“Fractional” simply means you get a slice of a professional’s week instead of hiring them full time. Executives have used fractional CFOs for years. For a therapist in New York, a fractional practice manager means you get a biller, an admin, a marketer and an operations lead for a combined five to fifteen hours a week, at a cost that makes sense for a solo or small group practice.
Why hiring your own admin rarely works at first
A full-time practice coordinator in New York City costs $50,000 to $65,000 a year plus payroll taxes, benefits and your time managing them. A part-timer is cheaper but is one person who knows one thing and leaves when a better job appears. Most solo practices need a few hours of several skills, not forty hours of one.
What a fractional team from MBBCS looks like
- Billing specialist, 3 to 5 hours a week: claims, denials, ERA posting, patient balances.
- Practice admin, 3 to 6 hours a week: scheduling, intake, reminders, insurance verification, client email.
- Marketing lead, 2 to 4 hours a week: directory profiles, website updates, referral outreach.
- Operations lead, as needed: policies, workflows, EHR setup, SOPs.
One point of contact. One invoice at $30 to $35 per hour. People who already know New York insurers and the Office of Professions, so there is no training period.
When fractional is the right call
You are licensed in New York with a caseload of roughly 10 or more clients a week, you are spending more than four hours a week on non-clinical work, and you are not ready to hire. If that is you, fractional is almost always the best first step.
When it is not
If you see fewer than five clients a week and have no plans to grow, you probably do not need a team yet. We will tell you that on the consult.
Quick answers
What is fractional practice management?
Getting part of a professional team’s week, for example a biller, an admin and a marketer for a combined 5 to 15 hours, instead of hiring staff full time.
How many hours a week do most New York therapists start with?
Most solo practices start between 5 and 12 hours a week and adjust as the caseload changes.
Is there a minimum?
MBBCS can start at about 3 hours a week. There is no long contract.
Ready to talk? MBBCS is a clinician-owned practice management team in Brooklyn serving therapists across New York. Book a free 20-minute consult or get a ballpark estimate in 30 seconds.
