Hire a remote medical administrative assistant from Ukraine
A medical administrative assistant handles a clinic's front and back office: scheduling, insurance checks, referrals, patient messages and records. The person works your hours from Kyiv under a direct contract; you pay a one-time fee only if you hire.
US wage: BLS[1]. Local wage: State Statistics Service of Ukraine[2]. English index[3].
Working hours
Kyiv is on UTC+2 (UTC+3 in summer)[4].
Hours in Kyiv, January
A medical administrative assistant has to be available while the client's customers are: for a New York client that is 16:00–00:00 in Kyiv in winter, for a Berlin client 10:00–18:00. That is close to a normal local day, so European clients are the easier fit. US coverage is an evening-to-night shift; agree on it, and on a shift premium, before the offer.
US clinics require HIPAA-compliant setups (business associate agreement, secure devices); plan this before hiring abroad.
English level
Ukraine ranks #45 of 123 countries in the EF English Proficiency Index 2025 with a score of 526 ("Moderate" band). A national average says little about one person: every candidate we show passes a written task and a recorded voice answer at C1 level.
What to expect
Day to day
- Schedule and confirm patient appointments
- Verify insurance and prior authorisations
- Process referrals and medical records requests
- Answer patient messages in the portal
- Prepare claims data for billing
How to test candidates
- Privacy training (HIPAA in the US, GDPR in the EU) and how they keep data safe
- A scheduling task with insurance rules
- A call with a confused patient
Pay and cost
We do not publish an offer range for medical administrative assistants yet. For reference, the Ukraine average wage is about $710 a month. We publish medians from our own pipeline once a role and country has at least 10 applicants.
How to contract and pay
- A contractor agreement directly with the person, paid monthly in USD or EUR.
- Through Deel: $49 per contractor per month[5].
- By bank transfer with Wise Business: fees from 0.23%, depending on currency[6].
- The contractor pays local tax: Individual entrepreneur (FOP) group 3: single tax of 5% of income for non-VAT payers[7].
On Upwork the client marketplace fee is up to 7.99% of every payment[8], and moving a freelancer off the platform within 24 months costs 13.5% of a year's estimated earnings (minimum $1,000)[9].
How hiring through Stafka works
- Send the role, hours and budget.
- Within 5 business days you get 3 vetted profiles with a written English sample and a voice recording.
- Interview, choose, and sign a contract directly with the person.
- Pay the $2,500–$3,000 fee on the start day; a free replacement within 90 days if it does not work out.
Questions
How much does it cost to hire a medical administrative assistant from Ukraine?
Pay depends on experience; the Ukraine average wage is about $710 a month.
What time zone is Ukraine in?
Kyiv is UTC+2 (UTC+3 in summer).
How good is English in Ukraine?
Ukraine scores 526 (Moderate) in the EF English Proficiency Index 2025; we only show candidates who pass our C1 checks.
Sources
- BLS OEWS May 2025, 43-6013: https://www.bls.gov/oes/current/oes436013.htm
- State Statistics Service of Ukraine, average monthly wage of staff employees, August 2026: https://www.lv.ukrstat.gov.ua/ukr/si/press/2026/r12_67.pdf
- EF English Proficiency Index 2025: Ukraine: https://www.ef.com/wwen/epi/regions/europe/ukraine/
- timeanddate.com: Kyiv time zone: https://www.timeanddate.com/time/zone/ukraine/kyiv
- Deel pricing, contractor management: https://www.deel.com/pricing/
- Wise Business pricing (US): https://wise.com/us/pricing/business
- Tax Code of Ukraine, art. 293.3: https://zakon.rada.gov.ua/laws/show/2755-17
- Upwork Client Marketplace Fee: https://support.upwork.com/hc/en-us/articles/4660220468499-What-is-the-Client-Marketplace-Fee
- Upwork User Agreement, sections 7.1 and 7.3: https://www.upwork.com/legal
How these pages are built: methodology and data sources. Data checked 2026-10-16.