Fractional talent · Healthcare
Healthcare practices and health-focused businesses run on tight margins, strict compliance requirements, and staff who are already stretched thin. When administrative work piles up: prior authorizations, referral coordination, inbox triage, credentialing paperwork, it pulls clinical and operational staff away from patient-facing work. Nacho connects you with US-based assistants who understand the pace and precision healthcare admin demands.
Nacho matches healthcare providers with vetted, 100% US-based Executive Assistants and Specialists who own the recurring work week after week, not one-off tasks. You start with a $300 Delegation Strategy Plan, set a monthly Talent Budget from $1,000, and we match you in about a week.
See how the match works What a Talent Budget costs Book a discovery call
The challenge
01
When front desk or clinical coordinators are buried in scheduling, faxes, and insurance follow-ups, patient experience suffers. These tasks don't require a clinical license, they require reliability and attention to detail.
02
Provider credentialing and re-credentialing with insurance panels is time-consuming and deadline-sensitive. Delays directly impact revenue, but the work is too detail-heavy to hand off without structure.
03
Appointment reminders, recall outreach, portal message follow-ups, and no-show management fall through the cracks when your team is managing patient volume. These touchpoints affect retention and reputation.
04
Claim status checks, EOB reconciliation, denial follow-up, and patient balance outreach are often handled reactively, or not at all, because billing staff are overwhelmed with volume.
How it works
Nacho starts every client engagement with a Delegation Strategy Plan developed by a dedicated Client Success Manager, this means your assistant isn't guessing what to prioritize on day one. For healthcare clients, that plan typically maps out which administrative workflows can be handled remotely, what PHI access protocols need to be established, and how to integrate with your existing EHR or practice management system. The flexible Talent Budget model (starting at $1,000/month) means you can scale hours up during credentialing pushes or open enrollment periods and pull back when volume drops, without managing a part-time hire. Up to $200 of unused budget rolls over each month, so lighter months don't mean you lose everything you didn't use.
Your stack
We adapt to your existing stack, no forced migrations.
Kapwing 
Dropbox 
Adobe Audition 
Otter.ai 
DocuSign 
Buzzsprout What we've learned
Healthcare businesses: whether you're running an independent practice, a DSO, a behavioral health group, or a health-tech company, share a common operational reality: the administrative burden grows faster than headcount. EHR platforms like Epic, Athenahealth, and Jane App handle clinical documentation, but they don't eliminate the coordination work that surrounds every patient encounter. Insurance verification, prior auth tracking, referral management, and provider scheduling all require someone who is organized, communicative, and available, not necessarily someone with clinical training. Many practices also underestimate the operational lift of marketing, reputation management (Google reviews, Healthgrades), and internal HR tasks like onboarding and compliance tracking. Delegating these functions to a trained remote assistant, rather than absorbing them into your clinical team, is one of the clearest ways to protect staff capacity and reduce burnout.
We've worked with healthcare providers including Assisting Hands Home Care, Infant Feeding Care.
The model
This is ongoing delegation to one vetted, US-based person, not a task posted to a marketplace.
A one-time $300 onboarding fee pairs you with a Client Success Manager who maps what to hand off first. See the full process.
We match you with a vetted, 100% US-based Executive Assistant or Specialist in your time zone. If the fit is not right, the Nacho Guarantee re-matches you free.
Budgets start at $1,000 a month and draw across Executive Assistants from $40/hr, Specialists from $65/hr, and Fractional Executives from $125/hr. Up to $200 of unused budget rolls over each month. See pricing in detail.
The initial term is three months so the working relationship has time to compound, then it rolls month to month. Book a discovery call to size yours.
Talent Budget
Drag the sliders to build a monthly plan that fits your workload.
Starting at $1,000/month. One-time $300 onboarding fee includes your Delegation Strategy Plan.
Good questions
Ready when you are
Whether you're a solo practitioner drowning in admin or a multi-site group looking to offload operational tasks, we'll help you identify exactly what to hand off first. Start with a conversation, no commitment required.
Not sure yet? See how it works, compare the Executive Assistant, Specialist, and Fractional Executive roles, or read why we stayed 100% US-based.