Four remote roles that cover the whole practice
From the first ringing phone to the last dollar collected, Nivia staffs the work with dedicated, healthcare-trained employees — one person per role, assigned only to you. Start with a single hire or build the full line.
- Remote OperatorCalls, scheduling & front-desk support$8/hr
- Remote ScribeReal-time charting & EMR documentation$10/hr
- Billing — Part 1Coding, charge capture & submission$12/hr
- Billing — Part 2Denials, appeals & A/R follow-up$14/hr
One dedicated person for every part of the workflow
Flat weekly rates. Staff one role or build a full remote team.

Remote Operator
$8/hrKeeps your phones answered and your schedule full, and proactively notifies patients about deductibles a day ahead.
- Answer incoming patient calls
- Scheduling & confirmations
- Insurance eligibility & deductibles
- Referral & prior-auth support
- New patient intake
- Recalls & reminders

Remote Scribe
$10/hrMedically trained scribes document encounters directly in your EMR so charting is done before you leave the room.
- Document encounters in the EMR
- Follow-up appointment scheduling
- Appointment summaries
- Documentation reminders
- Organized, current records
- Specialty-specific documentation

Billing — Part 1
$12/hrCodes and submits clean claims for every visit — ICD-10, CPT, modifiers, and compliance.
- Claim preparation & submission
- ICD-10 & CPT coding support
- Modifier application
- Charge capture & entry
- Clean-claim compliance review
- Payer-specific requirements

Billing — Part 2
$14/hrMonitors outstanding claims and pursues every reimbursement opportunity, from denials and appeals to A/R follow-up.
- Insurance claim follow-up
- Denial management
- Appeals & resubmissions
- Claim corrections
- A/R follow-up
- Payment posting
One line, front desk to collections
Each role owns a stretch of the patient and revenue journey — staff one, or line them up end to end.
Compare the four services
The same information, side by side, to help you decide where to start.
| Operator | Scribe | Billing 1 | Billing 2 | |
|---|---|---|---|---|
| Hourly rate | $8/hr | $10/hr | $12/hr | $14/hr |
| Primary focus | Front desk & scheduling | Clinical documentation | Coding & claim submission | Denials & A/R follow-up |
| Patient-facing | Yes | Yes | No | No |
| Revenue impact | Fills the schedule | Protects the note | Bills the visit | Recovers revenue |
| Best paired with | Any role | Billing — Part 1 | Billing — Part 2 | Billing — Part 1 |
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.
