Fractional COO & Operations Consulting
Customized, long-term operations support for med spas, dermatology practices, and aesthetics clinics. From strategy to execution, we implement the systems your practice needs to run efficiently and scale.
What We Do
Fractional Chief Operating Officers are experienced executives who partner with practices at every stage of growth—part-time, with Fortune 500 expertise tailored to your goals.
Some practices need a strategic financial mind. Others need a steady operational hand for hiring, KPI tracking, or technology rollout. Many need both. Visional adapts to what your practice needs most.
We become an integrated part of your team while you maintain full ownership and creative control.
Start the ConversationWhat We Offer
Four specialized service areas designed to address the most pressing operational challenges facing aesthetics and dermatology practices today.
Ongoing executive operations leadership for med spas and aesthetics practices. Monthly retainer engagement with full strategic and operational integration.
Structured recurring support plans tailored to your practice's size, complexity, and growth stage. From basic operational oversight to full COO-level management.
Launch your aesthetics or wellness clinic with the right operational foundation. Systems, staffing, compliance, and go-to-market strategy from day one.
Insurance prior authorization management, Biologics Bridge Program support, and proactive prescription renewal for dermatology practices. We take the full administrative load off your team.
New ServicePreauthorization Services
Dermatology practices routinely lose patients—and revenue—because prior authorization processes are time-consuming, complex, and take clinical staff away from patient care.
Visional manages the entire preauthorization workflow on your behalf. We navigate payer requirements, submit documentation, follow up on pending auths, and handle appeals—so your front desk and clinical team can stay focused on what they do best.
Whether you need support for a high-volume service line or comprehensive coverage across your practice, our preauth team integrates seamlessly with your existing workflows.
What We Handle For You
Full payer submissions, status tracking, and proactive escalation to keep approvals moving.
Detailed appeal filing to recover denied authorizations and reduce future denial rates.
We coordinate manufacturer bridge programs to ensure patients on biologics never face a gap in treatment while their authorization is pending.
We monitor upcoming authorization expirations and initiate renewals proactively — before the insurance company comes looking, and before your patients experience a lapse in care.
Deep knowledge of dermatology-specific payer requirements across all major insurers.
Our Team
Jackie brings Fortune 500 operational leadership to aesthetics and wellness practices nationwide, helping owners scale without losing what makes their practice special.
Emily is a certified Physician Assistant with deep experience navigating payer systems and insurance workflows for dermatology practices. She leads Visional's preauthorization division, ensuring practices recover lost revenue and reduce patient abandonment due to auth delays.
Client Testimonials
"Before working with Jaclyn at Visional, I wasn't clear on how to plan for the future of my medical spa. I had big goals but lacked the structure, strategy, and operational foundation to get there. Jaclyn provided me with the resources, clarity, and expert guidance to understand exactly what I was missing — from my business plan and growth strategy to operations, policies, and procedures, and so much more."
"We were drowning in administrative work. Within two months of working with Visional, our systems were streamlined and my team actually had time to focus on clients."
"Having fractional COO support gave us the strategic clarity to expand to a second location. I couldn't have done it without this level of operational guidance."
Insights & Resources
Operational insights, growth strategies, and industry perspectives for med spa and aesthetics practice owners.
Prior authorizations are becoming more common across every specialty. Here's why insurance requirements keep expanding — and what practices can do to manage the growing administrative burden.
Read Article →A prior authorization denial doesn't mean the end of the road. Many denials can be overturned with the right follow-up, documentation, and appeals process. Here's what practices need to know.
Read Article →AI can improve parts of the prior authorization process — but it cannot fully replace human expertise, clinical judgment, and insurance navigation. Here's why the human element still matters.
Read Article →Get Started
Schedule a free consultation. We'll discuss your practice's specific needs and whether Visional is the right partner for where you want to go.
Book Your Free Consultation