Administrative capacity can determine whether a healthcare practice turns patient demand into timely, consistent service or leaves its existing team struggling to keep up. Virtual medical assistants are one way to add support, but their value depends on the work assigned, the person’s qualifications, and how well the role fits the practice.
Drawing on First Page Sage Blog’s interview with DocVA founder and CEO Nathan Barz, this guide examines the embedded staffing model, the proposed onboarding process, and the questions practice leaders should answer before making a placement.
Administrative overload is an operational constraint
Barz told First Page Sage Blog that many practices have demand but lack enough staff capacity to manage it effectively. He identified phone coverage, scheduling, documentation, billing support, patient follow-up, prior authorizations, and inbox work as potential pressure points.
These are not isolated back-office duties. A delayed response can affect the patient experience, while unfinished administrative work can consume provider time and add pressure to an already busy team. The larger operational lesson is that a practice should assess whether its service infrastructure can absorb more demand before treating growth as a marketing problem alone.
Key takeaways for practice leaders
- Define the specific workflow bottleneck before recruiting assistance.
- Match the candidate’s healthcare experience to the tasks the role will perform.
- Keep ownership of systems, standards, and daily workflows inside the practice.
- Favor continuity when the work involves patients, documentation, or clinical support.
- Confirm that the staffing partner will remain involved after placement.
Embedded support differs from a rotating assistant pool
According to Barz, DocVA’s approach is to place a dedicated assistant within a practice’s existing operations instead of supplying interchangeable general administrative help. The practice retains control of its tools, procedures, and expectations, while the assistant becomes a consistent member of the daily support team.
Barz also described a candidate base with varied healthcare backgrounds. He said it includes licensed nurses, registered pharmacists, certified billers and coders, prior authorization specialists, and experienced medical scribes. Those qualifications should not be treated as interchangeable: the appropriate background depends on the actual responsibilities of the position.
Continuity is a central potential advantage of this model. A dedicated person can become familiar with the practice’s communication norms and recurring processes. That familiarity does not eliminate the need for clear supervision, documented procedures, access controls, and performance expectations. A virtual role still has to be managed as part of the operating team.

A useful hiring process starts with the work, not the title
The process Barz outlined begins with discovery: the staffing provider learns about the practice’s specialty, systems, staffing gaps, and everyday problems. DocVA then presents a shortlist of candidates, often accompanied by resumes and introductory videos, and the practice chooses whom to interview. After selection, the company helps with integration and remains available if a performance problem or mismatch emerges.
For a practice evaluating any provider, the strongest starting point is a concrete delay or workload problem rather than a broad request for help. Leaders can identify where work accumulates, determine which activities can be assigned appropriately, and describe what successful performance would look like. They can then evaluate candidates against that defined role instead of expecting one person to solve every administrative issue.
Fit should also include the working relationship. Relevant experience matters, but so do reliable communication, consistent availability, comfort with the practice’s systems, and a clear escalation path when a task requires someone else to decide or act.
Growth marketing only works when operations can respond
Barz connected staffing directly to growth: marketing may generate calls, form submissions, and appointment requests, but the practice still needs enough capacity to answer and follow up. If response workflows are overloaded, additional visibility can expose the constraint rather than resolve it.
Virtual support may help create that capacity by taking ownership of a defined set of recurring duties. It is not an automatic remedy, and the source presents DocVA’s own perspective rather than an independent comparison of staffing options. Practice leaders should therefore judge the model by role fit, candidate qualifications, continuity, integration support, and its effect on the bottleneck they originally identified.
The most productive next step is a workflow review: locate the delay, define the responsibility, and only then decide whether a dedicated virtual medical assistant is the right operational response.
Inspired by this post on First Page Sage Blog.

