You became a physician to deliver care. 
We make sure your operations support that every single day.

Between patient care, compliance requirements, and operational demands, the most successful practices protect clinical time by putting the right administrative support in place. Tactical Back Office gives you trained staff who keep your operations moving without constant oversight.

Most Staffing Solutions promise help. TBO staffing ensures you are ready for today and tomorrows administrative work.

Up to $3000 cost savings per month 

Placement in under 1 week

16 weeks of specialized training

A Back-Office Staffing System Built for Therapy Practices

In any medical practice, efficiency is shaped by everything that happens before and after the exam room. Tasks need to be completed accurately, on time, and without requiring escalation. When that consistency is in place, work flows, handoffs hold, and physicians stay focused on patient care.

Tactical Back Office is built to bring that structure to your practice from day one.

Each role is designed to operate within a supported framework that includes:

  • Staff who complete 16 weeks of specialized training before they begin
  • Clearly defined workflows tailored to medical environments
  • Coverage models that prevent disruption when staffing changes
  • Ongoing monitoring to maintain performance standards
  • Direct accountability for the completion of critical tasks

Trained on the software you use

No learning curve. No system excuses.

TheraNest logo featuring a blue and green abstract design on the left and the word "TheraNest" in blue and green text on the right.
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Consistency is built into how we staff.

Where We Support Your Practices Everyday

Administrative work is the engine behind every medical practice. Tactical Back Office places trained administrative staff directly into your workflow — people who are prepared before they arrive, supported after they start, and accountable for keeping work moving without escalation.

  • Appointment scheduling and Calendar management
  • Patient intake coordination
  • Insurance eligibility verification
  • Billing preparation and claims follow up
  • Patient communication and reminders
  • Documentation and adminstrative support
  • Revenue cycle coordination
  • Administrative workflow management

With a simple structure starting at $9.84/hour, you gain more than administrative help. You gain consistency in how critical work gets done. In a medical practice, the question is rarely whether the work exists. It is whether it gets done properly, every time.

Built for Physician Practices of Every Type

Primary care and family medicine practices, specialty clinics, private and group practices, telehealth and hybrid care models, solo physicians and multi-location practices, outpatient and ambulatory care centers.

HOW IT WORKS

01

Speak with us

02

Select Your TBO Staff Member

03

Set a start date

04

Begin work with us

Physicians are trained to diagnose, decide, and deliver care. When the administrative side of a practice runs consistently, that focus stays protected. Tactical Back Office places trained, supported administrative staff into the daily flow of your operations so the work behind the scenes functions the way it should, reliably, and without requiring your constant involvement. The result is a more efficient practice where your time, attention, and expertise are used where they matter most.

Book a 15-minute staffing review and see where your time can be given back.

If your practice feels like clinical time is slowly being consumed by administrative responsibilities, this model was designed to address exactly that.

FAQ

Your VA works the hours you need, aligned to your time zone.

No long-term contracts. We only require a one month notice period.

Yes. Most of our clients start with one and scale easily as your needs grow.

We replace or cover the role at no extra cost, ensuring continuity.

You get a dedicated VA, backed by a system for continuity and support.

You direct the work. We manage the HR, payroll, training and support.

You get a dedicated staff member backed by a system, not a single individual or a rotating pool.

Find Your Perfect Solution  Today.

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