Experience

Congress Billing

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• President

  • Apr 2021 - Present



Kipu Health

• United States
• IT Services and IT Consulting
• 100 - 200 Employee

• Vice President, Enterprise Billing

  • Jun 2020 - Apr 2021

• Enterprise Billing Evangelist

  • Sep 2019 - Jun 2020



Proven Billing Management Solutions

• United States
• Financial Services
• 1 - 100 Employee

• Chief Executive Officer

  • Sep 2015 - Aug 2019

  𝙎𝙪𝙗𝙨𝙩𝙖𝙣𝙘𝙚 𝙖𝙗𝙪𝙨𝙚 𝙗𝙞𝙡𝙡𝙞𝙣𝙜 𝙖𝙣𝙙 𝙪𝙩𝙞𝙡𝙞𝙯𝙖𝙩𝙞𝙤𝙣 𝙧𝙚𝙫𝙞𝙚𝙬 company. We provide proven solutions to revenue cycle management in the behavioral health industry. - Substance Abuse Billing and Collections - Drug and Alcohol Addiction Treatment Claim Generation - Coding i.e. HCFA-1500 and UB04 Forms - Eliminate data entry errors - Customized claim scrubbing software - Front-end auditing - Generation of claims for secondary and tertiary insurance carriers - Electronic Claim Submission - Real-time claim submission and confirmations - Immediate correction of all electronic claims rejected - Billing denial management system - Fee negotiations for the highest possible rate with 3rd party pricers utilized by commercial payers - Single-Case rate negotiations - 30-day Claims processing Utilization Review Management - Highly credentialed staff - Maximized length of stay for each level of care - Get what your clients deserve and not what the insurance companies think they should get - Successful peer-to-peer reviews - Clinical chart reviews - Preparation of all levels of clinical appeals needed by payers Behavioral healthcare providers need technical knowledge in insurance billing to provide an accurate evaluation of their billing team’s performance. As a result, the in-house billing team can cost healthcare providers hundreds of thousands in uncollected reimbursements due from the insurance companies. We have the most superior 𝙨𝙪𝙗𝙨𝙩𝙖𝙣𝙘𝙚 𝙖𝙗𝙪𝙨𝙚 𝙗𝙞𝙡𝙡𝙞𝙣𝙜 𝙖𝙣𝙙 𝙪𝙩𝙞𝙡𝙞𝙯𝙖𝙩𝙞𝙤𝙣 𝙧𝙚𝙫𝙞𝙚𝙬 standards in the industry! We provide proven solutions for outsourced or in-house behavioral health billing and training. Your billing team’s ability to capture all reimbursements due from insurance carriers is paramount. Once we are involved in the strategies and implementations of your in-house billing operation, your team will be capturing all amounts due from commercial carriers and there will be no monies left on the table. Show less



Professional Revenue Recovery Solutions, Inc.

• United States
• Mental Health Care
• 1 - 100 Employee

• Chief Executive Officer

  • Apr 2012 - Sep 2015



Medivance Billing Service, Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Chief Executive Officer

  • Jul 2010 - Mar 2012