Mission
Connect healthcare and legal teams with dedicated nearshore professionals through vetting, transparency, and retention built in.
About Kiustar
Your partner for dedicated nearshore talent in healthcare and legal
We're not a VA marketplace or a rotating agency bench. We place full-time bilingual professionals on your team with vetting, devices, and account management built in.
Results that matter
What dedicated nearshore staffing looks like in practice for clinics and law firms.
40%+
Less spent vs a fully loaded local hire
25
Active healthcare and legal clients
283
Active dedicated placements
$12M+
Client labor savings delivered
Meet our CEO
Mike Velez
Founder & CEO of Kiustar
What takes you from the billing floor at a Michigan hospital to building a nearshore staffing company? For me, it was a path full of turns, and a problem I could not walk away from.
I started there posting payments and fighting denials. That is where I learned how clinics run.
Through all of it, what I wanted stayed simple: teams that stayed, with bilingual people who knew the work and showed up in your tools every day.
But as General Manager I kept hitting the same limit. I could see what would keep great people, and I could not set pay, benefits, or retention standards myself.
From there, 1 hire became 9 in 90 days. We organized 8 years of messy billing records in 6 months. I moved up from billing agent to team lead to General Manager.
That is when I decided to build something different. I founded Kiustar to pay top-of-market, invest in people, and place dedicated full-time professionals on your team instead of a rotating bench.
I still lead every discovery call.
Clinics and law firms are still stuck in the same cycle: costly local hires, roles open for weeks, turnover that burns the training you already paid for. That is why Kiustar exists.
Our Mission & Values
Vision
Change the job market forever so companies find the best talent, and talent finds the best companies worth building a career with.
People first
We believe dedicated talent deserves top-of-market pay, real support, and a team worth staying on. Every placement should work for the operator and the person doing the job.
Dedicated seats
One professional, full-time on your team. Not a shared bench that rotates when a better margin appears elsewhere.
Match quality
Role-specific skills testing and English fluency before candidates reach your calendar. You interview finalists and choose who joins.
Radical transparency
One flat monthly rate, no recruitment fees, and a replacement guarantee if a placement is not working. You always have the final word.
What we do
Nearshore staffing built for mid-size teams that need a dedicated seat, not another agency search.
Dedicated nearshore staffing
Full-time bilingual professionals in billing, intake, prior auth, legal admin, and other operational roles. Aligned to your time zone and working only for your team.
Healthcare roles →One flat monthly rate
Recruiting, vetting, devices, payroll delivery, and account management included. No recruitment fees or surprise line items once you are live.
What's included →Replacement guarantee
If a placement is not working, we restart the search at no extra cost. You interview pre-vetted finalists before you commit to anything.
Compare options →Operations & administration
Executive assistants, customer service, recruiting, and back-office support for mid-size teams outside healthcare and legal.
Operations roles →Why we're different
Three mechanisms behind every placement.
A network nobody else has
Specialized pipelines in healthcare billing, prior auth, intake, and legal admin, not a generalist job board with a LatAm filter.
Legal roles →Retention designed in
Top-of-market salaries and an employee wellbeing program Mike built because he saw what turnover costs clients. Less churn on your team means better work on your books.
See how we compare →Dedicated seats + guarantee
One professional on your team. If a placement is not working, we restart the search at no extra cost.
Replacement guarantee →Frequently asked questions about Kiustar
Kiustar was founded by Mike Velez after 7+ years in healthcare remote staffing. He started on the billing floor at a Michigan hospital, helped scale a remote team from 9 to 90+ placements in 90 days, and later served as General Manager.
He built Kiustar to solve expensive local hiring, weak retention models, and agencies that introduce candidates and disappear.
Hourly VA models optimize for tasks, not ownership. Kiustar optimizes for long-term dedicated seats: one full-time professional on your team, multi-step vetting, account management, and a replacement guarantee.
Mike Velez built the company after 7+ years scaling healthcare remote staffing operations where retention and match quality mattered more than quick placements.
Healthcare and legal are our deepest playbooks: medical billing, prior authorization, patient intake, legal intake, paralegals, and case admin.
We also place executive assistants, customer support, and other admin roles for mid-size teams that need dedicated nearshore capacity.
A dedicated seat means one full-time professional works exclusively for your business, not a shared VA pool or rotating agency bench.
Your hire joins your team, works in your tools, and stays with you long term. You interview finalists before you commit.
Match quality means vetting for role-specific skills, English fluency, tool experience, and fit with your workflow, not just filling a req.
We assess whether a candidate can do the work in your EMR, billing stack, or case management system and integrate with how your team operates.
Kiustar handles recruiting, vetting, payroll delivery, account management, devices when required, and replacement if a placement is not working.
You provide tools, system access, workflows, day-to-day direction, and internal compliance policies. Your hire works as a dedicated member of your team.
Kiustar supports 25 active healthcare and legal clients with 283 dedicated placements across billing, intake, prior auth, legal admin, and operations roles.
Many clients start with one seat and expand as the model proves out.
Mike Velez spent 7+ years in healthcare remote staffing before launching Kiustar, from billing agent to General Manager.
That operational background shapes how Kiustar vets billing and admin talent, deploys HIPAA-ready professionals, and supports clinic workflows in real EMR and revenue cycle environments.
Healthcare and legal are our strongest verticals, but we also place executive assistants, customer support, recruiters, and other admin roles for mid-size teams.
We will be direct about fit if a role is outside our core playbooks.
Kiustar is built on dedicated seats, match quality, and radical transparency.
That means one professional per client seat, honest scoping about fit, no recruitment fees, and clear communication about what is included in your flat monthly rate.
Ready to add dedicated nearshore talent?
Book a discovery call with Mike Velez, Founder & CEO, or send us a message. We will scope your role, model savings, and show pre-vetted candidates if there is a fit.