Practice staffing · Charting & admin VA
HelloRache
HelloRache provides healthcare virtual assistants for live charting, phones, referrals, and admin support, marketed at a published low hourly rate. It is a staffing service, not an ambient AI scribe or EHR.
Strong fit
- Clinicians who want remote help with charting, reception, and admin at a low posted hourly rate
- Practices that want less time spent charting in the EMR without buying an AI scribe
- Buyers comfortable with healthcare assistants in the Philippines and no contract
Weak fit
- Buyers that need a U.S.-only workforce as a hard requirement
- Teams looking for an EHR or AI scribe product instead of a person
- Organizations that require offshore staff to reach Epic from a secured facility
Bottom line
HelloRache is worth using for clinics that want a virtual assistant to handle live charting, phones, referrals, and administrative work at a published hourly rate. It suits practices that will train one steady assistant on their EMR templates. Clinics that need stronger compliance certifications may prefer MEDVA.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
HelloRache is a healthcare virtual assistant service in the Phoenix area, founded in 2017 by family physician Dr. Mark Carnett.
Its assistants focus on taking EMR charting off clinicians, along with phones, referrals, and administrative work for U.S. clinics. HelloRache lists about $9.50 per hour, with no minimums or setup fees. It is a staffing service, not an AI scribe or an EHR.
Results look strongest when late notes and after-hours charting are the problem, and the practice trains one steady assistant on its EMR templates.
Its work centers more on charting than general admin staffing sites do. It says less about compliance than MEDVA, which advertises SOC 2 and different levels of secure facilities.
Among practice staffing firms we review, HelloRache scores third, just under DocVA.
DocVA suits clinics that want a dedicated assistant at about $10 to $10.95 per hour. MEDVA suits those who care most about compliance levels, and Staffing For Doctors suits practices that want teams trained for their specialty.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| MEDVA | 7.8 | 7.4 |
| DocVA | 7.6 | 7.8 |
| HelloRache | 7.5 | 7.6 |
| Physicians Angels | 7.5 | 7.4 |
| ScribeEMR | 7.4 | 7.2 |
| My Mountain Mover | 7.3 | 7.2 |
| ProScribe | 7.3 | 7.6 |
| GMVA | 7.1 | 7.0 |
| Staffing For Doctors | 7.1 | 7.3 |
| Staffingly | 7.1 | 7.2 |
| Portiva | 6.9 | 7.0 |
| Cool Blue VA | 6.8 | 7.0 |
| CareVMA | 6.6 | 7.0 |
| MedGather | 6.6 | 7.1 |
Pricing
| Item | Detail |
|---|---|
| Model | A posted flat hourly rate for healthcare virtual assistants, with no contract and no setup fee. |
| What usually drives cost | Hours, the mix of charting, reception, and admin work, and the specialty (medical, dental, veterinary, optometry). |
| What to ask before you buy | The current hourly rate, hours per week, and how charting quality is checked in the first 30 days. |
| Published pricing | HelloRache lists about $9.50 per hour. |
HelloRache and its partners usually list $9.50/hr. Some older pages showed $9/hr.
Prerequisites for purchase
| Need | Why it matters |
|---|---|
| What you need to get HelloRache to function | |
| A practice owner or office manager named to work with the assistant | Assistants with no one in charge drift and leave. |
| A written task list for phones, scheduling, charting, billing, or prior authorization | Vague requests to 'help with everything' make onboarding fail. |
| An agreed way to give EHR and practice system access, and a timeline for the business associate agreement | Assistants cannot work without secure access. |
| HIPAA and privacy training confirmed with the vendor | Handling patient information safely is required. |
| Hours, time zone overlap, and rules for passing problems up, written before day one | Work that piles up unseen brings back the staffing gap. |
| What will maximize your value | |
| Measure phone answer rate, late charts, or prior authorization speed every week for 90 days | Having someone in the seat is not a result. |
| Keep one dedicated assistant on the same task set for the first month | Rotating people erases training. |
| Drop the stopgaps (personal cell phones, after-hours charting) after a week of overlap | Running both hides whether the assistant worked. |
| Review unfinished work with the assistant every day in the first week | Problems hide in inboxes. |
| Write down the EHR steps and templates the assistant must follow | Unwritten know-how does not transfer. |
| Deal-breakers | |
| You need an EHR or patient engagement product, not a person. | |
| Nobody on-site will train or review the assistant. | |
| Legal will not sign a business associate agreement or allow remote access to patient information. | |
| You expect a network that prescribes or delivers care, not admin staff. | |
| Leaders will not decide which tasks move off the in-office team. | |
Value creation time frame
| # | Stage | Typical range |
|---|---|---|
| 1 | Plan and match | 3-10 days. Set the role, hours, and specialty, and pick a few candidates. |
| 2 | Access and business associate agreement | 1-2 weeks. Logins, VPN and EHR access, and privacy paperwork. |
| 3 | Overlap week | 1-2 weeks. The assistant works alongside a practice trainer. |
| 4 | Steady routine | 30-60 days. Review results, then add tasks or replace the assistant. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.