Discover how it works by scheduling a free consultation with our account specialist.Connect With Us


Doctors Take Care of People
Medical Distant Assistants Take Care of Doctors

Serve more patients in a day without having to stay beyond clinic hours. Find Distant Medical Scribes (DMS) to handle your charting or progress notes. Hire General Medical Distant Assistants (GMDA) to take care of your eligibility and benefits verifications. Hire a Distant New Patient Coordinator (DNPC) to support your front desk staff and customer service.

Take control of your medical private practice today!

Do you need a medical distant assistant?

Medical distant assistants can help alleviate many private practice pains. Ask yourself the following questions:

  1. Are you and your staff always pressed for time to check your patients’ insurance eligibility?
  2. Do you find it challenging to manage appointments and make reminder and confirmation calls?
  3. Are you bogged down by a growing pile of patient documents you need to encode into your EMR?
  4. Do you have to stay two to three hours beyond 5PM to get through a day’s worth of charts or progress notes?

If you answered “Yes” to any of these questions, then you might consider hiring your own General Medical Distant Assistant or Distant Medical Scribe and/or a Distant New Patient Intake Coordinator.

Getting started is quick and easy!

Fill in our inquiry form so we can schedule a consultation and determine how we can help you improve your private practice. 

How does it all work?

Our team at Bottleneck Medical Distant Services will walk with you in your search for the best person to represent your private practice. 

All of our candidates, should they be hired, complete a HIPAA compliance program prior to beginning any work with your practice. All physicians will receive a signed HIPAA compliance checklist and a Business Associates Agreement from their MDA.

The Medical Distant Scribes will undergo accredited training and certification after they have begun working with your practice. Your MDS becomes even more equipped with the necessary skillset required to do their jobs, including the legalities of the practice. After this training, you can expect your VMS is able to handle their job responsibilities effectively and without needing rigorous supervision.

Hire your VMS to optimize the time you spend at your clinic. Spend less time updating your charts. Start working smarter, not harder.

Frequently Asked Questions

How long have you been providing scribe services?

Our team has been involved with, or directly providing, Medical Distant Assistant Services since 2006. Bottleneck Medical Distant Services was organized in 2018 in response to the growing nationwide demand for quality Medical Distant Assistant Services that accurately and efficiently meet the medical needs of physicians.

What does a GMDA do?

A General Medical Distant Assistant (GMDA) is a remote assistant who performs administrative tasks for healthcare practitioners similar to an on-site medical assistant. Some of their duties include Eligibility/Benefits verifications, answering the phones and prior authorizations to name a few.

How do I track how many hours my MDA is performing?

We use time tracking software that they MDA logs into on each shift. We accurately track their time and if there are questions as to the amount of time they are submitting for each pay period, we also record screen shots of their computer at random times during their shift.

How do I communicate with my MDA?

You can reach your Medical Distant Assistant (as you are comfortable with) through Mail/Chat/Video Conferencing/Phone. Our assistants are available for all these communication methods. Much of the communication standards are dependent upon your systems and processes.

Where are you located?

Bottleneck Medical Distant Services has two locations in Tempe, AZ and Springfield, MO and operations are performed in the Philippines.

What is the process of assigning my new MDA?

We pride ourselves on offering individual support. We save you time by performing the initial sourcing process and then will recommend three highly skilled candidates for you to choose from. Once you choose the candidate that best fits you and your practice, they will work directly with your organization and will become a part of your existing team.

Do you comply with HIPAA policies?

Yes. Yes. We conduct HIPAA training for all MDAs as well as frequent auditing and continuing education for our MDS. If you want to know more about our HIPAA training program please reach out to Rechelle, our Director of Human Resources at

Are your MDA's home or office-based?

Our Medical Distant Assistants work both at home and in our offices, dependent upon their location and comply with all remote-access HIPAA compliancy policies regardless of their work location.

What are the qualifications of your Medical Distant Assistants?

All our assistants are college graduates and/or Registered Nurses (RN). We do this for a multitude of reasons, but here are the main benefits for you:
They complete goals and objectives.

  • Registered nurse with at least 1 year experience
  • Good English communication and comprehension skills
  • Stable hard-wired internet connection with 10 mbps
  • Should have a backup
  • Computer/laptop
  • Should have a conducive work station with white background
  • Webcam
  • Amenable to work 20-40 hours/week (US time)
How much does an MDA cost?

Please see our pricing page to get the most recent overview. 

Questions You Should Be Asking

Are your Medical Distant Assistants familiar with my EHR software?

Yes and no. They understand what EHR is and may be familiar with a certain software, however they will need to be trained on your EHR software. Due to the large number of EHR solutions on the market, it is virtually impossible for our MDA's to know all of the different software out of the gate. Our MDA's have the capacity to learn and work with any and all EHR platforms.

Do Medical Distant Scribes code and bill the chart?

No, they do not. However, they can apply frequent codes that a practice uses based on the practice dictation to help ensure accuracy and efficiency in billing. We highly encourage physicians to double-check for accuracy and efficiency for at least the first few months to ensure the progress notes are being recorded correctly.

Do I have control of my data?

Yes. Each of our MDA staff members has completed the HIPAA compliancy checklist to ensure that they are operating according to remote-access best practices according to Health and Human Services HIPAA Security Guide. We also guide you to only give access to what the VMA needs to accomplish their tasks. This reduces risks and improves your data security.

How do I pay my MDA?

Bottleneck Medical Distant Services sends out invoices in two pay periods:

  1. 1 - 15th
  2. 16 - End of each Month

We will invoice you on the first business day after the end of each pay period. We recommend paying your invoice as soon as possible as we send the payment to your MDA as soon as we receive your payment.

What if my Dedicated Distant Assistant doesn't show up for their shift?

We are here to serve and support you. If your Dedicated Distant Assistant does not show up for work, reach out to your business development representative right away. You can also send an email to

Successfully Hire and Train Your Medical Distant Assistant

Let us guide you first so you can show them the ropes. Get your copy of the Bottleneck Medical Distant Services Implementation Manual by signing up to our newsletter.

PDF iPad

What else is holding you back? Get started on practicing the profession you spent years to train for while your Medical Distant Assistant takes care of the rest.

Get Started

Copyright © 2021. All rights Reserved.

Follow Us