Phones ring during adjustments, insurance checks remain unfinished, and charting spills into the evening. Busy chiropractic offices know the strain.

I ranked seven virtual assistant services for front desk coverage, insurance verification, billing, intake, and documentation. I compared pricing, stated HIPAA and BAA practices, and management models. Wing Assistant led for clinics wanting ongoing support and oversight.

Key Takeaways

Wing Assistant is my top pick for busy chiropractic clinics. It is a managed service, states that it is HIPAA compliant and signs BAAs, and works inside existing EMR, billing, and scheduling systems.

Hello Rache is a low-friction hourly option at a published $9.50 per hour with no contracts or setup fees.

My Mountain Mover is a flat-monthly alternative that doesn’t publish pricing on its site; third-party estimates put its rate in the $1,900 to $2,400 per month range, and it states that it signs HIPAA BAAs.

MEDVA and Portiva advertise accessible entry rates, with prices starting around $10 per hour.

Managed versus hourly is the central decision. Hourly agencies may cost less, but your team supervises. Managed services charge more and provide additional oversight.

How I tested these chiropractic virtual assistant services

I ranked common chiropractic bottlenecks: front desk and phone coverage, insurance verification, prior authorization, billing, denial follow-up, and documentation.

I also weighed familiarity with ChiroTouch, Jane, and Genesis Chiropractic, plus each provider’s stated HIPAA alignment and BAA practice. These are published claims, not independently verified.

Finally, I compared launch time, continuity, pricing transparency, and value at 20 to 40 hours weekly. Confirm rates, security practices, and contract terms before signing.

1. Wing Assistant

Wing Assistant pros

• Managed model, so oversight and continuity do not fall entirely on your office manager
• Wing states that it is HIPAA compliant, signs BAAs, and holds SOC 2 and ISO 27001 certifications
• Assistants work inside existing EMR, billing, and scheduling systems instead of a separate portal
• Published scope includes insurance verification and prior authorizations before visits
• Coverage includes scheduling, intake, billing follow-up, and documentation support
• Published healthcare pricing includes full-time and part-time options
• Wing states that many clinics can launch within about 48 hours

Wing Assistant cons

• A managed service costs more per hour than the cheapest hourly agencies
• Listed healthcare rates should not be assumed to cover every specialized role
• It may be more support than a clinic needs for occasional tasks

My experience with Wing Assistant

What sold me on Wing is that delegation stays delegated. With hourly agencies, I found myself rebuilding checklists and chasing updates. Wing’s managed structure means someone else also watches whether the assigned work gets done.

We used Wing as a chiropractic assistant to keep phones answered, complete insurance checks before visits, and move denial follow-ups forward without another on-site hire. Pre-visit verification mattered because checking a plan early can reduce avoidable claim problems.

The assistant worked inside our existing systems, without a parallel spreadsheet or export-and-import loop. Intake and reminder workflows stayed where the schedule already lived.

Wing publishes a launch window of roughly 48 hours. Treat that as its stated timeline, since ramp-up depends on workflow documentation, clinic size, and scope.

Wing’s healthcare pricing table sets clear expectations about included hours.

Wing Assistant pricing

Wing’s healthcare VA page lists $1,799 per month for 160 hours of full-time coverage and $1,099 per month for 80 hours of part-time coverage. Confirm these tiers when requesting a quote.

Do not generalize those numbers to specialized roles or separately priced general VA tiers. Ask for scoped pricing if you need complex billing or scribing. The managed structure offers fair value for clinics that would otherwise spend internal time supervising remote work.

2. Hello Rache

Hello Rache pros

• Published flat rate of $9.50 per hour
• No contracts or setup fees
• The same dedicated assistant works with you daily
• Healthcare-focused talent pool with stated HIPAA training

Hello Rache cons

• Your team remains responsible for daily supervision and quality control
• The service is less managed than Wing or My Mountain Mover

My experience with Hello Rache

Hello Rache is easy to evaluate. A flat hourly rate with no contract addresses two common concerns for clinic owners: lock-in and unpredictable invoices.

Getting the same assistant each day helps that person learn regular patients, no-show patterns, and payer requirements instead of restarting each week.

The tradeoff is management. If your office manager can coach and audit a remote teammate, the service can offer good value. Otherwise, a managed model may fit better.

Hello Rache pricing

Hello Rache advertises a flat $9.50 per hour with no contracts or setup fees. The structure makes it easy to estimate the cost of 20 or 40 hours a week, but confirm the live rate before enrolling.

3. My Mountain Mover

My Mountain Mover pros

• Flat monthly model keeps invoices predictable
• The company says it signs a HIPAA BAA with clients
• A support layer reduces the management burden on clinic staff
• Healthcare-focused recruiting and onboarding

My Mountain Mover cons

• Pricing is quote-based rather than published, so comparing costs upfront takes an extra step
• The monthly commitment is less flexible than hourly billing

My experience with My Mountain Mover

My Mountain Mover is structurally similar to Wing. A flat monthly fee and support team can keep a busy clinic from turning its front desk lead into a remote staffing manager.

Predictable billing is useful for multi-provider offices with steady volume, although it is less flexible for clinics with seasonal demand.

The stated BAA practice is important, but confirm the agreement and its coverage in writing during onboarding.

My Mountain Mover pricing

My Mountain Mover does not publish pricing on its site; it quotes rates directly based on scope and hours. Third-party estimates place its flat monthly fee in the $1,900 to $2,400 range, with some quotes running higher for full-time, high-touch coverage. Request a quote and confirm what it includes before comparing it against hourly options.

4. MEDVA

MEDVA pros

• Advertised rate of $10 per hour for healthcare virtual assistants
• States that assistants receive HIPAA and security training
• Entry pricing supports a trial of one defined role

MEDVA cons

• Your team owns daily workflow management and quality checks

My experience with MEDVA

MEDVA is a straightforward value option. At an advertised $10 per hour, a clinic can test phones or insurance verification through one defined workflow.

Ask for applicable security and BAA details instead of relying only on its assistant-training claims.

MEDVA pricing

MEDVA advertises $10 per hour. Confirm whether specialized work qualifies and account for internal supervision.

5. Portiva

Portiva pros

• Medical VA pricing stated to start at $10 per hour
• Some engagements use a flat hourly fee
• Supports multiple specialties, including mixed-service practices

Portiva cons

• Hourly supervision remains your team’s responsibility

My experience with Portiva

Portiva suits clinics trialing remote support without a large commitment. Its specialty coverage may help practices combining chiropractic care with rehabilitation.

Expect to write procedures and review output regularly, particularly during the first month.

Portiva pricing

Portiva states that pricing starts at $10 per hour, with a flat $10 hourly fee for some engagements. Confirm possible complexity charges.

6. VA.care

VA.care pros

• Weekly pricing, with its VA Essential plan listed at $330 for 40 hours
• A separate VA Scribe tier includes virtual scribing through common video platforms
• Separate tiers address front desk and documentation needs

VA.care cons

• Included features vary by tier, so confirm what’s bundled before comparing

My experience with VA.care

VA.care’s pricing page ties weekly rates to hour counts, reducing guesswork.

The VA Scribe tier is relevant for providers who routinely chart after hours. Review the tier table carefully because differences between entry and scribe plans drive the decision.

VA.care pricing

VA.care lists its VA Essential plan at $330 per week for 40 hours. Its VA Scribe tier, which adds video-integrated scribing through platforms like Zoom or Microsoft Teams, runs $350 per week. Confirm current rates, the billing schedule, and tier inclusions before choosing.

7. Ginger Desk

Ginger Desk pros

• Markets designated VAs trained for chiropractors in the U.S. and Canada
• Chiropractic-focused workflows may reduce initial explanation
• Per-minute admin pricing is quoted as low as $1 per minute

Ginger Desk cons

• Per-minute billing may cost more when task volume is high

My experience with Ginger Desk

Ginger Desk places chiropractic experience at the center of its offer. Familiarity with care plans and re-exams may shorten onboarding for some clinics.

The per-minute model can suit light, uneven demand. High-volume offices should compare projected minutes with monthly and hourly quotes.

Ginger Desk pricing

Ginger Desk quotes admin pricing as low as $1 per minute during business hours. Estimate usage and confirm current rates before comparing plans.

Conclusion

After comparing all seven, Wing Assistant is my top pick for busy chiropractic clinics. Its managed model adds oversight, and Wing states that it signs BAAs and holds SOC 2 and ISO 27001 certifications. Assistants can work inside existing systems while supporting insurance verification, scheduling, and follow-up.

If budget is the main constraint and you have management capacity, Hello Rache is the clearest hourly alternative. My Mountain Mover suits clinics preferring predictable monthly billing with a support layer, though you’ll need to request a quote to see actual pricing. Ginger Desk offers chiropractic-focused coverage, while VA.care may fit documentation-heavy workflows.

Whichever service you choose, start with one bottleneck, document the workflow, and review the first month closely. Reconfirm all pricing, scope, security, and BAA details before signing.