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
Two highly specialized service lines designed for the most demanding operational challenges in aesthetics, dermatology, and wellness practices.
For med spas, dermatology practices, and wellness clinics that need executive-level operations leadership without a full-time hire. Hands-on, high-touch, and built around your practice.
Learn more →PA-led biologic prior authorization management for dermatology practices. From submission to appeal — we handle every step so your clinical team stays focused on patients.
Now Enrolling Learn more →Preauthorization 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.
The front desk is the first and last impression your med spa makes. Here's how to build the SOPs and tech stack that turn it into a retention engine — and what software is actually moving the needle in 2026.
Read Article →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 →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