“I answered Maria's call and booked her first visit.”
- Caller
- Maria R. · new patient
- Reason
- Book first visit
- Language
- English / Español
- Pickup
- 4 sec · no hold
A real, dedicated person — trained in your specialty and your EMR. Not AI, not a call center.
Remote medical staff who've already done the job.
Nivia places dedicated remote employees — not generic virtual assistants — who already know medical-office workflows, are trained for your specialty, and speak fluent English and Spanish. One person, working only for your practice.
More than a virtual assistant
Real medical-office experience
Every Nivia employee has already worked inside a US practice — as a receptionist, scribe, or biller. No learning healthcare on your time.
Specialty-specific training
Each hire is trained to your specialty's terminology, software, and payer rules — so they integrate fast and never rely on a generic script.
Bilingual English & Spanish
Full fluency in both, so Spanish-speaking patients are served properly and your front desk never stalls at a language barrier.
A model built by doctors, for doctors
Nivia was developed by physicians who lived the problem: remote help that had never set foot in a medical office, and the lost hours spent teaching the basics instead of seeing patients.
“We built the staffing model we wished we'd had when we were the ones drowning in charts.”
Nivia's founding physicians

Application & screening
Background checks, prior medical-office experience, and live English & Spanish fluency.
Every applicant clears identity and background checks, and we verify real medical-office experience and full bilingual fluency before they go any further.
The brief is written around your practice, not filled in from a template.
Four remote roles, dedicated to your practice
Flat weekly rates. Staff one role or build a full remote team.
Keeps your phones answered and your schedule full, and proactively notifies patients about deductibles a day ahead.
Reminders sent a day ahead, so nobody arrives surprised by a balance.
- Answer incoming patient calls
- Scheduling & confirmations
- Insurance eligibility & deductibles
- Referral & prior-auth support
- New patient intake
- Recalls & reminders
Trained for your specialty
Select a specialty to see the specific work a Nivia employee handles for that practice.
Family Medicine
Your dedicated Family Medicine employee handles the day-to-day so your team stays focused on patient care:
See the difference for your practice
Estimates only. Local cost assumes ~2,080 hrs/yr plus ~30% benefits & taxes; Nivia shown at the selected flat tier rate. Contact us for an exact quote.
Nivia vs. typical VA agencies
Same six questions, two very different answers.
What practices say about working with Nivia
We've had a great experience working with Nivia for remote staffing support in our ophthalmology office. The setup process was smooth and seamless from the start. Their team handled training before the employee began working with us, using our website and the information we provided. As a result, the employee was truly plug-and-play on day one. Our remote employee has been self-sufficient, reliable, and communicative, especially when additional tasks or clarification are needed. The process has saved us time and made onboarding much easier than expected. We would recommend them to other medical offices looking for dependable remote staffing support.
Testimonial 1 of 6: Krishna Morar, OD
Works with your EMR
- Epic
- athenahealth
- eClinicalWorks
- NextGen
- ModMed
- Kareo
- DrChrono
- Practice Fusion
- AdvancedMD
- Cerner / Oncospark
- Tebra
Your employee is trained to your practice’s specific EMR before day one — including systems not shown here.
Find out who Nivia would place in your practice.
A short, no-pressure call. We'll walk through your specialty, your workload, and the exact person we'd assign to you.
