remote support team for your hand therapy practice.