Last updated: 2026-08-24
Honest Taskers, Sagility, and Firstsource lead this year's shortlist of virtual medical assistant companies for integrated health systems, seven firms ranked on published pricing, the Business Associate Agreement position each states in its own words, commitment terms, and what each publishes about itself. For integrated health systems the work that matters is supporting centralised scheduling and pre-registration across sites. Below we set out which centralised scheduling work a remote assistant can absorb across sites, what information security review adds before access, what the work costs, whether a provider can clear procurement, and which task to hand over first. Of the seven here, two publish a rate and one states a signed BAA, and those two columns narrow the list faster than any claim about quality.
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
- 2Sagility
- 3Firstsource
- 4Healthcare Provider Solutions
- 5Task Virtual
- 6WOW Remote Teams
- 7Hello Rache
How we chose the best virtual medical assistant companies for integrated health systems
We ranked these firms on five facts, each read at the provider's own website on August 24, 2026: the scope each offers integrated health systems, the HIPAA and Business Associate Agreement position in the firm's exact wording, published pricing, commitment terms, and the verified detail each publishes. We ignored claims about screening quality and talent percentiles, because every firm in this market makes them and none is checkable from outside. What's checkable is what a firm will commit to. For integrated health systems the additional question is whether the assistant can handle handling verification and authorization at volume without being taught the basics first.
Best virtual medical assistant companies for integrated health systems compared
The table ranks all 7 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 | What the firm offers | HIPAA / BAA as stated | Published pricing | Model | Notable verified facts |
|---|---|---|---|---|---|
| Honest Taskers | Hourly placed staff working in your own systems across reception, intake, records, prior authorization, billing support and patient outreach | BAA when PHI is accessed; HIPAA compliance verified by Accountable | $10.00–$12.65/hr | Hourly, no minimum; two-week trial | Licensed nurses and physicians in pool; 99.6% average monthly retention |
| Sagility | Enterprise | Not publicly listed | Not publicly listed | Outsourced revenue cycle | Claims and membership management, payment integrity, provider network operations, payer clinical services, denial reduction; Payers primarily; states "7 of 10 top health |
| Firstsource | Enterprise | Not publicly listed | Not publicly listed | Outsourced revenue cycle | Customer experience, intelligent back office, AI-driven collections; Healthcare providers and health plans among nine industries; Not stated |
| Healthcare Provider Solutions | Home health + hospice billing, coding, OASIS review, consulting | HIPAA Compliant & Secure" | Not publicly listed | Outsourced services and consulting | 25 years in business; 130+ agencies supported; 100% US-based support; 15+ EMR systems; HH coders hold HCS-D, hospice coders HCS-D and HCS-H (company-stated); named staff |
| Task Virtual | Kolkata, West Bengal office | HIPAA-trained | $6.24/hr | Placed remote staff | $6.24/hr; Reception, medical billing, transcription, insurance verification, EMR data entry, patient follow-up, credentialing support, call answering; HIPAA-trained; stat |
| WOW Remote Teams | Latin America (region stated, countries not named) | Not publicly listed | Not publicly listed | Placed remote staff | Not publicly listed (priced by seniority, skills, English level and hiring model); Medical and healthcare listed as a role category; Not stated |
| Hello Rache | Virtual medical scribe, receptionist, administrative assistant and optometry assistant roles; dental and veterinary lines | "HIPAA-Trained & Certified", but no BAA terms stated | $9.50 USD per hour | Cancel anytime, no long-term commitment | Scribe, receptionist, admin, optometry; Arizona offices |
Read the compliance and pricing columns together. The firms that publish a rate aren't the ones with the weakest compliance position, which is the usual assumption, and several firms publish neither a price nor commitment terms nor a Business Associate Agreement, which means three separate negotiations before you can compare them to anything. For integrated health systems the scope column matters too, because coordinating records between facilities and employed practices isn't work every provider has done before.
1. Honest Taskers
Best for: integrated health systems that want a published hourly rate, a signed BAA and third-party verified compliance with no minimum.
Pricing: $10.00–$12.65/hrCompliance: HIPAA verified by Accountable; BAACommitment: Hourly, no minimumFirst hire: Two-week working trial
Honest Taskers is where this list starts because the compliance and pricing questions are answered in public rather than in a quote. For integrated health systems the placed assistant works your time zone inside your own systems on supporting centralised scheduling and pre-registration across sites, handling verification and authorization at volume, coordinating records between facilities and employed practices, and supporting care gap outreach across an attributed population. Staff are trained on HIPAA and data privacy under a dedicated compliance officer, a Business Associate Agreement is signed before anyone touches protected health information, and HIPAA compliance is verified by Accountable rather than asserted internally. The talent pool includes licensed nurses and physicians. Rates run $10.00 to $12.65 an hour depending on role, background, schedule and location, billed hourly with no weekly minimum, and the first hire comes with a two-week working trial. Honest Taskers reports 99.6% average monthly retention. See the multi-purpose virtual medical assistant service for role detail.
Limitation: staff work remotely and administratively, so integrated health systems clinical assessment, treatment decisions and every clinical conversation stays with your own clinicians, and Honest Taskers describes its security environment as SOC 2 audit ready rather than holding a SOC 2 or ISO 27001 certification of the kind Staffingly and MyOutDesk publish.
2. Sagility
Best for: Integrated health systems weighing a revenue cycle option alongside placed assistants.
Pricing: Not publicly listedCompliance: Not publicly listedModel: Outsourced revenue cycleCategory: Revenue cycle
Sagility is an outsourced revenue cycle firm, which is the right shape when the bottleneck is authorization and claims rather than front-desk cover. From the company's own material: Enterprise; Claims and membership management, payment integrity, provider network operations, payer clinical services, denial reduction; Client types: Payers primarily.
Limitation: payer-weighted, so a provider organization is buying from the smaller half of its business
3. Firstsource
Best for: Integrated health systems weighing a revenue cycle option alongside placed assistants.
Pricing: Not publicly listedCompliance: Not publicly listedModel: Outsourced revenue cycleCategory: Revenue cycle
Firstsource is an outsourced revenue cycle firm, which is the right shape when the bottleneck is authorization and claims rather than front-desk cover. What the site publishes: Enterprise; Customer experience, intelligent back office, AI-driven collections; Client types: Healthcare providers and health plans among nine industries.
Limitation: healthcare is one of nine industries and its own site publishes no locations, certifications or scale figures
4. Healthcare Provider Solutions
Best for: Integrated health systems weighing a post-acute specialist option alongside placed assistants.
Pricing: Not publicly listedCompliance: HIPAA Compliant & Secure"Model: Outsourced services and consultingCategory: Post-acute specialist
Healthcare Provider Solutions is a post-acute specialist rather than a staffing agency, which is why it belongs on a list aimed at integrated health systems. What the site publishes: What it is: Home health + hospice billing, coding, OASIS review, consulting; Verified facts: 25 years in business; 130+ agencies supported; 100% US-based support; 15+ EMR systems.
Limitation: no pricing, no SOC 2, no delivery location published
5. Task Virtual
Best for: Integrated health systems weighing a regional staffing option alongside placed assistants.
Pricing: $6.24/hrCompliance: HIPAA-trainedModel: Placed remote staffCategory: Regional staffing
Task Virtual recruits in one specific region and prices for that region, which is worth knowing before comparing it to a US-managed firm. From the company's own material: Talent location (as stated): Kolkata, West Bengal office; Published pricing: $6.24/hr; Roles named: Reception, medical billing, transcription, insurance verification, EMR data entry.
Limitation: staff location is not stated separately from the corporate office, and trial terms are not detailed
6. WOW Remote Teams
Best for: Integrated health systems weighing a regional staffing option alongside placed assistants.
Pricing: Not publicly listedCompliance: Not publicly listedModel: Placed remote staffCategory: Regional staffing
WOW Remote Teams recruits in one specific region and prices for that region, which is worth knowing before comparing it to a US-managed firm. From the company's own material: Talent location (as stated): Latin America (region stated, countries not named); Published pricing: Not publicly listed (priced by seniority, skills, English level and hiring model).
Limitation: neither countries nor rates are published, and no HIPAA statement appears
7. Hello Rache
Best for: integrated health systems testing a remote hire on 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 lowest published rate among the firms listed here. It publishes $9.50 an hour on a cancel-anytime basis with no long-term commitment, which makes it a low-risk way to find out whether a remote hire works here at all. Roles cover virtual medical scribe, receptionist, administrative assistant and optometry assistant, with dental and veterinary lines alongside, and it operates US offices in Arizona.
Limitation: it names no Business Associate Agreement anywhere on its pricing page, which is the gap to close in writing first, and its own placement counters render as placeholder zeros.
Which centralised scheduling work can a virtual medical assistant absorb across sites?
Pre-registration and verification run centrally at volume is where the hours go, and none of it needs anyone on a particular campus. The cost gap is large: 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, before benefits, payroll tax and a desk, against published remote rates from $9 an hour. Keep in the building whatever genuinely needs a person there: greeting patients, physical specimens and mail, and anything requiring a wet signature. The practical route is to start with the single task costing you the most rather than defining a whole role upfront, because the job's easier to scope once somebody's doing it. Hourly and cancel-anytime arrangements suit that far better than a quarterly minimum. For the task-level breakdown, see virtual medical assistant duties.
What does information security review add before a virtual medical assistant gets access?
A system-level engagement clears procurement and information security review before anyone touches a record, and four contractual points are settled alongside it.
- BAA versus HIPAA training. A Business Associate Agreement puts breach liability in writing. "HIPAA-trained" describes a person who sat a course. Five firms in this market state a BAA; the rest state training. Ask which you are getting, in writing.
- Procurement and security review. System-level engagements need information security review before access. Firms with an audited standard clear this faster: three in this market publish SOC 2 or ISO 27001.
- Commitment before certainty. Terms run from a Flexi Plan with no minimum hours to a 3-month minimum at 20 hours a week. Match the term to how sure you are.
- Access scope. Grant the minimum systems access each task needs and review it quarterly and on every staff change.
- Time zone against your day. Ask for the shift pattern rather than the delivery country, which matters most where staff are offshore.
How much does a virtual medical assistant cost?
Two firms publish a rate here. Honest Taskers is $10.00 to $12.65 an hour with no weekly minimum. Hello Rache is $9.50 an hour, cancel anytime. The other five on this list, Sagility, Firstsource, Healthcare Provider Solutions, Task Virtual and WOW Remote Teams, quote on request. For integrated health systems the unit worth computing is cost per centralised task completed across sites, which you can work out from a two-week sample rather than from a quote. Rates were checked on August 24, 2026 and change often. For rate context, see how much a virtual medical assistant costs in 2026.
Can the virtual medical assistant company clear a health system procurement process?
Ask first, because a firm that cannot produce security documentation will not get through review, and weigh it beside a signed BAA, a published rate and an exit you can use.
- A signed Business Associate Agreement. Five firms in this market state one. Get the document before access, not after the first shift.
- A published rate. An undisclosed rate means you negotiate compliance terms alongside the money.
- An exit you can use. Cancel-anytime, no lock-in, month-to-month and a no-minimum Flexi Plan all exist here.
- An audited security standard. System procurement usually requires one. Three firms in this market publish SOC 2 or ISO 27001.
- Named systems experience. Ask which practice management and EHR systems the specific assistant has worked in, and who trains them on yours.
Which task should a virtual medical assistant absorb first across sites?
Hand over authorization at volume, because it is the task a system already measures and the baseline exists.
- Measure one month of authorization turnaround and care gap closure rate so you have a baseline to judge against.
- List the five tasks you would hand over in week one, with the system each requires.
- Mark which touch protected health information, which decides whether a BAA is mandatory.
- Shortlist on stated BAA, published pricing and exit terms before reading any quality claims.
- Review at four weeks against the baseline rather than against an impression, then widen scope.
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 the scope offered, the HIPAA and Business Associate Agreement position in each firm's exact wording, published pricing, commitment terms and the verified facts each publishes. We set aside claims about screening quality and talent percentiles, because every firm makes them and none is checkable from outside; where such figures appear above they are labelled as the company's own claim. 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 published no figure we marked it "not publicly listed" rather than guessing; practice counts, retention rates and savings claims are company-reported and we did not audit them. Portiva, Pearl Talent and Wishup were excluded because their sites refuse automated requests, and Phoenix Virtual Solutions was excluded because its domain now returns an expiration notice.
Related staffing guides
The fastest way to narrow this market is to decide which tasks touch patient data, because that single question removes several firms. Our explainer on what a virtual medical assistant is covers the scope a remote hire can own for integrated health systems, and where the compliance obligation begins.
Speak with Honest Taskers about staffing integrated health systems.