She saved $700k/year by outsourcing 19 NEMT office employees! | NEMT Experts Podcast Episode 78
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How this NEMT business owner in Texas used a company called Integrated Hire to outsource almost all of her office staff to the Philippines over and saves $700k annually as a result.
Top 3 Takeaways
- Outsourcing Saved Her Business Over $700,000 in a Single Year
- Marina outsourced 19 team roles—primarily billing, dispatch, HR, and bookkeeping—to the Philippines through Integrated Hire, drastically reducing costs and boosting operational efficiency.
- Remote Teams Work—If You Treat Them Like On-Site Staff
- Success came from treating outsourced team members like local employees: requiring punctuality, clear tasks, daily video presence, and consistent communication.
- Scaling Without Hiring Locally Is Possible—and Smart
- In a tight labor market, Marina proved it’s possible to scale an NEMT business by hiring overseas professionals with 80–90% of the needed experience—without sacrificing quality or control.
Top 3 Quotes
"This year, we’re saving about $700,000 by outsourcing or getting remote team members versus hiring in-house."
— Marina Kislyuk
"Most of the people that have started with us have stayed with us. Nobody’s really left on their own."
— Marina Kislyuk
"Don’t wait. Don’t overthink it. You don’t need to have it all planned—these hires can build the SOPs with you."
— Marina Kislyuk







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