Licensed Professional Counselor Aaron Potratz and I started a conversation back channel after he picked up on my reference in a blog post to working with a Virtual Assistant. He, too, works with a Virtual Assistant and was kind enough to offer writing a guest post talking about some of the benefits.
(If you are interested in writing a guest post, check out the guidelines here.)
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A Guest Post by Aaron Potratz, LPC
Owning a private practice is a lot of work. It often puts therapists in roles we may not feel confident in or have much experience with. We go to school and get a degree that prepares us for the clinical aspect of our work, but most graduate programs do not offer classes that address the business side. I’ve heard this from nearly all of my colleagues, and it’s an issue I’ve wrestled with on nearly a weekly basis in my own practice.
What’s a Virtual Assistant (VA)?
Fear not, fellow counselors! There are options out there to allow us to focus our time and energy on what we do best, leaving that other work for someone else to do. What I’m talking about is the Virtual Assistant (VA), also called a Billing Specialist, Secretary, or Administrative Assistant. I’m going to use the term Virtual Assistant, as the title implies duties performed remotely, a feature that may appeal to many private practices (as compared with an in-office assistant).
How a VA can Help
First of all, a VA is someone who can support your business by doing time-consuming or laborious tasks that you don’t want to and/or have time to do. There are two big advantages here:
- The amount you would pay a VA is much less than what it would cost you to do the same tasks (assuming you pay yourself whatever your hourly rate is for therapy); and
- Having someone else do these tasks frees up your time so you can spend it doing other valuable things, such as seeing more clients!
Do the Math
Think about it this way: doing these tasks for 2 hours per week may amount to a loss of 2 potential client contact hours and therefore a loss of income (unless you pay yourself for these, in which case you’ve just overpaid for those duties!). However, if you pay a VA $15-$25 per hour to complete them, you could be meeting with 2 clients and only paying $30-$50 to get them done. If your hourly rate is $100, then you’ve just earned $150-$170 while your administrative tasks were being completed!
Outsource Your Weak Suits
Secondly, there’s a significant mental or emotional value attached. Not only does a VA allow you to increase your income potential, but they can free you from the stress and headache of having to do tasks you may not enjoy doing – or worse, you may not even be very good at them! For example, let’s say that you’re a less than organized person but you realize that good bookkeeping is an important part of business. Outsourcing your billing duties can give you the peace of mind knowing you’re paying someone else to be on top of those, making sure everything is in order, and who will keep you up-to-date on client accounts. Of course, you still have your own responsibilities with client interactions but your VA is doing all the tedious work!
Don’t Forget Security
Finally, it’s important to consider the practical limitations of a VA, including confidentiality. If a VA works remotely, how are we supposed to work together without compromising the security of protected client information? If you’re asking this you’re already on the right track. There are many tools out there that secure client information and allow you to share it with staff members. The one I use is Office Ally (Practice Mate), an electronic clearinghouse that processes insurance claims and doubles as a record-keeper for accounting purposes. The VA I use can access that database, which is HIPAA-compliant, and manage information remotely. I have a client ID system that I also use, which is attached to every client, so when I have a question about a particular account I can email my VA referencing that ID (which gives away no personal information about the client) so she can look it up and easily find it. This way we can communicate virtually about accounts without any identifying information being transmitted electronically.
No Regrets and Expectations
I have utilized a VA for over a year and never regretted it. Whenever a task comes up that I don’t want to do, I can pass it along to her to complete. It has saved me so much time and I no longer have to stress about those parts of my job that I’m not terribly good at (pretty much anything related to math!), which has enabled me to focus all my efforts on doing high quality clinical work. One final word of caution: make sure you communicate clearly and specifically with your VA so you both understand what you expect and when.
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Aaron Potratz is a Licensed Professional Counselor and has been in private practice for 6 years in Hillsboro, Oregon. He enjoys looking for ways to make therapy current and streamlined through the use of various technologies. He is self-employed as the sole proprietor of his business, and also functions as a consultant for other therapists in their practices.
Brenda Davis says
Hello, There is an email called hushmail, they have encrypted emails and it is free. I use it with my VA. They are hippa compliant. If you want them to sign a business service contract there is a minimal fee.
Brenda
Tamara Suttle says
Hi, Brenda! Thank you for sharing hushmail with us!
Tamara Suttle says
Brenda, I noticed that you don’t have a gravatar yet. Here are really simple instructions to help you set one up so that when you comment here and elsewhere a little image of you shows up. That helps us all get to “know” you and feel more connected to you.
Lyndsey Fraser, MA, LMFT says
Thanks for sharing this post. I had not thought about using this service in my practice. My one question would be is would this service be beneficial if you are not taking insurance, as I am a fee-for-service provider and currently only take cash or check for payment. It appears that this service may be beneficial if you take an insurance or perhaps I am missing some benefits it could bring to my practice.
Tamara Suttle says
It’s funny that you ask this, Brenda. This is a good opportunity for me to point out that not all Virtual Assistants will bill insurance companies or clients. In fact, not all Virtual Assistants will do anything in particular. They are as many variations on the skill sets of a VA as there are individuals offering these services. In addition to (or instead of) the services that Aaron reference, a VA might provide copywriting, data entry, accounting, graphic design, web/podcasting support, or help with simple filing. That’s the beauty of a great VA (or two or three)! If you need a job done, consider the possibility of hiring a VA for one time or ongoing support.
I am a fee-for-service / cash only practice and my amazing VA (who is in Michigan, by the way) helps me with email and marketing tasks, has created a sales page for me when I offered BlogStart for Therapists, and will most likely be supporting me behind the scenes of future webinars (so that I step in a few less holes!).
Aaron Potratz says
Great question, Lyndsey! I agree with Tamara, and would add one thing – it could be helpful for you as the business owner to write down tasks you do (or want to do) but don’t enjoy doing, aren’t necessarily good at, or don’t have time to do. Then you can consider the benefits of having them done by a VA and evaluate if it would bring more value to your practice or allow you to do more of what you enjoy and are good at while still being able to get those other tasks done.
There are many things that I’ve hired out for in my business, paid much less than whatever time it would’ve taken for me to do (and taken away from my client contact hours or family time), and found them to benefit my business. In this case, it’s a small sacrifice to boost the value of your practice so that you have more exposure, are more organized or more professional, etc. Plus, it’s done by someone who’s probably much better at it (unless you happen to have those skills yourself, which I usually don’t :-D)!
Tamara Suttle says
Aaron, that’s a great homework assignment for any professional! Before assuming that you cannot afford it, do the math!
Aaron Potratz says
Thanks, Tamara! I never thought I could afford to “outsource” this work, but when I broke it down I could see that spending $150 so that I could see an extra 5-10 clients per month was definitely something I could afford – and actually brought in more income! 🙂
Tamara Suttle says
My experience was a little different, Aaron. I finally chose to work with a VA after putting off offering online training literally for years just because I couldn’t figure out a piece of the technology. Finally, I gave myself a deadline and said “If it doesn’t happen by this date, I’m going to farm the task out!” When the date came and went, I started looking for a VA that could support my work. And, it’s just like you said! By letting go of things that I never excelled at, I’m free to do more of the things that I love and can easily do! Even if I had just broke even (financially) it would have been a win for me!
Leslie Lomot says
I found this post to be very helpful. Thank you. My question is where do you find a VA?
Tamara Suttle says
Hi, Leslie! Welcome to Private Practice from the Inside Out! So happy to have you here! What is it you do and where are you?
The short answer is that I asked around for about 6 months for recommendations for a VA. I chose mine because I had a friend who sang Mindy’s praises and because she was willing to bill me as work is completed. (Some require a large chunk of money and time commitment up front.) Because I was knew to using VA’s in general and also because I didn’t know this particular VA’s skill set and competence, I was not willing to put out $500 up front.
Tamara Suttle says
Leslie – I just noticed that you don’t have a gravatar. Here’s really simple instructions for setting one up so that when you comment here or elsewhere a little image of you – a gravatar – shows up. It helps us build and strengthen our community and your networking.
Frances says
Greetings All,
I know this blog was posted last summer, but I just stumbled upon it and found it super helpful and a great networking too. I am a VA Leslie and would be happy to explore the possibility of working together if you have not yet found any one. A Tamara mentioned, some VA’s require a large amount up front, however I do not work that way.
Feel free to contact me at 562-774-3636 or mrsrh3@gmail.com
Blessings
Sheri Rodriguez says
I’m with Leslie – this sounds like a life-saver…but I don’t know where to find a VA.
I am in Grand Rapids, MI. I am a private therapist, work with several insurance companies – have been doing my own billing and follow up, but am getting to the point where my practice is too big to continue doing so.
Thanks!
Tamara Suttle says
Sheri, one place to start your search is with their professional association – the International Virtual Assistants Association (IVAA). A second way to find the perfect VA for (any of) you might be to use social media 🙂 A third way to find your own VA might be to do as Aaron suggested and get specific about what you want your VA to do. Then, come back here and post it in the comments asking for referrals. And, yet a fourth way to find your VA might be to do the same in your own personal / professional circle.
For what it’s worth, I know of one gal who is offering transcription services. So . . . if you are offering workshops or training and you want them transcribed, she will provide that service for you. (Feel free to reach out back channel if you need that introduction.)
Aaron Potratz says
Great question, Sheri and Leslie. Once again, our all-wise Tamara has great advice here. 🙂 I agree that asking other therapists in your area to find out if they use a VA, looking for a recommendation, and finding someone (or multiple VA’s for different tasks) who can meet your specific needs is a good way to start. You might consider asking your direct contacts first (colleagues you regularly are in touch with), then branch out by flipping through Psychology Today therapists and calling/emailing to find out more information about their practices.
When I did this, I discovered a few VA’s in my area that I had no idea existed but they’ve been around for many years. Just make sure you do your research first and that you feel good about the decision before you commit – those counselor intuitions can be very beneficial! 🙂
Tamara Suttle says
Hey, I want to add that for many . . . maybe even most tasks . . . there really isn’t a need for your VA to be in your geographic area. Thus the name Virtual Assistant. Mine is 2000 miles away. We’ve connected mostly over the internet and spoken once on the phone when I hired her for an hour to tutor me on Aweber. Don’t limit your research just to those in your home town. You may be missing some great resources if you do.
Tawnya Kordenbrock says
I know a lot of bloggers use VAs from other countries. A popular source is Chris Drucker’s Virtual Staff Finder. He owns a business in the Filipines where he trains people there to be VAs. I’ve heard many people swear that they are hard workers, reliable, and ethical. Also, they cost a lot less.
Tamara Suttle says
Welcome back, Tawnya! And, thank you for another great resource!
Just remember, folks, that regardless of where your Virtual Assistant is located, you will need to be cognizant of HIPAA and other regulations that may affect the work you are contracting out.
Tamara Suttle says
Hey, Sheri – I thought you might want to set up a little image of you – known as a gravatar – so that when you comment here and elsewhere you photo shows up. It’s really easy to do and it helps us recognize and feel more connected to you. Here’s how to do that.
Shri says
Hi Sheri, places like elance.com, Odesk.com etc offer a platform from where you can choose virtual assistant. There is job history, feedback etc from previous clients which might help you jugde better.
Apart from such platform small companies like ours http://www.sourcePEP.com also offer virtual assistants at a very affordable rate sans the commisions of the above mentioned platform as you are directly in touch with the VA without any mediator.
Aaron Potratz says
Thanks for sharing these links, Shri! You and Tamara appear to have many resources on finding VA’s, which are very helpful! I don’t know much about those companies, but it’s always a good idea to research a company’s reputation and legitimacy before diving in. I try to read expert/professional reviews if they exist, since someone else has already done the legwork and background checking for me. Of course, as therapists, I’m sure we all know and already take these precautions! 🙂
Tamara Suttle says
Yep. I was thinking the same thing, Aaron.
Shri says
Hey Aaron it was our pleasure to contribute to the conversation. Of course expert reviews a help a lot while choosing to ally with someone. Apart from them three parameters which one should ensure before hiring a VA are:
1. Client testimonials
2. Previous Job history
3. And personal interaction with the resources.
always ask for a pilot trial when you first hire a VA- many are ready to offer FREE services for a limited period of time and testing waters first before jumping is a good way to ensure smooth stress free delegation. 🙂
Tamara Suttle says
Thanks, Shri, for adding these. I’m always reluctant to include the comments of businesses that are eager to sell their services to health professionals so was hesitant to “approve” the posting of your initial comment suggesting Source Pep. Now I’m glad I did. Thank you for actually staying engaged with this discussion not just to sell your services but also to share useful information and reminders like this that are helpful to my readers. That sets you apart from the masses in my mind and I look forward to your future contributions to this community.
Other VA’s out there – your voices, too, are welcome here. In fact, I’m looking for a VA or two who is interested in guest posting on a couple of topics. Let me know if you are interested!
Shri says
Thanks Tamara for those very kind words. The ease to form ‘connections’ with people from totally different background than yours and genuinely help them to achieve their dreams is the greatest power we have today.
It would be our honor to guest post for your readers – do let me know in what ever ways we can help.
Have a great day 🙂
Tamara Suttle says
Shri – are you in the marketing department or are you an actual VA?
Shri says
Hi Tamara, we are actually a small business – I adorn the hat of CEO, ‘one of the marketing guys’ and blogger as the need be at sourcePEP 🙂
Tamara Suttle says
Hahaha – not so different than me, Shri! Yes, I’ll be reaching out to you back channel about a guest post for sure! Thank you!
Penny says
Hi, Tamara. I do artwork. I would like to find someone that I could pay to place a watermark on it. Do virtual assistants do that? If so, what keywords would I look for. I haven’t had the time to get my gravitar set…sorry about that.
Tamara Suttle says
Hi, Penny! Welcome to Private Practice from the Inside Out! We have several artists that lurk quietly here so I’m glad to have one of you guys speaking up! You will also find quite a few art therapists here in our community so I hope you will drop in often and make your self at home.
Is the artwork you are talking about graphic in design? So it’s already on a computer?
Penny says
It’s on the computer.
Thanks for the reply.
Penny
Tamara Suttle says
Penny, I think you should be able to put watermarks on your work without using a virtual assistant. Try these first . . . .
– http://www.wikihow.com/Make-a-Watermark
– Or try using a graphic editor (I use the free version for images on my blog) like Picmonkey. http://help.picmonkey.com/customer/portal/articles/522346-watermarking-and-adding-logos
– Pixlr is another free graphic editor that allows you to do this, too, I think. Here’s a tutorial for that one. http://www.designerblogs.com/tutorial-applying-watermark-to-your-photos-and-other-stuff
Lynda.com might also have a tutorial on this.
On the other hand, if you want to look for a virtual assistant who can add a watermark for you, consider search for a VA who has “graphic experience” or “graphic design” or one who markets to “artists” or “graphic artists.”
I hope that helps! Let us know what you find out.
Tamara Suttle says
Penny – here’s how you can set up a gravatar. It’s easy and it’s free and it helps us get to know each other more quickly.
Stacey Horn says
This has been a struggle for the past few years for me (ok, with my Inattention issues- it’s been going on alot longer, I just didn’t recognize it!) . This year I finally got a handle on things, after a few trial and errors. Phase I- Answering service was one adventure- I had a really unsavory experience, and then I happened upon someone locally I knew who simply answers my phone and does scheduling for me. Yay- saves tons of time- much less my bad habit of “fitting people in” and not taking care of myself! Signed confidentiality and bus agreements, and it’s working.
Phase II- I choose to accept insurance- and was being really successful in that process- (used to work for an insurance company) but the time it took me to do that, check benefits, much less following up and collections, etc., etc. On a discussion group I found a Social Worker- Susan Frager- who had written a book- Managing Managed Care that I read. In this incarnation her business (PsychAdminPartners) does the billing and practice management end of things. I’m one of very few therapists who accept insurance in my area so it’s a nice niche for me, and keeps me busy. This has been a crucial and successful (Virtual) step for me, freeing up hours for clients and for my five year old.
I’m happier, generating more income and have eliminated (yes eliminated) the stress I used to experience when I was trying to do the things I’m not good at! The moral of my story has been- “just because I can do something, doesn’t mean that I Should be doing it.” I’m happy to discuss my journey with anyone who drops me an email!
Tamara Suttle says
Hi, Stacey! Welcome back! Hey – I’m not sure I’m understanding . . . . Did you find Frager’s book to be useful? And, are you saying that you use her to do your billing now?
I so get that I don’t have to (and really even shouldn’t) do everything! Thanks for the reminder!
Aaron Potratz says
Great share, Stacey! Thanks for organizing your process and directing us to some helpful resources. I especially love that last sentence: “just because I can do something, doesn’t mean that I SHOULD be doing it.” When I read “E-Myth Revisited” it said the same thing – many small business get stuck doing jobs they don’t want to do and are not good at doing them, so outsourcing can be a better option but you have to confront your own fears about that.
Tamara Suttle says
Ahhhh, Aaron! Looks like we’ve been hanging out with the same books!
Aaron Potratz says
So I’ve been using Hushmail for encrypted, HIPAA-compliant files with my VA and it’s working great! It’s annoying to have another service to have an account/login for, but that’s a minimal issue.
In other news, Google just announced yesterday that they’re encrypting all data in their cloud on the server side! This is good news for security, but I’m not sure if the 128-bit encryption makes it HIPAA-compliant (it might). Here’s a good article that explains it plainly for anyone interested: http://venturebeat.com/2013/08/16/hack-this-nsa-google-now-triple-encrypts-all-data-in-google-cloud-storage/
Tamara Suttle says
I believe Dee Anna Nagel from the Online Therapy Institute has recommended Hushmail, too. Thanks, Aaron, for sharing this info!