VIRTUAL ASSISTANTS

How Portiva Booked 56 Meetings Selling $10/Hour Virtual Medical Assistants to Practices Drowning in Admin Work

31 average replies per month

56

56

meetings booked in 9 months

31

31

Average Replies Per Month

Cold Email

Cold Email

Outbound channel used

CLIENT REVIEW

Hear it straight from the client

The lead quality has been great - I'm super happy with Outbound System.

The lead quality has been great - I'm super happy with Outbound System.

The lead quality has been great - I'm super happy with Outbound System.

Sanju Zachariah, Owner & President at PORTIVA

Sanju Zachariah

Owner & President at PORTIVA

THE CHALLENGE

Where they were stuck

Portiva provides $10/hour virtual medical assistants to healthcare practices across the U.S., with 1,000+ implementations already in operation. Despite having strong proof at scale, the challenge was convincing practice managers and clinic owners to trust a virtual assistant with patient-facing tasks through cold outreach alone.

Practice owners skeptical of trusting virtual assistants with patient-facing tasks

Healthcare staffing conversations require proof at scale, not generic promises

Needed steady, predictable pipeline matching onboarding capacity each month

THE SYSTEM WE BUILT

How we solved their problems

Intent-Based List Building

We targeted practice managers and clinic owners who were actively hiring for administrative roles, a signal that they were feeling the staffing pain right now. This intent-based approach ensured outreach reached practices with an immediate need rather than a theoretical interest in virtual staffing.

Cost Comparison Messaging

Messaging did not lead with "virtual assistants." It led with the cost comparison: a full-time in-house medical receptionist costs $35K to $45K per year, while Portiva delivers the same function at a fraction of that with 1,000+ implementations as proof. Cold email sequences surfaced the ROI math early and followed up with social proof from comparable practice types.

Multi-Channel Scale

LinkedIn outreach engaged practice owners with content around healthcare staffing challenges and operational efficiency. AI cold calling targeted multi-location practices where the staffing cost savings at scale justified a direct conversation. This multi-channel approach ensured a steady, predictable pipeline that matched Portiva's capacity to onboard new practices.

Portiva provides $10/hour virtual medical assistants to healthcare practices across the U.S., with over 1,000 practices already using their service. Owner Sanju Zachariah had the proof at scale, but convincing new practice managers and clinic owners to trust a virtual assistant with patient-facing tasks required more than a cold pitch. It required making the ROI math impossible to ignore.

Outbound System targeted practice managers and clinic owners who were actively hiring for administrative roles, a direct signal that they were feeling the staffing pain right now. Messaging did not lead with "virtual assistants." It led with the cost comparison: a full-time in-house medical receptionist costs $35K to $45K per year, while Portiva delivers the same function at a fraction of that cost, with 1,000+ implementations as evidence it works.

Cold email sequences were structured to surface the ROI math early and follow up with social proof from comparable practice types. LinkedIn outreach engaged practice owners with content around healthcare staffing challenges and operational efficiency. AI cold calling targeted multi-location practices where the staffing cost savings at scale justified a direct conversation.

The straightforward value proposition paired with precise targeting generated 31 qualified responses per month and 56 meetings over nine months. This steady, predictable pipeline matched Portiva's capacity to onboard new practices, turning outbound into a reliable growth engine rather than a feast-or-famine channel.

Turn Cold Emails Into Predictable Revenue

30 minutes. No cost. Just a real plan built for your business.

"Highly recommend Outbound System! I have plenty of experience in lead generation, and they nail it. From excellent prospecting to top-tier account management, they excel in every aspect."

Dean Drumm

CEO at Convert Agents

Turn Cold Emails Into Predictable Revenue

30 minutes. No cost. Just a real plan built for your business.

"Highly recommend Outbound System! I have plenty of experience in lead generation, and they nail it. From excellent prospecting to top-tier account management, they excel in every aspect."

Dean Drumm

CEO at Convert Agents

Turn Cold Emails Into Predictable Revenue

30 minutes. No cost. Just a real plan built for your business.

"Highly recommend Outbound System! I have plenty of experience in lead generation, and they nail it. From excellent prospecting to top-tier account management, they excel in every aspect."

Dean Drumm

CEO at Convert Agents

OS

Outbound System

Get your free growth plan today and stop guessing what works. We'll map your ideal customers, build custom outreach sequences across email, phone, and LinkedIn, and show you exactly how many meetings your outbound should be generating. All backed by data from 52M+ cold emails and tens of thousands of campaigns.

Trusted by 1,000+ B2B companies, Outbound System consolidates your entire outbound tech stack into one done-for-you system. Scale your pipeline across cold email, AI calling, and LinkedIn from a single platform, delivering twice the leads at half the cost while we fill your calendar with qualified decision-makers every month.

© 2026 Outbound System. All rights reserved.

OS

Outbound System

Get your free growth plan today and stop guessing what works. We'll map your ideal customers, build custom outreach sequences across email, phone, and LinkedIn, and show you exactly how many meetings your outbound should be generating. All backed by data from 52M+ cold emails and tens of thousands of campaigns.

Trusted by 1,000+ B2B companies, Outbound System consolidates your entire outbound tech stack into one done-for-you system. Scale your pipeline across cold email, AI calling, and LinkedIn from a single platform, delivering twice the leads at half the cost while we fill your calendar with qualified decision-makers every month.

© 2026 Outbound System. All rights reserved.

OS

Outbound System

Get your free growth plan today and stop guessing what works. We'll map your ideal customers, build custom outreach sequences across email, phone, and LinkedIn, and show you exactly how many meetings your outbound should be generating. All backed by data from 52M+ cold emails and tens of thousands of campaigns.

Trusted by 1,000+ B2B companies, Outbound System consolidates your entire outbound tech stack into one done-for-you system. Scale your pipeline across cold email, AI calling, and LinkedIn from a single platform, delivering twice the leads at half the cost while we fill your calendar with qualified decision-makers every month.

© 2026 Outbound System. All rights reserved.