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TherapyNotes Virtual Assistant Guide: Scheduling, Billing and Portal Workflows

How to set up and deploy a virtual medical assistant inside TherapyNotes for behavioral health practices, covering scheduling, insurance billing, the patient portal and telehealth support.

June 25, 2026 6 min readBy Danny Nabavi, Founder, Staffing For Doctors

TherapyNotes is a cloud-based EHR and practice management platform purpose-built for behavioral health practices, including psychologists, therapists, counselors, social workers and psychiatrists. Its scheduling, billing, notes and patient portal are tightly integrated, making it one of the most efficient platforms for mental health practice administration.

A virtual medical assistant trained on TherapyNotes can manage the full administrative layer of the practice: scheduling, patient communication, insurance billing, portal management and appointment reminders. This allows the provider to carry a full caseload without administrative work spilling into clinical hours.

Staff access and permissions in TherapyNotes

TherapyNotes supports staff accounts with configurable permissions. A virtual medical assistant should be provisioned as a Staff member with access to scheduling, billing and patient communication. Clinical note access should remain restricted to licensed providers.

Enable two-factor authentication on the VA's account and confirm that your TherapyNotes subscription tier supports the number of staff accounts your practice requires. All remote access is covered under the TherapyNotes Business Associate Agreement.

Scheduling and appointment management

TherapyNotes uses a template-based scheduling calendar. A virtual medical assistant can manage new patient intake scheduling, recurring appointment maintenance, cancellation and rescheduling requests and waitlist outreach.

The platform sends automated appointment reminders by email and text. A VA can review reminder delivery reports, follow up with patients who have not confirmed and reschedule no-shows proactively before the appointment slot is wasted.

Patient portal and intake coordination

TherapyNotes includes a patient portal where new clients complete demographic information, insurance details and consent forms before their first appointment. A virtual medical assistant can monitor completion status, send reminders to incomplete patients and review submitted information for accuracy before the provider sees it.

Portal message management is another high-value VA workflow. The assistant can triage incoming messages, respond to administrative questions and route clinical questions to the provider with appropriate context.

Insurance billing and claims management

TherapyNotes has a fully integrated insurance billing module with electronic claim submission, ERA posting and payer tracking. A virtual medical assistant focused on billing can submit claims after each session, post remittances, work denial queues and follow up on outstanding AR.

Behavioral health billing requires precision around session length coding, place of service and diagnosis codes. A TherapyNotes billing VA should be trained on the specific CPT codes, modifiers and payer rules your practice uses most frequently to avoid preventable denials.

Telehealth session support

TherapyNotes includes built-in HIPAA-compliant video sessions. A virtual medical assistant can handle pre-session logistics including sending session links, confirming patient readiness and troubleshooting access issues.

After each telehealth session, the VA can process any balance due, schedule the next appointment and send follow-up portal messages. Keeping this workflow off the provider's plate typically saves 10 to 15 minutes per telehealth session.

Frequently Asked Questions

Yes. TherapyNotes supports staff accounts with configurable permissions. A VA can access scheduling, billing and the patient portal without gaining access to clinical notes.

Staff access scoped to scheduling, billing and patient communication. Clinical note and treatment plan access should remain with the licensed provider.

Yes. The VA can submit claims daily, post ERA payments, work denials and follow up on outstanding AR. Daily claim submission alone typically accelerates payment by 5 to 7 days compared to weekly batch submissions.

Yes. The VA triages incoming messages, responds to administrative questions and routes clinical content to the provider. Most practices see provider message response time improve significantly once a VA owns portal triage.

Scheduling and portal workflows are typically live within 24 to 48 hours of access provisioning. Billing workflows require an additional onboarding session on your payer mix, coding patterns and denial management approach.

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