For aesthetic, surgical, post-op & wellness practice owners
The Back-Office Engine™ works around the clock: it answers, books, and follows up on every Opportunity automatically, so the ad spend you've already committed actually turns into appointments.
30-minute call · direct with Jumi · your numbers, not industry averages
Watch this before you spend another dollar on ads
The part nobody warned you about
The exhaustion was never about the medicine. It is everything wrapped around it — the calls, the DMs, the opportunities nobody followed up on. Read this list and be honest about how many are true this week.
0 of 8 true this week
Tick the ones that are true. Be honest.
This is not a discipline problem and it is not a people problem. It is that no one has ever installed the infrastructure that holds all of it — and until someone does, it lands on you.
This is not hypothetical
Not a mockup. This is the shape almost every lost consult takes — pulled straight from a real intake log, before we installed the system.
2:14 AM
Facebook ad · $84 cost per opportunity
2:14 AM
"We'll be in touch during business hours"
9:12 AM
No answer · voicemail left
2:40 PM
No answer. No third attempt was ever made.
Thu, 2:19 AM
They answered the same night the opportunity came in.
Time to first attempt
7 hrs
Follow-up attempts made
2
Cases lost this way
1 case
This is the most common shape of a lost opportunity. It is almost never a traffic problem — it is a speed and follow-through problem. The Back-Office Engine™ answers in under five minutes and does not stop at two attempts.
The leak ledger
Move the three sliders to your practice. This is the arithmetic we walk through line by line on the call — with your real reports open, not these estimates.
Walking out the door each month
$0
— Opportunities never converted because no one owned the handoff
Over twelve months
$0
You already paid to generate every one of them.
Estimate only — built from your inputs. On the call we replace every number here with your actual opportunityreports, call logs and pipeline.
Run this with my real numbersThe mechanism
Not a virtual assistant you have to manage. Not an answering service that takes a message. A complete managed back-office function installed inside your practice, in your systems, in your voice — with five layers running at once.
Layer 01
Every call, DM and web opportunity answered and qualified — not just picked up. A dedicated HIPAA-trained coordinator, plus cross-trained backup so coverage never drops when one person is out.
Layer 02
Your GHL or CRM run as an active revenue tool instead of a parking lot for cold Opportunities. Every opportunityin the right stage, every follow-up scheduled, nothing sitting untouched.
Layer 03
opportunities worked until they book or opt out. Consultations offered, deposits collected to your policy, confirmations sent, no-shows chased. Speed-to-opportunity under five minutes on web opportunitys.
Layer 04
Reporting delivered to you: opportunity volume, answer rate, speed-to-opportunity, booked consults, show rate, pipeline value by stage. Numbers instead of gut feelings — and no dashboard for you to interpret.
Layer 05
A named professional who owns your relationship, reviews recorded calls weekly, watches the KPI scorecard, and is personally accountable for your result. This is the layer everyone else skips.
| In-house hire | Answering service | Unmanaged VA | The Back-Office Engine™ | |
|---|---|---|---|---|
| Answers the phone | Yes | Yes | Yes | Yes |
| Books the consult | Sometimes | Rarely | Sometimes | Trained to close it |
| Works the pipeline | If there is time | No | Only if you direct it | Owned daily |
| Covers vacation & sick days | No | Yes | No | Cross-trained backup |
| Trains itself | You train them | Generic script | You train them | Trained to your specs |
| Reports your numbers | No | Call counts only | No | Daily scorecard, monthly financials |
| Someone accountable for the result | You | No one | You | Your account manager |
| Who manages it | You | You | You | We do |
Why this exists
I am a medical professional and I own my own med spa here in Houston. I built The Back-Office Engine™ inside my own practice first — because I was the one losing opportunitys, chasing follow-ups and training admin staff between appointments.
Hire, train, hope, lose the person, rebuild. I ran that loop for years before I admitted it was never going to fix itself. So I stopped hiring for it and built a system for it. Then I proved it worked on my own patients, my own phones, my own money — before I ever offered it to another owner.
"That is not a people problem. That is a back-office infrastructure problem."
Jumi Adeyinka · Founder, North & Noble
Licensed medical professional · Med spa owner-operator, Houston TX
The founder story
What changes
Nothing dramatic happens. That is the entire point.
7:40 AM
The web opportunity that came in at 11 last night already has a reply. She answered it before her coffee.
9:15 AM
A nervous first-time caller asks what lipo costs. She is not quoted a number and hung up on — she is asked what she is hoping to address, and offered Thursday at two or Friday at eleven.
10:30 AM
Two weekend Instagram DMs about financing: answered in your approved language, both moved into the pipeline.
12:00 PM
Deposit collected on tomorrow's consult, per your policy. Confirmation sent. You are with a patient and never touched your phone.
2:20 PM
A opportunity that went cold two weeks ago got a follow-up yesterday and just replied. She is on the schedule.
4:00 PM
Your coordinator is out sick. The backup has been running the desk since eight and you did not notice.
6:05 PM
The KPI scorecard lands in your inbox. opportunitys in, answer rate, speed-to-opportunity, booked, showed.
Tonight
You go home. Nobody needs you to check the voicemail.
Before you book
I am a medical professional and I own a med spa. The Back-Office Engine™ runs in my own practice right now. North & Noble exists because it worked for me first — and I will show you exactly how it runs on the call.
Your coordinator trains on your offers, your language, your systems and your patients — not a generic script. Your dedicated account manager reviews recorded calls every week and owns the relationship personally, so quality is checked before you ever have to notice a problem.
You are not hoping another hire works out. You are installing a named system with a named person accountable for the outcome — daily measurement, weekly quality review, and a monthly scorecard so you can see exactly what is working and what needs to change.
Most owners have. An unmanaged VA is a second job: you train them, you correct them, you cover them when they disappear. The Back-Office Engine™ includes the management layer — documented scripts, training records, escalation rules, cross-trained backup, daily measurement and weekly quality review. You do not manage anyone.
The next step
Pick a time below and you are on my calendar directly — not a sales rep's. If The Back-Office Engine™ is not right for your practice, I will tell you on the call.
On the call
30 minutes, video or phone — your preference. Direct with Jumi, not a sales rep.
HIPAA-aware · No obligation · Reply within one business day
Request Your Call
Your information is used only to prepare for your call and is never sold.