01
After-hours triage.
Documented triage tree walked on every call. Chief complaint captured, clinical severity flagged, routed per protocol.
After-hours & medical answering
After-hours medical answering that protects your patients and your phone.
24/7 HIPAA-compliant medical answering service. Overnight, weekend, and holiday coverage for primary care, surgical, mental health, home care, and hospice agencies. Real humans, documented triage, on-call paging, and message routing to your EHR.
Recognized by Clutch
Top 2025 awards for Customer Support, Virtual Assistants, and E-commerce Call Centers
Why HelpSquad for after-hours coverage
Nothing drops to voicemail. Nothing that should not.
Four reasons practices use us for after-hours instead of an old-school answering service.
01
24/7/365 real humans.
Overnights, weekends, holidays, storm days - always staffed. Same voice, same protocol, same EHR every time.
02
Documented triage.
Triage protocols written with your clinical leadership, followed consistently. Emergencies routed to 911, urgent cases to on-call, routine messages queued for next-morning.
03
On-call paging that works.
Your on-call schedule integrated. Pages go to the right clinician with case summary and callback number. Escalation if no response within SLA.
04
Documented in your EHR.
Every after-hours call captured as a message in your EHR with case notes and action taken. Clinician reviews in the morning without re-gathering history.
How we show up
Six lanes of after-hours coverage.
Start with one lane; we expand as the engagement earns its keep.
02
On-call clinician paging.
On-call schedule respected. Clinician paged with clean case summary and patient callback info. Escalation to backup if no response within SLA.
03
Emergency dispatch.
911 / emergency handling protocols documented and followed. Patient guided to emergency care while record is captured for clinician.
04
Prescription refill requests.
Refill requests captured per your refill policy. Urgent-refill protocol for medications with life-safety implications.
05
Appointment & scheduling calls.
Same-day acute scheduling if open slots exist. Routine requests queued in EHR for next-morning front-desk.
06
Multi-language support.
Spanish, Tagalog, Mandarin, and more available on your after-hours line. Accent-sensitive communication training.
10-Year HelpSquad Client
HelpSquad feels like part of our practice - not an outsourced team.
Dr. Maria Rhode, DMD
Owner · Imagine Advanced Dental Arts
Lawrenceville, NJ
Client since 2016
Lawrenceville, NJ
Client since 2016
Tools we work in
Trained on your after-hours stack.
We meet you in the tools you already use. Custom tool training built into onboarding.
EpicAthenaCernereClinicalWorksNextGenModMedDrChronoSimplePracticeTherapyNotesWellSkyAlayaCareTigerConnectOnCall SchedulerSpok+ custom tools
Transparent pricing
Simple rates. Nothing to hide.
We publish our rates because we're proud of them. No hidden fees. No surprise minimums. No bait-and-switch. You only pay for hours worked.
$8-$12/hour.
That's it. That's the whole range.
That's it. That's the whole range.
$0
Upfront cost
$0
Implementation fees
$0
Replacement costs
Back Office
$ 8-10
per hour · billing, claims, data entry
- Insurance verification
- Medical billing & AR
- Claims processing & appeals
- Pre-qualified candidates
- HIPAA BAA included
Most popular
Patient Facing
$ 11-12
per hour · scheduling, calls, intake
- Front desk & scheduling
- Clinical / specialty experience
- Candidate interviews included
- EHR-specific recruiting
- Virtual desktop + BAA
Managed Team
Custom
team lead + multiple VAs + QA
- Full managed service
- Workforce management & QA
- Monthly analytics reporting
- Ideal for 3+ seats or 24/7
- US-based operations lead
Ready to get started?
Sleep through the night. Patients still heard.
After-hours is where small practices lose patients, and where home care / hospice agencies can't afford a dropped call. Book a consultation and we'll scope the right after-hours coverage for your patient volume.
In their words
What clients say about working with us.
H.E.R. Accessories
Having a real person is what we were looking for. HelpSquad has provided a good business model and support over the past 3 years.
Mason Bottle
The price is excellent for the quality of the service. Agents and coaches learn quickly and give customers an authentic experience with our brand.
VELLO
Within the first 3 months we expanded our hours of active guest communication by about 25% and delivered approximately 33% labor cost savings.
MultiSoft Corporation
They handle all of our live support 24x7x365. Awesome customer service.
Kofile Technologies
Professionals who have always proven themselves trustworthy and beneficial to our support staff.
N.J. Hair Center
It's like having someone there 24/7 to answer questions.
Simple Agency
Agents learn how to answer the top questions prospects ask, custom to YOUR business.
Spark Orthodontics
Good communication between company and customer.
Frequently asked
Answers before you ask.
Can you handle medical emergencies?
Triage - yes. We follow your documented emergency protocols, route urgent cases to on-call clinicians, and guide life-threatening cases to 911. Clinical intervention stays with your licensed team.
How does on-call paging work?
Your on-call schedule (weekly, daily, or live) is integrated. Pages go to the right clinician with case summary and patient callback. Escalation path documented for missed pages.
Which specialties need this most?
Primary care (for urgent calls outside office hours), surgical (post-op questions), mental health (crisis calls), home care / hospice (24/7 family calls), pediatrics (parent urgent calls).
Do you integrate with our EHR for message routing?
Yes. After-hours calls captured as messages in your EHR with case notes. Clinician reviews in the morning without calling the patient back for history.
How much does after-hours coverage cost?
$11-12/hour for patient-facing after-hours. Part-time or full 24/7 coverage available. See full pricing →
Can you handle multilingual after-hours?
Yes. Spanish, Tagalog, Mandarin, and more. After-hours staffing matches your practice demographics where possible.
How quickly can after-hours go live?
About two weeks. Triage protocol is documented with your clinical leadership during onboarding - that is the highest-leverage part of the setup.
Verified client reviews
What clients say on Clutch.
Unfiltered, third-party-verified reviews pulled live from our Clutch profile.
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Ready to scale after-hours coverage?
Let's build the squad your practice needs.
A 30-minute call. We'll scope the work, pre-qualify candidates, and give you a realistic go-live timeline.
877-775-3667 · info@helpsquad.com · Hatboro, PA