Top Medical Virtual Assistant Companies in 2026

Quick answer: The best medical virtual assistant company for your practice depends on two things: how you want to pay, and who signs the business associate agreement (BAA). HelloRache, Portiva, Cool Blue VA, and HelpSquad publish hourly rates between $8 and $13. Stellar Staff and Wing Assistant publish monthly prices for a full-time assistant. MyOutDesk, MEDVA, My Mountain Mover, and DocVA quote after a call. Only some of them say on their own site who signs the BAA.

Last updated November 5, 2026, by Slava Litvin, Co-Founder of Stellar Staff. Every company fact below was checked on that company's own website on that date.

Many lists of the top medical virtual assistant companies repeat prices the companies no longer publish. For this update we went to each company's own website, recorded what it says today, and linked every fact to that page. If we couldn't confirm something there, we left it out.

If you're still deciding what a remote assistant should handle in your practice, start with our guide to what a virtual medical assistant does. This page compares the companies.

How Do the 10 Medical VA Companies Compare on Price, Location, and BAA?

The table shows what each company publishes on its own site as of November 5, 2026. Three things stand out. First, pricing falls into three groups: an hourly rate, a monthly fee for a full-time assistant, or a quote after a sales call. Second, most companies that say where their assistants work place them outside the United States, usually in the Philippines, even when the company has a U.S. address. Third, companies handle the BAA in very different ways, and several don't mention one on the pages we checked. That doesn't mean they won't sign one. It means you need to ask.

How Did We Choose and Check These Companies?

We started with the companies that show up when U.S. practice owners search for the best medical virtual assistant companies. We kept a company only if it places human assistants with healthcare practices and publishes enough on its own site to compare. On November 5, 2026, we checked five things on each company's site: the published price, where the assistants work, what it says about HIPAA and BAAs, the contract terms, and what happens if the assistant isn't a fit. We quote the company's own wording where it matters. We left out freelance marketplaces, where the vetting and replacement work falls on you. Our ranked list of the best virtual assistant companies covers general VA providers and marketplaces.

Two companies from the earlier version of this article are gone because we couldn't confirm their services or prices on their own websites.

Disclosure: Stellar Staff wrote this page and is on the list. We describe ourselves with the same five checks as everyone else and say where another company may fit better.

Should You Pay a Medical VA by the Hour or by the Month?

Start with how much administrative work your practice actually has. Hourly companies bill for the hours you use, which works when the need is a set block of scribing or insurance verification. Monthly companies charge a fixed fee for a full-time assistant, which suits a practice with a full day of phones, scheduling, intake, and follow-up. The quote-based companies explain their model on a sales call. Before you compare numbers, line up the hours included, how billing works, the notice period, and whether a replacement costs extra. A full-time assistant also builds context: a VA who works only for your practice learns your EHR, your providers' preferences, and your patients' common questions. That matters more for front desk work than for a defined task like charting.

Which Medical VA Companies Publish a Monthly Price?

Two companies publish a monthly price for a full-time assistant. Both list no long-term contract and a free replacement. They differ on hours, location, and what each says about HIPAA.

1. Stellar Staff

Stellar Staff places dedicated, full-time remote assistants with medical and dental practices. We handle recruiting, payroll, HR, tracking, and replacements, and your practice directs the daily work. See our medical practice VA page and medical receptionist service.

• Price: Pro is $1,999 a month and Executive is $2,999 a month, full-time, 160 hours a month. Pro works out to about $12.50 an hour. A bilingual assistant adds $200 a month.
• Terms: Month to month, no long-term contract, cancel with 14 days' notice.
• Who you get: Talent comes primarily from the Philippines. We accept the top 0.1% of applicants after a 6-step application and 6 individual tests, English verification (written and spoken), reference checks, an equipment check, and background checks.
• How you choose: You interview 2 to 3 finalists and pick one. The search takes 5 to 10 business days.
• If it doesn't work out: Replacements are free, forever, on managed plans.
• HIPAA and BAA: Ask us, as you would ask anyone here, for the BAA terms and safeguards in writing before your assistant gets access to patient data.

Stellar Staff is the #2 VA agency on Clutch, with 1,000+ remote hires placed since 2022. See how a therapy practice set up an admin VA and how a dental practice handed off insurance verification. Best for: practices that want one full-time assistant and want to choose that person themselves.

2. Wing Assistant

Wing Assistant's healthcare page lists full-time support at $1,799 a month and part-time support at $1,099 a month. You can choose "a global or US-based virtual medical assistant." Wing states that it is "ISO 27001 compliant, SOC 2 certified, and HIPAA compliant." The page lists no long-term contract and a free replacement, saying Wing "replaces them within 24 hours at no extra cost." It doesn't mention a BAA, and it doesn't list the hours each plan covers, so confirm both. Best for: practices that want part-time hours or a U.S.-based assistant.

Which Medical VA Companies Charge by the Hour?

Four companies publish an hourly rate, and all four list scribing. Their BAA positions differ the most, so read that line closely. An hourly model is an easy way to test one defined task, such as charting for a single provider, before you commit to a full-time role.

3. HelloRache

HelloRache lists healthcare virtual assistants at $9.50 an hour, with "No contracts. No setup fees. Cancel anytime." Its Q&A page says its assistants "are mostly registered nurses (RNs) based out of the Philippines," and that it bills weekly. On the BAA, the same page says "Our clients have the individual HVAs sign a Business Associate Agreement (BAA) with them" and that the company itself doesn't sign one because it has no access to client PHI. The footer lists Temark International Inc. in Sierra Vista, Arizona. Best for: physicians who want an hourly scribe with a nursing background and are comfortable holding the BAA with the assistant.

4. Portiva

Portiva's Q&A page lists "a flat hourly fee of $10" without contracts and says its medical virtual assistants "are all based in the Philippines." It says its assistants hold certificates in HIPAA training and that "Our VAs also form a Business Associate Agreement (BAA) with our customers." Listed work includes live charting, referrals, refill requests, insurance verification, and prior authorizations. The footer address is in Collegeville, Pennsylvania. Best for: practices that want scribing plus front-office tasks at one flat hourly rate.

5. Cool Blue VA

Cool Blue VA's homepage says its fee "starts at $9.95 per hour" and that services are "billed bi-weekly, no contracts or set up fees." It says every assistant holds "a current Steri-Safe Annual HIPAA Staff Training certificate." The homepage doesn't say where its assistants are located or mention a BAA. It lists receptionists, billing support, scribes, and dental and Spanish-speaking assistants. The office address is in Tustin, California. Best for: practices that want a low published hourly rate and Spanish-speaking support.

6. HelpSquad

HelpSquad's medical VA page lists full-time rates of "$10-13/hour for patient-facing roles and $8-10/hour for back-office work." It says patient-facing assistants are "primarily staffed from the Philippines" and back-office assistants work across the Philippines and India. It states that its assistants work "under a company-level BAA" on a secure virtual desktop and that it replaces an assistant who isn't a fit at no cost. The footer lists Doylestown, Pennsylvania. Best for: practices that want the BAA held at the company level.

Which Medical VA Companies Quote After a Call?

Four companies don't publish a price on the pages we checked, so you can't compare them until after a sales call. Ask each for the same five things in writing: the cost, the hours included, the notice period, the replacement terms, and the BAA.

7. MyOutDesk

MyOutDesk's healthcare page says pricing "varies based on the role and skill set." It lists offices in California, Manila, Lima, and Casablanca, with talent in the Philippines, Latin America, and Africa. It states, "We sign Business Associate Agreements as standard practice for healthcare clients," and says SOC 2 reports and BAA samples are available on request. Roles include a medical receptionist and a billing VA who submits claims and works denials and AR. Our MyOutDesk reviews cover its ratings and terms. Best for: larger practices hiring several roles who want a BAA in place by default.

8. MEDVA

MEDVA works only with healthcare and says it was "Founded by physicians." Its skill sets page says pricing "is structured by role and hours" and that its team includes professionals "with backgrounds in dentistry, nursing, physician assisting, and surgery coordination." It states that "Every MEDVA virtual assistant completes HIPAA training before placement" and that its services "are HIPAA compliant when used with the MEDVA Security Package." The pages we checked don't mention a BAA or where assistants are located. Its medical practice page lists receptionist, scribe, and billing and revenue cycle roles. Best for: practices that want a healthcare-only provider with clinical backgrounds on the team.

9. My Mountain Mover

My Mountain Mover's homepage doesn't publish a price, but it says a "flat monthly fee covers all medical virtual assistant benefits, including PTO, sick leave, and comprehensive healthcare coverage." It states, "A signed HIPAA Business Associate Agreement (BAA) is part of the contract we provide to all our healthcare clients," and mentions an in-house HIPAA compliance officer. It doesn't say where its assistants are located. Roles include receptionist, scribe, and billing VA. Best for: practices that want a flat monthly fee and a BAA written into the contract from the start.

10. DocVA

DocVA's homepage says cost "depends on the role, hours and specialty you need" and lists an address in Fort Lauderdale, Florida. It says assistants "work shifts aligned to U.S. and U.K. clinic hours" and complete an in-house HIPAA program before starting. Terms are "No lock-in period, cancel anytime" with "No minimum term," and it offers a free replacement if the fit isn't right. It doesn't mention a BAA on the homepage. Services include scheduling, insurance verification, live scribing, and dental reception. Best for: practices that want no minimum term and a mix of front-office and scribing work.

Which Medical Virtual Assistant Companies Sign a BAA?

Under HIPAA, your practice can share patient information with a business associate only if it gets "satisfactory assurances, in the form of a contract or other written arrangement," which HHS calls a business associate agreement. So the real question is who signs the BAA with your practice, and whether that party employs the person handling your data. On their own sites, MyOutDesk says it signs BAAs as standard practice, HelpSquad describes a company-level BAA, My Mountain Mover includes a BAA in its healthcare contract, and Portiva says its VAs form a BAA with customers. HelloRache says your practice signs with each assistant and the company doesn't sign. Wing Assistant, Cool Blue VA, MEDVA, and DocVA don't state a BAA position on the pages we checked, and we don't list one for Stellar Staff here. Ask each of them directly.

Send every company these questions and get the answers in writing:

• Will you sign a BAA with our practice, and who is the signing party?
• Who employs the assistant, and which other companies will touch our patient data?
• Is the assistant dedicated to our practice, or shared across several clients?
• How fast is access removed when an assistant leaves or is replaced, and does a replacement cost anything?
• Is there a long-term contract, and how much notice do we have to give?

Background checks and HIPAA certificates don't replace a BAA, a risk analysis, or your own access controls. Our guide to HIPAA-compliant virtual assistants explains the BAA clauses and safeguards to settle first, and our virtual assistant contract template covers the exit terms.

Which Company Fits the Work Your Practice Needs Covered?

Most medical virtual assistant services cover the same core tasks, but each company leans toward certain roles. If your front desk misses calls, you need an assistant who focuses on phone support during your business hours. If your providers chart late at night, you need a scribe. If claims are waiting to be processed, you need billing support. The table shows which companies name each type of work on their own sites. A company that doesn't list a task may still offer it.

For a full day of mixed work, such as phones in the morning and insurance verification after lunch, one full-time assistant usually works better than splitting the job across hourly vendors.

Where Do Medical Virtual Assistants Work, and Does It Matter?

Among companies that disclose where their assistants work, most name the Philippines. Stellar Staff, HelloRache, Portiva, HelpSquad, and MyOutDesk all name it. HelpSquad adds India for back-office work, and MyOutDesk also names Latin America and Africa. Wing Assistant is the only company here that offers a U.S.-based option on its healthcare page. A U.S. office address doesn't tell you where the assistant works, so ask. Location matters for time zone coverage, language needs, and your payer contracts. Some Medicaid, managed care, and health system agreements limit offshore access to patient data, as our HIPAA guide explains with sources. Check those contracts before you choose a company, not after. Our guide to hiring a virtual assistant in the Philippines covers the setup.

Quick Answers on Choosing a Medical VA Company

What are the best virtual medical assistant companies?

The best virtual medical assistant companies for most U.S. practices are the ones that publish their terms and put the BAA in writing. On that test, HelpSquad, MyOutDesk, My Mountain Mover, and Portiva state a BAA position on their own sites. For published pricing, HelloRache, Portiva, Cool Blue VA, HelpSquad, Wing Assistant, and Stellar Staff list a rate or monthly price.

What is the best virtual assistant for a medical practice?

It depends on the job. A practice with a full day of phones, scheduling, and intake is usually better served by one full-time assistant. Stellar Staff's Pro plan is $1,999 a month for 160 hours, month to month, and you interview 2 to 3 finalists before choosing. A practice that only needs charting help may do better with an hourly scribe. See our medical practice VA page for the roles we fill.

What is the best virtual assistant for medical billers?

Look for a company that names billing work on its own site. MyOutDesk lists a billing VA who submits claims, posts ERA and patient payments, and works denials and AR. MEDVA lists billing and revenue cycle support, and Cool Blue VA lists billing and insurance management. Ask which billing system the assistant has used and who signs the BAA, since billing staff see a lot of PHI.

How much do medical virtual assistant companies charge?

Published rates on this list run from $8 an hour for HelpSquad's back-office roles to $13 an hour for its patient-facing roles. HelloRache lists $9.50 an hour and Portiva lists $10. Monthly prices include Wing Assistant at $1,799 for full-time and Stellar Staff at $1,999 for its Pro plan. MyOutDesk, MEDVA, My Mountain Mover, and DocVA quote by role.

Are there medical virtual assistant companies in the USA?

Yes. Several companies on this list have U.S. addresses, including HelpSquad and Portiva in Pennsylvania, Cool Blue VA in California, DocVA in Florida, and HelloRache's parent company in Arizona. Most of their assistants work abroad, usually in the Philippines. If you need a U.S.-based assistant, Wing Assistant offers that option on its healthcare page.

What is the best medical virtual assistant agency for a solo physician?

A solo physician usually needs a defined block of help. If the main problem is charting, an hourly scribe from HelloRache, Portiva, or Cool Blue VA is a reasonable test. If the problem is the phones and the schedule, a full-time assistant who learns your patients is often the better fit. Either way, settle the BAA before day one.

How to Narrow This List to Two or Three Medical VA Companies

Every company here can place a remote assistant in a medical practice. The real differences are how you pay, who signs the BAA, where the assistant works, and what happens when the assistant leaves. Shortlist two or three companies that list the work you need, send them the same written questions, and compare the answers.

A remote assistant isn't right for every practice. If the job means rooming patients, taking vitals, or staffing the front desk in person, hire locally. If your payer contracts bar offshore access to patient data, look for a U.S.-based option. If you can't yet list the tasks you'd hand off, start there.

If you want one full-time assistant who works your hours and whom you choose yourself, see how Stellar Staff supports medical practices, compare plans and pricing, or start a search. The search takes 5 to 10 business days, and you can cancel with 14 days' notice.

Company prices, locations, contract terms, and BAA statements were checked on each company's own website on November 5, 2026. HHS guidance was checked on the same date. Confirm current terms with each provider. This article is general information, not legal advice; have counsel or your privacy officer review any BAA. Stellar Staff pricing is current as of November 2026.