Read more about our vetting process: Why Most Global Hiring Fails, And How the Ataraxis Vetting Process Fixes It
Offshore staffing through Ataraxis costs a fraction of what a comparable U.S. hire runs once you factor in salary, benefits, payroll tax, and recruiting overhead. There are no upfront fees, no lock-in contracts, and no billing surprises. The numbers below show exactly what you pay and what you save.
174 hrs · $11/hr all-in
87 hrs · $12/hr all-in
vs. $60–97k for a U.S. hire
2–3 vetted candidates
A skilled professional who provides remote support to your business. Hiring a Virtual Assistant lets you outsource everyday tasks, giving you and your employees more time and freedom to focus on growing your business.
A specialized remote professional equipped to support your real estate operations by handling administrative and tenant-facing duties.
Trained to support therapists, psychologists, psychiatrists, and counseling clinics with both administrative and clinical workflows. They assist with charting, intake coordination, scheduling, patient communication, and EHR updates.
Manages front-desk responsibilities for healthcare practices. They handle patient communication, appointment scheduling, and administrative tasks to ensure smooth day-to-day operations while reducing in-office workload.
Helps streamline clinical and administrative workflows. They assist providers with charting, scheduling, patient communication, and other essential tasks.
Ensures your business’s financial records are accurate and up to date. They manage day-to-day financial tasks, enabling you to make informed decisions and maintain compliance.
As a psychiatric mental health nurse practitioner running a solo telehealth and in-person practice, I needed a virtual medical assistant who could manage patient scheduling, EHR workflows, and front-office coordination with minimal oversight.
My VA through Ataraxis has been exactly that. She handles new patient intake, manages our scheduling and messaging, and keeps everything running while I focus on patient care. What surprised me most is how she’s become a real thought partner. I’ll ask her to review a conversation or an email and she gives me a straight, honest read. That kind of judgment is hard to find. She’s now taking on more responsibilities as we expand our services, and she told me she’s in it for the long haul.
I only wish I had done this sooner. If you’re a mental health provider considering a HIPAA-compliant virtual assistant, don’t wait.
We’ve had an excellent experience working with Ataraxis and are so impressed. Their virtual assistants are professional, reliable, and highly skilled. The onboarding process was smooth, communication is consistent, and they truly understand how to match the right assistant to the right business needs.
They’ve helped us streamline operations and stay organized without the overhead of hiring in-house. I highly recommend them to any business looking for dependable virtual support.
I made a hire through Ataraxis a few months ago.
As it goes in any hiring process, when you meet the right person, you know immediately. I knew when I met the 5th candidate that she’d be the one.
3 weeks into her job she had a fundamental mastery of her own responsibilities. 2 weeks later, she assumed a whole new set of responsibilities on top of that. And now she’s a fully integrated part of my team.
10/10 will work with Ataraxis again.
We’ve had a really good experience working with Ataraxis. They make it easy to find talented healthcare virtual assistants, who have great attention to detail, at affordable rates. The team is very easy to work with and keeps in touch regularly, checking in to make sure everything is running smoothly and that we’re satisfied with our assistants. Overall, it’s been a smooth, professional experience from start to finish.
George has been a great help throughout this process, which was new to us. His team sourced some great candidates for us to choose from, and we are really happy with our hire. George has also conducted regular check-ins and follow-ups. He is happy to share his personal insights and experience around structuring the job description, onboarding, and getting the best out of this recruitment process. I would definitely recommend George and his business for VA solutions.
George and his team did a fantastic job placing a Talent Sourcer on my team. She’s smart, communicates well, works diligently, and is a self-starter. Bonus points, her background (10 years!) is in an industry directly adjacent to ours. As such, she was able to catch on extremely fast and onboarding her was a breeze. My only gripe is that I wish I had taken this on sooner. Thanks Ataraxis!
George reached out to me on LinkedIn, and while I rarely respond to cold outreach offering services, his approach felt thoughtful and genuine, so I decided to explore what his firm had to offer. We’ve been considering offshore talent for several years but hadn’t made the leap, as we hadn’t found the right offshore partner. Recently, we started working with Ataraxis, and it’s been a fantastic experience—they quickly sourced an exceptional contractor for our recruiting team and ran a smooth, efficient process from start to finish.
Highly Recommend!
I had the absolute pleasure of working with George, and I can confidently say that his expertise and guidance have been game-changing for my business. On our first conversation, George provided clear, actionable strategies tailored to my recruitment challenges. His deep industry knowledge, tested outreach methods, and data-driven approach set him apart.
If you’re a recruiter or business owner looking for expert-level guidance on client acquisition, outreach, and recruitment processes, I highly recommend working with George. His advice is practical, results-driven, and delivered with professionalism and genuine care for your success.
Thank you, George, for your time, insights, and the motivation to push forward with confidence!
I was pretty hesitant about hiring people offshore, but had a fantastic experience working with Ataraxis to hire a virtual recruiter for my business. They connected me with Anabel, who’s based in the Philippines and has been incredible—she’s extremely hard-working, quick to learn, and always brings a great attitude to her work. Now I’m thinking about how I can build a team around her.
The entire process with Ataraxis has been seamless, and they regularly check in to make sure I’m happy with the service they’ve provided. It’s clear they truly care about their clients’ success. I highly recommend Ataraxis to anyone looking to grow their team with quality talent!
We source skilled professionals from around the world to support businesses and healthcare practices across the United States. Whether you are running a growing company, managing a medical practice, or trying to keep operations lean, offshore outsourcing gives you access to reliable talent without the overhead that comes with local hiring.
Serving Los Angeles, San Francisco, and San Diego
Operating a business or healthcare practice in California comes with a real cost burden. Between payroll taxes, mandated benefits, and compliance requirements, labor costs add up fast. Bringing on an offshore professional can reduce those costs by up to 78% compared to a local hire, whether you need admin support, billing, or patient coordination, without sacrificing the quality your operation depends on.
Serving Houston, Austin, and Dallas
Texas is one of the best states to build a business or grow a practice, but it moves fast and the competition is real. Around 20% of new businesses in Texas do not survive their first year, and a big reason is that owners and providers get buried in tasks that do not move the needle. Handing off administrative and operational work to an offshore professional frees up your time to focus on revenue, patients, and growth.
Serving Miami, Orlando, and Tampa
In Florida’s market, whoever responds first usually wins. If a lead or a patient inquiry comes in and no one is available to respond, they are moving on. Businesses and healthcare providers that bring in dedicated offshore support see response times improve significantly, sometimes by 30% or more. Whether you are in real estate, healthcare, tourism, or any other fast-moving industry, consistent coverage means you stop losing opportunities you already earned.
Serving New York City, Buffalo, and Albany
In New York, adding a team member is never just a salary decision. Office space in New York City is expensive, and every new hire can mean thousands more in overhead just to give them a desk. Healthcare practices and businesses alike are using offshore hiring to grow their teams without the real estate problem. You skip the $4,000-per-hire setup costs and scale in a way that actually makes financial sense.
Offshore outsourcing means hiring skilled professionals in other countries to work for your business remotely. Instead of growing your local payroll, you build part of your team in a lower-cost market across functions like admin, customer service, accounting, marketing, IT, and healthcare back-office operations.
The numbers make the case. Companies can hire MBA-level talent overseas while saving 70 to 80 percent on labor costs. That is not a small difference. You get experienced professionals doing the work at a fraction of what a local hire would cost. 83% of U.S. small businesses plan to maintain or increase their outsourcing spend, and more than 68% already outsource at least one non-core task. This is not an enterprise-only strategy. Small and mid-sized businesses across healthcare, real estate, professional services, and e-commerce are already doing it.
The work gets done. You stay focused on running and growing the business.
When you’re ready to outsource an offshore staff, the best location depends on the mix of cost, language skills, time-zone overlap, and talent depth your business needs. Here’s a quick tour of the best regions, each with clear advantages and a few trade-offs, to help you decide where to outsource an offshore staff who fits your workflow.
We created the Global Outsourcing Talent Index, a data-backed audit of all 193 UN-recognized countries scored across five variables: labor cost, English proficiency, talent availability, digital infrastructure, and political stability.
The results were eye opening and are frequently cited by major news sites and industry blogs all over the world.
The Philippines ranks #1 globally for outsourcing suitability, placing it in the top 0.52% of all countries evaluated. That ranking is backed by real numbers. The country has over 7 million professionals on LinkedIn, produces 1.45 million graduates annually from higher education and vocational programs, and ranks #2 in Asia and #28 globally for English proficiency with a “High Proficiency” status.
This is our most active sourcing region. The talent pool is large, the remote work infrastructure is mature, and professionals here have been working with U.S. businesses for decades. Cultural alignment is strong across admin, customer service, healthcare back-office, and digital marketing roles.
Pros: #1 ranked outsourcing destination globally, deep English-speaking talent pool, strong familiarity with U.S. business culture, large graduate pipeline, highly competitive rates, proven remote work track record.
Cons: Time zone difference from the U.S. requires scheduling coordination, though most professionals are accustomed to working U.S. business hours.
Best for: Virtual assistants, virtual medical receptionists, customer service, admin support, recruitment, bookkeeping, and healthcare back-office roles.
Latin America as a whole has become a strong nearshore option for U.S. businesses, largely because of time zone alignment. Most of the region falls within one to three hours of U.S. time zones, which makes real-time collaboration far easier than other offshore markets.
The region also produces strong bilingual talent in English and Spanish, which is a practical advantage for businesses serving U.S. Hispanic markets or operating across both languages.
Pros: Excellent time zone alignment with the U.S., strong bilingual capability (English and Spanish), competitive rates, growing professional services talent base, same-day collaboration without scheduling workarounds.
Cons: Quality varies more noticeably by country and city than in more established markets. Thorough vetting matters more here. Rates can be slightly higher than Southeast Asia or Africa depending on the country.
Best for: Bilingual customer service, sales support, admin, marketing, and businesses with Spanish-speaking customer bases.
South Africa ranks #5 among African countries in outsourcing competitiveness, and seven African countries sit within the global top 25 outsourcing destinations overall. South Africa leads the continent for professional services talent, with strong English communication skills and a growing remote work culture that aligns well with U.S. and UK business environments.
Professionals from South Africa tend to communicate in a way that Western clients find natural and easy to work with. The country has solid infrastructure in its major cities and a strong track record in executive support, finance, and customer-facing roles.
Pros: Native or near-native English speakers, strong business writing and professional communication, solid alignment with Western business culture, good infrastructure in major cities, high-quality talent in admin and finance.
Cons: The talent pool, while strong, is smaller than Southeast Asia. The time zone can require some adjustment for businesses operating purely on U.S. hours.
Best for: Executive virtual assistants, professional services support, customer-facing roles, content, and finance.
Seven African countries sit within the global top 25 outsourcing destinations, with Kenya ranking #11, Ethiopia #23, and Uganda #24. East Africa is one of the fastest-growing outsourcing markets in the world right now, and it remains underutilized by most U.S. businesses, which means you can access experienced, highly motivated professionals before the market becomes saturated and rates rise.
Several of our highest-performing virtual assistants come from this region. The professionals here tend to be well-educated, detail-oriented, and take remote work seriously.
Pros: High education levels relative to compensation, strong English proficiency, highly motivated professionals, very competitive rates, growing urban infrastructure in cities like Nairobi, Addis Ababa, and Kampala.
Cons: As a newer outsourcing market, careful vetting is essential. Infrastructure can still be inconsistent outside major cities.
Best for: Administrative support, executive assistance, sales support, operations, and any role where you want experienced professionals at a lower cost point.
The Caribbean is one of the most underutilized nearshore options for U.S. businesses. Countries like Jamaica, Trinidad and Tobago, and Barbados have established outsourcing industries, and the professionals coming out of these markets communicate in a way that U.S. customers find immediately familiar. North America dominates the global outsourcing market with the largest revenue share at 37.4%, and the Caribbean’s proximity makes it a natural extension of that market for businesses that prioritize real-time collaboration and accent familiarity.
Pros: Near-identical time zones to the U.S. East Coast, strong English communication, high cultural familiarity with American consumers, no scheduling lag for customer-facing roles.
Cons: The talent pool is smaller than other regions, which limits options for specialized or high-volume hiring. Rates tend to be higher than Africa or Southeast Asia due to proximity and cost of living.
Best for: Customer service, inbound and outbound calling, sales support, and roles where real-time availability and cultural familiarity are priorities.
Romania ranks #10 globally and is the highest-scoring European country for outsourcing competitiveness. Eastern Europe as a whole is the go-to region for businesses that need technical and specialized professional talent. Countries like Poland, Romania, Ukraine, and Bulgaria have large pools of highly educated professionals in IT, software development, finance, and data analytics, with strong English proficiency in professional roles.
It is worth noting the cost trade-off. The United States ranks #86 globally for outsourcing competitiveness despite perfect scores in English proficiency, infrastructure, and talent availability, with high labor costs being the primary gap. Eastern Europe sits closer to the U.S. on the cost scale than Asia or Africa, but still delivers meaningful savings compared to hiring domestically.
Pros: Strong technical and analytical skill sets, high education levels, solid English proficiency in professional roles, good infrastructure, and a work culture that aligns well with U.S. and European businesses.
Cons: Rates are higher than other offshore regions, which reduces cost savings compared to Asia or Africa. Time zone differences with the U.S. require some planning for real-time collaboration.
Best for: IT support, software development, data analysis, finance, and roles requiring strong technical expertise.
Offshore outsourcing means hiring skilled professionals in other countries to work for your business remotely. Instead of adding to your local payroll, you build part of your team in a lower-cost market, and they work for you just like any other team member. It covers a wide range of functions including admin support, customer service, accounting, marketing, IT, and healthcare back-office operations. Businesses that do it well end up with more time, lower overhead, and a team that actually gets things done.
US-based hires typically run $25 to $50 per hour for administrative and support roles. With Ataraxis, you can bring on MBA-level, full-time offshore staff starting at $11 per hour. That works out to savings of up to 70% compared to hiring locally, without cutting corners on quality.
We source talent globally, with a focus on regions that consistently produce strong, English-speaking professionals. That includes the Philippines, Latin America, South Africa, East Africa, and beyond. We are not locked into one market. We go where the best candidates are.
We screen over 200 candidates every week and accept fewer than 5%. Every candidate goes through an initial interview to check communication skills, time zone alignment, and remote work readiness, followed by a role-specific take-home assessment, a culture fit interview, and reference and background checks.
We also use an Anti-Job Hopper Filter to screen out anyone who bounces between roles every few months, and a One-Repeat Rule during interviews: if our recruiters have to ask a candidate to repeat themselves more than once, they are out.
By the time you meet anyone, they have already cleared all of that. You will typically choose from 3 to 4 finalists we have personally vetted.
Read more about our vetting process here.
Yes. Your hire will work your hours, not theirs. Time zone alignment is part of our screening process, so there is no lag in communication or collaboration. They show up when your business is running.
No. Agreements are month-to-month with no lock-in contracts and no upfront deposits. You’ll simply receive a monthly Stripe invoice for each person you hire, making the process seamless and hassle-free.
Yes. After we complete vetting, we present you with 3 to 4 qualified finalists. You interview each one and make the final call. Once you hire, that person works exclusively for you on a full-time basis. They are your hire, not a shared resource.
Your satisfaction is the priority. If something is not working, we address it quickly and find you a better match. If needed, we will issue a prorated refund. We also do regular check-ins to catch any issues early, before they become a problem.
Ataraxis handles it. We set up and maintain secure VPN access for each hire, use timekeeping and productivity monitoring tools, and require every offshore staff member to sign a confidentiality agreement. All team members are trained in data security best practices before they start work with a client.
Yes, for healthcare clients. We place HIPAA-compliant professionals specifically for medical practices, including virtual medical receptionists, medical billers, prior authorization specialists, and virtual assistants. These team members are experienced on protected health information handling, confidentiality requirements, and compliance protocols. If you are a healthcare provider, we will match you with candidates who have the specific training your practice requires.
