Fully Vetted and Native English speakers
Will work in your time zone
No hidden fees or long term contracts
Here are some of the offshore virtual assistants who made it through our full vetting process. Each one has been screened for communication, verified work history, and role-specific skills. They’re available now and ready to hit the ground running.
Medical Virtual Assistant & Behavioral Health Biller | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Sheila is a Philippines-based Medical Virtual Assistant with nearly a decade of US healthcare experience, HIPAA certification, and fluent professional English developed through direct training by American clients at Aetna. She holds a BS in Biology and completed advanced coursework in Medicine and Allied Fields.
She spent six years supporting a US healthcare insurance account, progressing from Healthcare Specialist to Subject Matter Expert to Team Lead managing 17-20 agents, handling medical and behavioral health claims, insurance verification, prior authorizations, CPT/ICD-10 coding, and HIPAA compliance.
Most recently she spent three years at a US mental health telemedicine company, as a Behavioral Health Biller and Patient Coordinator managing claims, pre-certifications, EHR records, and provider scheduling.
EHR/software: SimplePractice, TheraNest, Athenahealth, AdvancedMD, NaviNet, CoverMyMeds, Zendesk, RingCentral, Google Workspace.
References (10/10 and 9/10 re-hire): Two former managers described her as consistently exceeding performance targets and one of the strongest assets on the team.
Best fit for: Mental health practices, behavioral health telehealth platforms, and medical billing teams needing HIPAA-certified, US-trained expertise in insurance verification, claims, and patient coordination.
Healthcare Virtual Assistant & Medical QA Specialist | Kenya
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Monica is a Kenya-based Registered Nurse and Healthcare Quality Assurance specialist with 7+ years of clinical and remote US healthcare experience. She holds a BS in Nursing and a Master of Public Health (Epidemiology) and is ACLS and BLS certified.
She spent two years as Remote Healthcare QA Manager for a US-based home care provider, auditing 200+ Medicaid and insurance claims monthly, maintaining 98% documentation compliance, managing prior authorization pipelines for CCA and MassHealth, and presenting biweekly compliance reports to US leadership. She is currently HR Representative and Perinatal Educator for a US-based doula company in California.
Software: Insightly, Ritiko, WellSky, Monday.com, Hireology, Google Workspace, Canva, Slack.
References (10/10 — both): One of her US-based managers called her “one of the best staff the company has had”, crediting her with introducing a digital filing system that improved audit readiness and client retention company-wide.
Best fit for: US home health agencies, small healthcare practices, telehealth platforms, and health insurance operations needing remote Medicaid claims auditing, prior authorization management, and HIPAA-compliant clinical documentation support.
Revenue Cycle Manager & Medical Billing Operations Lead | Philippines
$13/hr for full-time, $14/hr for part-time | US hours | Available now
Kath is a Philippines-based Revenue Cycle Management professional with 10+ years of direct experience managing U.S. medical practice accounts across behavioral health, nephrology, pediatrics, imaging, infusion, and multi-specialty settings. She holds a Doctor of Dental Medicine, giving her rare clinical literacy that sharpens her accuracy in coding, documentation review, and payer communications.
Her entire career has been US-client-facing: most recently as Account Manager at a Texas-based healthcare facility, and before that as Billing Associate Manager at a California-based behavioral health telehealth company, where she served as the organizational subject-matter expert for multi-state Medicaid compliance and denial prevention. She has managed end-to-end RCM including charge entry, claims submission, A/R follow-ups, denial management, EOB/ERA reconciliation, credentialing, VOB, and payer escalations.
Certifications: HIPAA Compliance, Certified Medical Billing & Coding (ICD-10 & ICD-11), Agile Project Management, Six Sigma White & Yellow Belt, Mastering RCM 2025
References (10/10 and 9/10 re-hire): Both former managers confirmed she consistently exceeded performance targets and demonstrated strong leadership and operational accountability.
Best fit for: Behavioral health practices, nephrology, multi-specialty groups, and telehealth platforms needing a HIPAA-certified, US-trained RCM manager for billing operations, denial reduction, and revenue optimization.
Medical Virtual Assistant & Healthcare Admin Specialist | Kenya
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Joyce is a Kenya-based Medical Virtual Assistant with 3+ years of direct US healthcare experience, a BS in Foods, Nutrition & Dietetics and fluent professional English developed through years of client-facing roles with US and international organizations. Her clinical academic background gives her a meaningful edge in understanding medical context, patient communication, and documentation accuracy.
She spent nearly three years as a Medical VA for a US family practice, where she was managing physician calendars, patient scheduling, EMR documentation (Accuro and OSCAR), lab and pharmacy coordination, insurance inquiries, and prescription follow-ups. Most recently she supported small mental health counseling practice as a Practice Assistant, handling TherapyNotes, insurance verification, claims submission, payment processing, and intake workflows.
EMR/Software: Accuro, OSCAR EMR, TherapyNotes, RingCentral, Square, Notion, Google Workspace, Microsoft Office, Canva, Slack
References (10/10 and 10/10 re-hire): Both a supervising Office Manager and a Media Manager independently confirmed she consistently exceeded expectations, maintained zero connectivity issues, and proactively created systems that improved team efficiency.
“She is absolutely wonderful and a joy to work with. I wish I had more for her to do and would give her a high recommendation to another employer. She is quick to respond, great with questions, very well organized and has great communication skills. If there is some way I can be a formal reference for her I am more than happy to do so.”
Best fit for: Family practices, behavioral health therapists, and telehealth platforms needing a HIPAA-aware, US-experienced Medical VA for scheduling, EMR management, patient communication, and insurance follow-ups.
Healthcare Virtual Assistant & Prior Authorization Specialist | South Africa
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Naledi is a South Africa-based Healthcare Virtual Assistant with 4+ years of focused US healthcare experience, a Bachelor of Financial Accounting, and fluent professional English.
Her entire career has been US-client-facing at a long-term care pharmacy cost containment company. She progressed from Insurance Rebill Representative — where she managed claims processing, reconciliation, and denial trend reporting for approximately 650 facilities — to Prior Authorization Specialist, where she achieved an 80% PA approval rate managing end-to-end authorizations across Medicare, Medicaid, and commercial payers including Aetna, Humana, and CVS Caremark. She has hands-on experience with CoverMyMeds, PointClickCare, SimplePractice, and Visual EMR, and deep working knowledge of ICD-10 codes, formulary vs. non-formulary determinations, and payer-specific appeal processes.
Systems: SimplePractice, PointClickCare, CoverMyMeds, Visual EMR, PCC, Google Suite, Microsoft Office
References (8/10 and 9/10 re-hire): Both former managers at Integra confirmed accuracy of her assessment and described her as a self-starter, strong multitasker, and independent problem-solver who handled one of the largest facility caseloads on the team.
Best fit for: Pharmacies, behavioral health practices, and multi-specialty groups needing a HIPAA-aware VA with proven prior authorization, insurance rebilling, and denial management experience.
Healthcare Operations Manager & Medical Billing Virtual Assistant | Philippines
$13/hr for full-time, $14/hr for part-time | US hours | Available now
Abby is a Philippines-based Healthcare Operations professional with 10 years of US healthcare experience, a Bachelor of Mass Communication, and fluent professional English developed through a decade of onshore client-facing work with US healthcare providers. She holds a HIPAA Certification and Lean Six Sigma certifications.
Her entire career has been US healthcare-focused. She spent 6 years at healthcare services firm, progressing from Associate to Assistant Manager to Operations Manager — ultimately directing dozens of associates and several assistant managers across end-to-end healthcare operations including EMR/EHR management, eligibility verification, benefits, pre-certification, claims, and appeals. She has deep working knowledge of Medicare, Medicaid, commercial insurance, and ICD-10, CPT, and HCPCS coding. Before that she spent 4 years at a consulting company on a US healthcare account, finishing as In-Team Coach.
Tools: EMR/EHR systems, performance dashboards (AHT, SLA, CSAT, QA), WFM forecasting, Microsoft Office, Google Suite
Reference (10/10 re-hire): A former direct report (now an Assistant Manager herself) credited Abby as a key reason for her own promotion, describing her as one of the best assets she has ever worked with.
Best fit for: US healthcare practices, insurance teams, and health-tech companies needing a HIPAA-certified, operations-experienced VA for medical billing, claims management, pre-certification, or healthcare team coordination.
Accountant & Bookkeeper | QuickBooks & Xero Certified Pro Advisor | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Fatima is a Philippines-based Certified Public Accountant with 6+ years of experience in financial reporting, general ledger accounting, and tax compliance. She holds a BS in Accountancy, is a QuickBooks Certified Pro Advisor, and a Xero Certified Pro Advisor; credentials that distinguish her from general bookkeepers.
Her most recent role was Senior Accountant at a US multinational healthcare company, where she handled month-end close activities, inter-company reconciliations, balance sheet reconciliations, SOX compliance reporting, variance analysis, and monthly calls with US-based Assistant CFOs and Controllers, communicating directly with American finance leadership in fluent professional English.
Prior to that role, she handled full-cycle accounting at a Japanese multinational including payroll, AR/AP, cash management, budgeting, fixed assets, and tax compliance.
Software: QuickBooks Online, Xero, Microsoft Excel, S2K/Infinium, Cerner Millennium, Microsoft PowerApps, Google Workspace.
References (10/10 — both): Her Senior Accounting Manager described her as a trusted accountant for complex tasks who proactively flagged challenges before they became problems, including commuting to the office at midnight during an internet outage to meet a month-end deadline.
Best fit for: US-based businesses, eCommerce operators, and healthcare companies needing a certified, multinational-experienced accountant for general ledger, month-end close, or full-cycle bookkeeping.
US Bookkeeper & Accountant | Pilar Bataan, Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Arriane is a Philippines-based US Accountant with 3+ years of dedicated experience managing end-to-end bookkeeping for US-based clients across multiple industries. She graduated Cum Laude with a BS in Accountancy and holds active certifications as a QuickBooks Online ProAdvisor, Xero Advisor, and Bill.com Certified user.
She has spent her entire career supporting US clients: first at one of the largest US-facing bookkeeping outsourcing firms, and currently as a direct hire for a US bookkeeping firm, where she manages end-to-end accounting for 15 clients simultaneously, including transaction recording, journal entries, payroll (Gusto), bank and credit card reconciliation, AR/AP, and month-end close with management notes. Her written English communication is strong and professional, with direct client-facing email management experience.
Software: QuickBooks Online, Xero, Bill.com, Gusto, Shopify, Stripe, Karbon, Google Workspace, MS Office
References (10/10 and 10/10 re-hire): Both a Senior Accountant and an Accounting Manager/Financial Controller confirmed she consistently met deadlines, communicated proactively, and contributed well above expectations for her experience level.
Best fit for: US bookkeeping firms, small business owners, and accountants needing a certified, detail-oriented offshore bookkeeper for QBO/Xero cleanup, monthly close, and multi-client account management.
Senior Accountant & Bookkeeper | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Naomi is a Philippines-based Accounting Professional with 7+ years of experience managing high-volume accounting operations, a BS in Accountancy, and fluent professional English. She holds a Licensed Financial Advisor certification and is a Civil Service Passer at the Professional Level.
Her current role is US-client-facing and operationally demanding: she serves as Accountant and Overseas Department Team Lead for a California retail company, leading accounting operations across 36 retail stores, supervising 8 Junior Accountants, vetting 30–80 invoices daily, and managing full-cycle bookkeeping including cash, bank, vendor debt, main vault, and SmartSafe reconciliations. She reduced monthly closing time by 85% and eliminated overdue payments entirely. Before that she managed $5M+ in accounts receivable as Lead Collections & Loss Mitigations Manager for a North America finance lease company, reducing delinquent accounts by 30% in the first three weeks.
Software: QuickBooks Online, Google Suite, Microsoft Office; experienced building SOPs, dashboards, and financial reporting systems from scratch
References (10/10 and 8.5/10 re-hire): A supervisor from an international NGO called her “eagle-eyes” for her ability to catch errors and misstatements in financial data; a second supervisor confirmed she consistently under-promised and over-delivered.
Best fit for: US small businesses, multi-location retail operators, and accounting firms needing a detail-obsessed, team-tested Senior Bookkeeper for QBO full-cycle accounting, reconciliation, AP/AR, and month-end close.
Executive Virtual Assistant | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Klondellion is a Philippines-based Executive Virtual Assistant with nearly a decade of dedicated VA experience supporting C-suite executives at US-headquartered companies.
She communicates in fluent, professional English developed through years of direct collaboration with American executives across healthcare, finance, and corporate sectors.
She currently serves as Executive Assistant to the CEO and CFO of a US-based venture capital firm; managing executive calendars across global time zones, processing accounts payable, coordinating audits with zero discrepancies, and leading cross-team project management via AutoTask and Monday.com. Prior to this she spent eight years as a Personal Medical Virtual Assistant, reducing patient scheduling errors by 25% and administrative burden by 15%.
Her background includes an MBA, a BS in Physical Therapy, and senior leadership roles including VP for Administration at a medical centre and HR Manager at a Philippine corporation.
Tools: Microsoft 365, Google Workspace, AutoTask, Monday.com, Otter.ai, Canva, Constant Contact.
Reference (10/10 re-hire): Her colleague at Shima Capital described her as someone who “stays on top of assignments, communicates well, and adapts when priorities change.”
Best fit for: Healthcare practices, investment firms, and founder-led businesses needing a highly credentialed, US-experienced executive assistant.
Executive Virtual Assistant & Operations Support | Kenya
$11/hr full-time | $12/hr part-time | US hours | Available now
Grace is a Kenya-based Executive Virtual Assistant with 5+ years of direct, uninterrupted experience supporting US executives and remote teams, currently at a New York company and previously at a large well known medical company in Austin, TX. She writes and communicates in fluent, professional English and holds a First Class Honours degree in Mass Communication, with an ongoing Master of Science in Digital Marketing.
Her experience spans executive calendar management, vendor coordination, project tracking, meeting preparation, recruitment support, and AI-assisted workflow automation. She has worked hands-on in Asana, Monday.com, Notion, Smartsheets, HubSpot, Breezy HR, Ashby, Slack, and the full Google and Microsoft suites.
References (10/10 and 9/10 re-hire): Her Operations Manager and Chief of Staff both confirmed she consistently met deadlines, communicated proactively, and took initiative beyond her defined scope, with no inconsistencies noted in her written assessment.
Best fit for: Founders, CEOs, and executives needing a reliable, US-experienced offshore EA for scheduling, operations, project coordination, and administrative systems management.
Social Media Manager & Graphic Designer | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Ana is a Philippines-based Senior Content and Creative Manager with 13 years of uninterrupted experience supporting a US-headquartered eCommerce company. She holds a Bachelor’s in Communication Arts and communicates in fluent, professional English developed through 13 years of direct collaboration with American executives.
She progressed from Social Media Manager to Digital Media Manager to Senior Manager of Content Creation, leading the creative team, overseeing campaigns across social media, graphic design, video editing, and web content, while simultaneously serving as Acting Operations Manager.
Tools: Canva, Adobe Photoshop, Google Workspace, Asana. Print and digital production certified across both CMYK and RGB workflows. Platform-native sizing for Instagram Reels, LinkedIn, and Shopify.
Reference (10/10 re-hire rating): Her manager of 8 years described her as consistently meeting deadlines, proactively keeping the team aligned, and demonstrating nothing but accountability and follow-through across their entire working relationship.
Best fit for: eCommerce brands and digital marketing teams needing combined design execution, social media strategy, and light operational support in one hire.
Communications & Sales Virtual Assistant | Ethiopia
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Delila is an Ethiopia-based communications and project delivery professional with 10+ years of experience across several industries and native-level professional English developed through a BA in Media & Communication and a Master’s in Communication & Marketing. Her academic background is Western, her writing is polished, and her communication instincts are genuinely global.
Her career spans high-stakes stakeholder engagement, outbound communications, campaign execution, and sales-adjacent work at scale. In a previous role, she managed a €384,000 annual trade marketing budget, drove 16% sales growth, and trained 1,000+ sales representatives nationwide. In another role, she grew Facebook engagement by 161% and built two Twitter accounts to 7,000+ organic followers within a year. She led multi-stakeholder project coordination across 15+ federal and international institutions, drafted procurement documentation, and managed visibility campaigns for EU-funded programs.
Tools: Hootsuite, Google Analytics, Twitter Analytics, SharePoint, Drupal, Typo3, Microsoft Office, social media platforms
Languages: English (native), French (proficient), Amharic (native)
Best fit for: Founders and sales teams needing a sharp, globally trained communicator for outbound outreach, CRM management, lead generation, content-driven sales support, or stakeholder communications.
Executive Assistant & Marketing Operations Specialist | Cairo, Egypt
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Marihan is a Cairo-based Executive Assistant with 10+ years supporting C-suite and senior marketing leaders at global multinational companies. She holds an MBA and Bachelor’s degree in language studies.
She has directly supported Managing Directors, Country Managers, Franchise Heads, and Marketing Directors across the United States, Belgium, Egypt, Morocco, and regional markets – managing complex calendars, global travel logistics, large-scale event execution, procurement workflows, and cross-functional stakeholder coordination. She currently serves as EA to the Marketing Managing Director, operating at pace with a global team.
Tools: SAP, COUPA, Unify, C-Vent, SharePoint, Microsoft Office Suite, Buy Now, myTE
References: Two direct manager references provided — a Senior Audit Manager and a Marketing Director, both describing her as a top performer with exceptional organizational skills.
Best fit for: Founders, CMOs, and senior executives needing a highly credentialed, multinational-trained EA for calendar management, travel, event coordination, and marketing operations support.
Executive Assistant & Chief of Staff | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Kim is a Philippines-based Executive Assistant and Chief of Staff with 10+ years of professional experience, an MBA, and fluent professional English honed through years of direct C-suite support for US-based companies. Her graduate degree, management depth, and multi-industry background make her one of the most credentialed offshore EAs available at this price point.
Her recent US experience is extensive: she served as Remote Program Administrator and Chief of Staff at a professional coaching company from 2023–2025, acting as the CEO’s right hand, owning inbox management, operations, event planning, payroll, invoicing, QuickBooks bookkeeping, US tax filing (W9/W8/1099), and Stripe/SamCart payment processing.
Before that, she supported an edtech company as a Remote EA for 4+ years.
She has also managed HIPAA compliance and insurance audits for several US healthcare clients.
Tools: Asana, Notion, Trello, Google Suite, Slack, Microsoft Office, QuickBooks Online, Stripe, SamCart, Circle LMS, Typeform, basic WordPress, Zoho, Zoom
References (10/10 and 9/10 re-hire): A Chief Solutions Officer with 5+ years of direct experience described her as proactive and indispensable; a US founder/CEO confirmed she consistently performed above and beyond every agreed deadline.
Best fit for: Founders and C-suite executives needing a highly credentialed, US-experienced EA or Chief of Staff for operations management, inbox and calendar ownership, financial admin, and high-trust project execution.
Legal Virtual Assistant & Corporate Attorney | South Africa
$12/hr for full-time, $13/hr for part-time | US hours | Available now
Joanne is a South Africa-based admitted attorney and legal virtual assistant with 9+ years of experience across commercial law, intellectual property, cybersecurity, and contract management — serving clients in the US, UK, EU, Canada, and Southern Africa. She holds an LLB (Hons), an ISC² Cybersecurity Certification, and is a native English speaker with working knowledge of French.
Her US-client experience is direct and sustained: she spent nearly three years as a Client Relations Manager and Corporate Attorney at one of the leading US online trademark filing platforms, where she was managing international client portfolios, drafting IP licensing and assignment agreements, leading a copywriting team, and executing cold email lead generation campaigns that produced monthly revenue.
Earlier in her career she managed a portfolio of 2,000+ trademarks and patents for major global brands including KFC, Google, Siemens, and P&G at a boutique IP firm.
Tools: Clio, HubSpot, BambooHR, Workday, Semrush, Trello, Microsoft Office, Google Suite
References (10/10 and 8/10 re-hire): A Company Secretary/Legal Advisor confirmed she consistently met deadlines and proactively identified legal risks.
Best fit for: Law firms, in-house legal teams, and founder-led businesses needing a credentialed attorney-level VA for contract drafting, IP management, client relations, compliance support, or legal operations.
Real Estate & Property Management Virtual Assistant | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available with 1 week notice
Rica is a Philippines-based Real Estate Virtual Assistant with 6+ years of property and tenant operations experience, a BS in Tourism Management, and fluent professional English developed through years of client-facing roles at premium property companies. Her hospitality and tourism academic foundation gives her a natural edge in tenant relations, customer service, and professional communication.
Her most recent US-client role was as Real Estate VA at a holding company, where she managed end-to-end property operations including maintenance request tracking, city rental and move-out inspections, vendor coordination, cost estimates, utility coordination, and calendar scheduling — all simultaneously while supporting a property manager who rated her 10/10 and confirmed zero inconsistencies in her assessment. Before that, she spent two years as a Warranty Associate at one of the largest real estate companies — handling warranty claims, contractor scheduling, homeowner communications, and compliance tracking across a high-volume residential portfolio.
Software: AppFolio, Buildium, Rent Manager, Google Suite, Microsoft Office; experienced with CRM systems, maintenance trackers, and lease documentation workflows
References (10/10 and 10/10 re-hire): Both a US Property Manager and a former Team Lead independently confirmed she was one of the most reliable team members they managed, requiring zero performance coaching throughout their working relationships.
Best fit for: US property management companies, real estate investors, and landlords needing a dependable, detail-oriented VA for maintenance coordination, tenant communication, inspection scheduling, and property admin support.
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!
Here’s how our process works:
A lot of offshore hiring platforms list ‘English proficiency’ as a filter. But there is a significant difference between a candidate who can pass a multiple-choice grammar test and one who can represent your business on a client call, draft a clear proposal, or de-escalate a frustrated customer.
This gap is where most offshore hiring falls apart. The language barrier is real, but it is usually not about vocabulary. It is about clarity, confidence, professional tone, and cultural context.
Here is what we actually screen for:
Our vetting strategy is also informed by data. The Ataraxis Global Outsourcing Talent Index evaluated 193 countries across four factors including English proficiency. We do not guess where strong communicators come from. We source from the regions that consistently score highest.
The Philippines scores at the top of every English proficiency index for non-native English-speaking countries. English is a co-official language, used in schools, government, and business. South Africa has an English-first workforce and a neutral accent that works well for U.S., U.K., and Australian companies. Colombia and other parts of Latin America produce strong communicators, particularly for businesses with bilingual customer bases.
Beyond geography, the One-Repeat Rule is the most direct filter we use. If our own recruiters struggle to follow a candidate during an interview, that candidate does not move forward. The standard for clarity is not just passable. It is the level where your customers, partners, and team can interact with that person without any friction.
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
If you are still on the fence about offshore hiring, the numbers make a strong case on their own.
83% of U.S. small businesses plan to maintain or increase their outsourcing spend. That is not a trend driven by large corporations — it is small business owners who have already run the numbers and decided that trying to do everything in-house does not scale.
The U.S. accounts for about 39% of the global virtual assistant services market, which is being driven largely by the country’s 33 million small businesses. Demand for virtual assistants with multilingual capability has also grown to 38%, reflecting how diverse American customer bases have become.
Cost savings are a major part of why adoption keeps climbing. Companies that hire offshore virtual assistants can access MBA-level talent while saving 70 to 80% compared to hiring locally. Administrative outsourcing in particular reduces internal staffing needs by about 34% for small businesses.
On the industry side, finance and accounting outsourcing holds the largest segment share at 21.4% of the global BPO market. In healthcare, the medical billing outsourcing market alone is projected to grow from $6.95 billion in 2025 to over $17.69 billion by 2033.
North America drives the largest share of global outsourcing revenue at 37.4%, and offshore hiring continues to grow as the primary way businesses keep operational costs manageable without sacrificing headcount or output.
These are a few real examples of what the hiring process looked like, what problems needed solving, and what happened after the right person was placed.
Eco Green Equipment needed to fill two operational roles fast. They were growing, they had real work piling up, and they could not afford a months-long hiring process. Within 14 days, Ataraxis sourced and placed both an Administrative Assistant and a Sales Support Specialist. Both hires were fully vetted, working in their time zone, and integrated into the team within the same two-week window.
The founder of this Los Angeles recruitment agency had grown his business primarily through referrals. When he decided to scale beyond word-of-mouth, he needed a Business Development Representative who could build a real outbound pipeline. A local BDR in LA would have cost $78,000 or more in base salary alone, not counting payroll taxes and benefits. Instead, he hired a seasoned offshore BDR from Ethiopia through Ataraxis at $2,000 per month. The BDR generated so many qualified leads in the first month that the recruiting team needed additional support to handle the volume. Total savings in year one: over $60,000.
A solo psychiatric nurse practitioner in Austin was overwhelmed. Incomplete charts, unreturned calls, and unreliable in-office help had made day-to-day operations unsustainable. Ataraxis sourced a Virtual Medical Assistant from the Philippines with U.S. healthcare experience and put her through a rigorous vetting process that included a live EHR simulation, an English proficiency assessment, and a culture-fit interview with the practitioner. The result: the backlog cleared, calls were handled consistently, and the practice kept an extra $30,000 in the budget compared to hiring in-house.
Hiring an offshore virtual assistant through Ataraxis gives you vetted, MBA-level talent at a fraction of U.S. salary costs. These high-caliber professionals integrate seamlessly into your workflow, delivering strategic support and flawless execution while your runway stays intact.
Here’s how offshore virtual assistant companies like Upwork, Fiverr, OnlineJobs.PH, and Ataraxis compare on key hiring criteria.
When you’re ready to hire an offshore virtual assistant, 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 hire an offshore virtual assistant 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.
This is our most active sourcing region, and for good reason. The Philippines has over 7 million professionals on LinkedIn, produces 1.45 million graduates every year, and ranks #2 in Asia for English proficiency. Professionals here have been working with U.S. businesses for decades, so the learning curve around culture, communication style, and business expectations is already short.
The talent pool covers a wide range of roles, and most professionals are used to working U.S. hours, so time zone coordination is rarely a real obstacle. If you are hiring a virtual assistant for the first time and want the lowest-risk entry point into offshore hiring, the Philippines is the place to start.
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 some coordination, though most professionals are already 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’s biggest advantage is time zone alignment. Most of the region sits within one to three hours of U.S. time zones, which means you can have a real working relationship without anyone significantly adjusting their schedule. If same-day collaboration matters to your team, this region delivers that more naturally than most.
The region also produces strong bilingual talent in English and Spanish, which is a practical advantage if your customer base includes Spanish speakers or your business operates across both languages. One thing to keep in mind: quality varies more by country and city here than in more established markets. Vetting matters more, not less.
Pros: Excellent time zone alignment with the U.S. Strong bilingual capability in 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, so thorough vetting is essential. 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 is a strong option for roles where communication quality is non-negotiable. Professionals here are native or near-native English speakers, they write well, and they communicate in a way that Western clients tend to find natural from day one. The country has a solid track record in executive support, finance, and customer-facing roles, with reliable infrastructure in major cities.
The talent pool is smaller than the Philippines, and the time zone requires some planning if your team operates purely on U.S. hours. But for roles where professionalism and communication are the top priority, South Africa consistently delivers.
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.
East Africa is one of the fastest-growing outsourcing markets in the world right now, and most U.S. businesses have not caught on yet. That works in your favor. You can access experienced, well-educated professionals before rates climb and competition for that talent increases.
Several of our strongest-performing virtual assistants come from this region. The professionals here tend to be highly motivated, detail-oriented, and serious about their work. Rates are very competitive relative to the education and experience level you get. The practical note: infrastructure can still be inconsistent outside major cities like Nairobi, Addis Ababa, and Kampala, so careful vetting is important.
Pros: High education levels relative to compensation. Strong English proficiency. Highly motivated professionals. Very competitive rates. Growing urban infrastructure in major cities.
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.
If your biggest priority is real-time availability and cultural familiarity for customer-facing work, the Caribbean is worth a closer look. Countries like Jamaica, Trinidad and Tobago, and Barbados have established outsourcing industries, and English is the primary language. Customers and clients often find the interaction immediately familiar, which matters a lot for front-line roles.
The talent pool is smaller than other regions, so this is not the right fit for high-volume or highly specialized hiring. Rates are also higher than Africa or Southeast Asia. But for roles where accent and cultural alignment are the top priorities, the Caribbean delivers.
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.
Eastern Europe is where you go when the role requires technical depth. Countries like Poland, Romania, Ukraine, and Bulgaria produce large pools of highly educated professionals in IT, software development, data analytics, and finance. English proficiency in professional roles is strong, and the work culture aligns well with U.S. and European business expectations.
The trade-off is cost. Eastern Europe delivers meaningful savings compared to hiring domestically, but it is more expensive than Asia or Africa. Time zone differences also require some planning for real-time collaboration. For technical and specialized roles, though, the talent quality is hard to match at this price point.
Pros: Strong technical and analytical skill sets. High education levels. Solid English proficiency in professional roles. Good infrastructure. 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.
Hiring an offshore virtual assistant saves money compared to having full-time office staff. This lets you and your team focus more on growing your business and doing what you do best.
Great offshore virtual assistants often come from countries and regions like the Philippines, South Africa, Latin America, East Africa, and Eastern Europe. These countries are known for their skilled workers who speak fluent English and have strong work ethics.
Yes! At Ataraxis, your offshore virtual assistant will match your local time zone, making teamwork easy and smooth.
US-based offshore virtual assistants usually cost $25 to $50 per hour. Ataraxis offers MBA-level, full-time offshore virtual assistants starting at just $11 per hour. This means you get great help for up to 70% less.
We keep your information safe by using secure VPN connections, regular monitoring, and privacy agreements signed by every offshore virtual assistant.
Payments are easy and secure with Stripe. We also promise 100% satisfaction – if you’re not happy, we’ll fix it right away.
Ataraxis only offers full-time offshore virtual assistants because they provide more consistent help, become part of your team, and show greater commitment.
Ataraxis uses software to monitor your assistant’s activities, ensuring they are always working efficiently and staying productive.
It’s best to set up clear communication methods right from the start. You can use popular tools like Slack, WhatsApp, Zoom, or email, based on what works best for you.
Your satisfaction is our #1 priority. If you’re not happy, we’ll quickly address the issue and find you a better match, or issue a prorated refund if needed.
Great communication skills, attention to detail, strong work ethics, time zone alignment, work from home readiness, and problem solving skills. We carefully choose assistants based on their skills, experience, availability, and special abilities to make sure they match your business needs.
Yes! Many businesses find offshore virtual assistants deliver even better quality work, especially for specialized tasks.
Paying very low rates, like $2-3 per hour, usually means getting less skilled workers and lower quality work. Ataraxis offers affordable assistants who are highly skilled.
It usually takes 1-2 weeks to get your offshore virtual assistant fully onboarded and familiar with your business, ensuring you work well together from the very beginning.
Skip the guesswork: Prior to founding Ataraxis, I built a 7-figure business with offshore talent and will guide you with vetted candidates and expert strategies.
George Atuahene
Founder, Ataraxis
