The decision
Compare the smallest commitment that actually covers your queue. An hourly rate may look cheaper while requiring more hours than you need. A higher package price may include support that your practice would otherwise provide itself.
What to compare
MedicalVirtual publishes a 15-hour weekly minimum. Hello Rache publishes a flat hourly rate. HelpSquad's advertised range applies to full-time staffing, with part-time schedules quoted individually. Include those conditions in the comparison before making a shortlist.
Before you commit
Track the time your own staff spend supervising and correcting work. Start with a clear, repeatable task and review the first month. Value comes from useful capacity and consistent quality, not from the lowest number in an advertisement.