For medical practices

Virtual assistants for medical practices in Australia

Medicare and bulk-billing claims admin, recall and results follow-up to your protocols, diary management in Best Practice, MedicalDirector and Zedmed. What a general practice can safely delegate to a medical virtual assistant, in the Australian context.

Where the time goes

  • You can't hire or keep local reception and admin staff, so your practice manager absorbs the billing follow-up, your nurses absorb the recall list, and your doctors stay late on paperwork.
  • Your bulk-billing margins are thin and every rejected claim makes them thinner. Batches go out late, rejections sit unworked, and nobody actually owns the follow-up.
  • The results and recall backlog is your biggest clinical risk: every recall sitting un-actioned on the list is a patient who should have been contacted and hasn't been.
  • The scanning and correspondence queue never clears: specialist letters, discharge summaries and imaging reports pile up waiting to be filed to the right patient record.
  • You've assumed offshore admin help is off the table because your files are health information, so the whole load stays onshore, on people who are already full.

What a VA actually does for you

  • Medicare billing: bulk-bill batch lodgement and reconciliation through your practice software, rejected and held claim rework, DVA claims and patient claims
  • Recall and results follow-up admin to your written protocol: contacting patients exactly per the doctor's notation, logging every attempt, booking the follow-up
  • Diary management in Best Practice, MedicalDirector/Pracsoft or Zedmed: reminders, reschedules, cancellation-list backfill, new-patient bookings
  • New patient onboarding: registration forms out, Medicare and concession details verified before the visit, transfer-of-records requests sent and chased
  • Correspondence processing: the scanning queue cleared daily, specialist letters and discharge summaries filed to the correct record and flagged for doctor review
  • Care-plan admin: flagging patients due for health assessments or chronic condition management plan reviews against criteria your GPs set, and booking nurse time
  • Accreditation admin: policy register upkeep, SOP version control, evidence folders kept survey-ready

General practice is being squeezed from both directions: a GP shortage successive workforce reviews keep confirming, and costs, wages, rent, indemnity and, in several states, payroll tax exposure on contractor doctors, rising against rebates that haven’t kept pace. The standard response is to push more admin onto fewer people: the practice manager absorbs the billing follow-up, the nurses absorb the recall list, the doctors stay late watching the scanning queue grow.

A medical virtual assistant is the cheaper, more durable fix for the part of that load that was never clinical. This page covers what that looks like in an Australian general practice specifically: the software, the Medicare workflows, the recall protocols, and the privacy architecture, including the hard line on My Health Record. Specialist rooms and dental practices have their own pages.

Where the hours go in a general practice

The same queues come up in nearly every discovery call with a practice owner or practice manager:

  • The billing tail. Batches lodged, then the exceptions: rejected claims, held claims, provider-number mismatches, DVA and WorkCover invoices each on their own cycle. Lodgement is quick; the follow-up is where the hours and the revenue leak.
  • Recalls and results. The doctors action results promptly; working the list those actions create is what falls behind.
  • The scanning and correspondence queue. Specialist letters, discharge summaries and imaging reports waiting to be filed to the right record and flagged for review.
  • New patients and record transfers. Registration forms, Medicare details, transfer requests that need chasing twice.
  • The phones. A VA doesn’t replace your front desk, but taking the back-office queues off it is what finally lets the front desk answer the phone.

Practices on Bp Premier can see exactly what a VA does inside Bp Premier, billing batches included.

The Medicare billing cycle, owned end to end

What a billing-scoped VA does inside Pracsoft, Bp Premier or Zedmed:

  • Lodges bulk-bill batches through your software’s Medicare Online claiming, then works the exceptions the same week: rejections reworked and resubmitted rather than parked
  • Processes patient claims and gap payments to your fee schedule, and chases the unpaid ones
  • Runs DVA claims and WorkCover/WorkSafe invoicing under your state’s scheme, each with its own paper trail
  • Flags patients due for health assessments or chronic condition management plan reviews against criteria your GPs set, and books nurse time accordingly
  • Follows up Australian Immunisation Register exceptions when an upload bounces

One line we hold: item selection stays with your doctors. The VA processes, lodges, reconciles and chases; what gets billed for a consult is a clinical and compliance decision that never moves.

ECLIPSE, the electronic claiming channel to the private health funds for in-hospital work, mostly lives next door in specialist rooms. If your GPs do procedural or inpatient work it turns up in general practice too, and it’s covered properly on the medical specialists page.

Recalls and results: execution, never interpretation

This is the workflow practices are most nervous about delegating, so here is exactly where the line sits.

Results arrive in your doctors’ inboxes in Bp or MedicalDirector via secure messaging. A doctor reviews each one and records an action. That notation, not the result, is what your VA works from:

  • Contact the patient exactly per the notation and your protocol, phone, SMS or letter in the order you specify
  • Document every contact attempt in the record; if your protocol is the familiar documented multiple-attempt rule for clinically significant results, the VA executes it to the letter and the log stays audit-ready
  • Book the follow-up appointment
  • Escalate anything ambiguous, a patient who can’t be reached, a notation that doesn’t parse, a patient asking what the result means, straight back to the practice. The scripted answer to “is everything okay?” is an appointment, never reassurance.

The VA never opens a result to decide what it means and never triages clinical urgency. Your clinical-risk protocol stays exactly as your doctors wrote it; the difference is that working the list becomes somebody’s actual job instead of the thing your nurse does when the treatment room goes quiet.

The privacy architecture, and the My Health Record line

The offshore-staff-and-health-information question is answered with technical scoping, not trust, the same architecture we use for psychology practices, where the stakes are just as high:

  • Role-based permissions. Bp Premier, MedicalDirector and Zedmed all support user-level permissions. Your VA’s login opens the diary, billing and correspondence queues; clinical notes can be scoped out of reach entirely, and most practices start there.
  • No shared logins, no local data. A 1Password seat on accounts you control and can revoke in one action, nothing stored on personal devices, all work done inside your systems where the audit trail lives.
  • Paper to match. Signed confidentiality agreement before day one; a data-handling addendum mirroring the Australian Privacy Principles, including APP 8 on overseas disclosure, on request. You remain the responsible entity under the Privacy Act, and the setup is designed so you can demonstrate it.
  • My Health Record: never. Access to MHR is tightly controlled under the My Health Records Act, and nothing in a VA’s legitimate scope requires it. Billing, recalls, correspondence and the diary all live in your practice software. We scope MHR out of every medical placement, full stop.

RACGP accreditation and the paper trail

If you’re accredited against the RACGP Standards, your surveyor will want outsourced arrangements involving patient information documented: who has access, to what, under which agreement. The placement produces that paperwork as a by-product, the confidentiality agreement, a written access scope listing systems and permission levels, and the SOPs the VA works to, escalation rules included. Because the VA works under their own login inside your PMS, activity is attributable in the same audit trail the surveyor already checks. The one task before day one is making sure your privacy policy reflects the use of an overseas service provider; it’s a paragraph, and we flag it during onboarding.

What it costs

General medical admin runs $12-17 AUD per hour; a billing-heavy VA who owns the full Medicare cycle is $18-25. Most practices start at 15-20 hours a week, $1,000-1,700 a month, roughly a third of a local medical receptionist for the same hours, working your hours (our team is in Manila, 2 hours behind AEST, 3 behind AEDT). Placement typically takes 7-10 days, every candidate has been through our vetting process, and the first 30 days carry the recalibrate-or-replace guarantee. Run the numbers against your own wage costs.

Next step

The free discovery call is 30 minutes, no card, no obligation. Bring the privacy and accreditation questions first, they’re the real decision, and we’d rather answer them concretely, access scope and all, before you commit to anything.

FAQs for medical practices

Can we legally use an offshore VA when our files are patient health information?

Yes, handled the way the Privacy Act actually requires rather than on trust. Your VA works inside your practice software on accounts you control, under role-based permissions, so their login opens only what the job needs, often less than a casual receptionist sees. There's a signed confidentiality agreement before day one, a 1Password seat instead of shared logins, no patient data stored on personal devices, and a data-handling addendum mirroring the relevant Australian Privacy Principles, including APP 8 on overseas disclosure, on request. You stay the responsible entity under the Privacy Act; the setup is built so you can demonstrate it.

Can a VA access My Health Record?

No, and we hold that line ourselves rather than waiting to be asked. Access to My Health Record is tightly controlled under the My Health Records Act, and unauthorised access carries serious penalties. More to the point, nothing a VA legitimately does requires it: billing, recalls, correspondence and diary work all happen inside Best Practice, MedicalDirector or Zedmed, not inside MHR. We scope My Health Record out of every medical placement entirely. If a workflow seems to need it, that's a sign the task belongs with your clinical team, not your VA.

Isn't results follow-up too clinically risky to outsource?

Interpreting results would be, which is why the VA never does it. In a well-run practice the doctor reviews every incoming result and records an action, for example non-urgent recall or urgent appointment. Your VA works the list that notation creates: contacting the patient exactly as instructed, documenting every attempt, booking the follow-up, and escalating anything ambiguous straight back to the practice. That's the same division of labour your reception team uses now, executed more consistently because it's somebody's actual job. The clinical-risk protocol stays exactly as your doctors wrote it; the VA gives it clean, logged execution.

How does this sit with RACGP accreditation?

Accreditation surveyors expect arrangements with third parties who handle patient information to be documented, and the placement is built to be shown to them: the signed confidentiality agreement, a written access scope recording which systems and permission levels the VA holds, and the SOPs the VA works to, escalation rules included. Because the VA works under their own login inside your practice software, activity is attributable in the same audit trail a surveyor already checks. The one job before day one is making sure your privacy policy reflects an overseas service provider, and we flag that during onboarding.

What does a medical practice VA cost?

General medical admin VAs are $12-17 AUD per hour; billing-heavy VAs who own your full Medicare claiming cycle are $18-25. Most practices start at 15-20 hours a week, so $1,000-1,700 a month, roughly a third of the cost of a local medical receptionist for the same hours. Placement typically takes 7-10 days, your VA works Australian business hours, and the first 30 days carry our recalibrate-or-replace guarantee: if the match isn't working by day 30, we fix it or replace the VA.

Ready to delegate?

Book a free discovery call

30 minutes, no card, no obligation. Tell us what's eating your week and we'll tell you what a VA can take off your plate.

No obligation. No credit card. Jenn, the founder, reads every enquiry herself and replies inside one business day.