Industry-specific desks,
staffed by people who know the work.
Medical billing, insurance servicing, legal support and freight dispatch — four desks where a general assistant does not get far. Agents arrive knowing the forms, the systems and the exceptions.
- Trained on the vertical before placement — the terminology and the workflow, not just the software.
- Every desk has a line we do not cross. Advice, sign-off and anything licensed stays with you.
- Work happens in your system of record, under independently audited ISO 27001 controls.
These desks are made of words you either know or you don't.
A capable assistant with no vertical training can follow a process until the first exception, then has to ask. On these desks the exceptions are most of the job.
Not a claim about certification — a claim about training. If a term above matters on your desk and is missing from the list, say so on the call and we will tell you honestly whether we have someone for it.
Four desks, each with its own line.
Take one seat on the process that is currently backing up, or the whole desk. The boundary at the bottom of each panel is not fine print — it is the reason the rest is safe to hand over.
Medical Billing & RCM
Revenue cycle operations- Charge entry and claim submission on your schedule
- Rejections worked at the clearinghouse before they age
- Denials triaged by reason code, appeals drafted and tracked
- A/R ageing worked to your escalation rules, with payer notes logged
- Eligibility and prior-authorisation follow-up
Where we stopWe do not select or sign off codes. Coding decisions stay with your certified coder or provider, and the medical record stays the practice's responsibility.
Insurance Back Office
Servicing and renewals- Submissions assembled and sent to carriers on your appetite list
- Certificates issued from your templates, endorsements requested
- Renewal lists built ahead of the window, loss runs chased
- Policy data checked against declarations and corrected in the AMS
- Premium audits and billing queries followed to resolution
Where we stopWe do not bind coverage, quote to a client, or advise on what a policy should contain. Every licensed act stays with your producer.
Legal Process Support
Document and case operations- Document review and coding to your review protocol
- Bates numbering, redaction passes and privilege-log upkeep
- Client intake, conflict-check data gathering and file opening
- Medical-record chronologies and deposition summaries
- Docket and deadline tracking, with filing packets assembled
Where we stopWe are not lawyers and give no legal advice. Judgment, strategy, signature and anything actually filed remain with the attorney of record.
Logistics & Dispatch
Load and billing operations- Load boards worked and options presented against your lanes
- Driver check calls, appointment setting and status updates
- Paperwork chased — BOLs, PODs, rate confirmations, lumper receipts
- Freight billing and invoicing, with accessorials captured not forgotten
- Carrier onboarding packets and document expiry tracking
Where we stopRate authority and committing a load are yours. We present and execute; we do not negotiate outside the bounds you set or operate on your broker authority.
The same three rules, whichever desk it is.
Four different regulators, four different vocabularies, one operating model. These are the parts that do not change.
Your system of record
The desk works inside your PM, AMS, DMS or TMS — not a copy of it. The audit trail stays where your auditor, carrier or bar association expects to find it, and nothing has to be migrated back if we stop.
The line, in writing
Before anyone starts, the scope says which acts are ours and which are yours. On these desks that is not a courtesy — getting it wrong is a licensing or malpractice question, not a service-quality one.
Visibility without asking
Hourly work logs, a short written report every working day, and a named supervisor who is not the person doing the work. The same oversight every Rem Assist seat runs under.
We are an operations provider, not your compliance function and not your counsel. Where a regulation governs your desk, the obligation is yours and the scope is written so that stays true. See how an engagement runs.
Scope your desk on a callThe questions worth asking before a regulated desk changes hands.
How is protected health information handled?
Raise it first and get the answer in writing before anything starts — not at signature. What we hold today is ISO 27001 for information security and ISO 9001 for quality, both independently audited rather than self-declared, with least-privilege access scoped per client. HIPAA is a separate regime with its own paperwork, and if a business associate agreement is a condition for you then it needs settling up front. We would rather lose the engagement at that question than pass it and be wrong about it.
Are your people licensed or certified in our field?
Assume not, and scope accordingly. Our agents are trained on the vertical — the terminology, the forms, the systems and the common exceptions — which is what makes the operational work possible. It is not the same as a state producer licence, a coding certification or a bar admission, and we do not present it as one. Every licensed act stays on your side of the line, which is why the line is written into the scope.
What about privilege and confidentiality on legal work?
The desk works inside your document management and review platforms under access you grant and can revoke, so the file never leaves your control. Confidentiality terms are signed before access. Whether a particular arrangement preserves privilege in your jurisdiction is a question for your own counsel, not for a vendor's website — and any provider answering it confidently on a marketing page should worry you.
Our volume is seasonal. Can seats come off?
Yes. Renewal season, a filing deadline, produce season and a payer's policy change are all spikes with an end date, and seats come off as easily as they go on. Anything documented during onboarding stays with you, so standing a desk back up later does not mean starting over.
Can we start with one process instead of the whole desk?
It is usually the better move. One seat on the process that is actually backing up — denials, certificates, intake, freight billing — tells you more than a full desk does and costs less to find out. Every engagement starts with a free trial and you approve the agent before they touch live work.
Can we see case studies from our industry?
Not yet, and we would rather say so than show you a logo that is not ours to show. Named write-ups publish when clients sign off on them. Until then the things you can actually inspect are the scope document, the daily logs and a free trial on your own live work.
Tell us which desk is backing up.
Bring the process, the system it runs in and the line you need held. You get a scope that names both sides of it — and the trial is free before anything is signed.