OSI Management Team

Outsource Strategies International (OSI) is owned and managed by clinical and management specialists who have several years of experience in this industry. With more than 15 years of national and international exposure in the industry, OSI is backed by a team of medical experts, project managers, and quality assurance analysts – all dedicated to delivering cutting edge technological solutions, utilizing resources that provide both quality and economical results. Their experience includes consulting, treating patients, and managing hospitals. All OSI’s services are managed by US-based managers who are assisted by full time support departments onshore as well as offshore.

Bob Kruse: Co-Founder

Bob Kruse: Co-Founder

With previous experience as engineer and hospital CEO, Bob and his wife began entrepreneuring in 1993 with Kruse & Associates; recruiting and placing healthcare professionals. In 2002, as management and ownership of Kruse & Associates was being transferred to long-term employees, Rajeev called and Managed Outsource Solutions was spun off.

With B.S. degrees in Engineering and Business, and an M.S. degree in Health/Business Administration, his experience in healthcare management and as an entrepreneur provides valuable vision and long-term planning as well as management to the OSI team.

Bob resides in Broken Arrow, Oklahoma with his wife; and is often either preparing for or experiencing visits from several children and grandchildren. When not giving tractor rides, he can be found cutting wood or building (another) deck.

Rajeev Rajagopal: President

Rajeev Rajagopal:  President

Rajeev immigrated to the United States from India in the mid 90s with an education in physical therapy and computer science, and began working as a physical therapist. He later started a business as a healthcare business consultant. Having worked in several rehabilitation clinics, Rajeev has learned the importance of good medical records for effectively handling billing and liability issues. After experiencing a clinic saving money by outsourcing, he called Bob and "the rest is history".

He manages the day-to-day operations of OSI from NY. With an interest in information technology, Rajeev has guided OSI to extensive use of digital technology and the internet that benefits OSI as well as its clients.

Rajeev resides in Long Island, NY. When not working on OSI projects, Rajeev is doing things with his active son, or spending a little time on the badminton court.


Julie Clements: Transcription, Data Conversion and Medical Record Review

Julie Clements

With some background in the healthcare staffing arena, as well as 6 years as Director of Sales and Marketing at a 4 star resort, Julie joined OSI in March of 2008.

With her fingers very much into sales and marketing, Julie has moved into a support role as well, brought about from exceptional customer relations skills.

Julie was instrumental in the creation of the medical record review division (and new web site); and works in sales and support for this as well.

Julie lives with her husband and three children in Eagle, Idaho; where after a busy day with OSI, she changes hats to “soccer mom”. Incidentally she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.

Natalie Tornese, CPC: Senior Solutions Manager: Practice and Revenue Cycle Management, Healthcare Division

Natalie Tornese: Senior Solutions Manager

Natalie joined MOS’s Revenue Cycle Management Division and brings twenty five years of hands on management experience to the company. Starting as an EMT in New York City, she has held positions of progressive responsibility throughout her career – serving a diverse range of practices and specialties. Her experience includes all aspects of revenue cycle management, including multiple leadership roles and management of multiple accounts. She also holds a CPC certification by the American Academy of Professional coders (AAPC). She presently manages Medical Billing, Medical Coding, Verification and Authorization services for MOS.

Currently residing in New Jersey, Natalie’s interests include medieval and Renaissance art and history, spending time with her family and entertaining.

Jan Merrifield: Senior Solutions Manager: Transcription, Medical Record Review, Data Conversion

Jan Merrifield

Jan joined the MOS team in early 2011, strengthening both our Marketing and Support. With a BS in Education, and then adding RN to her credentials, her experience ranges from surgical and home health RN to ownership of a medical equipment company. Her expertise in customer service, marketing, and clinical knowledge along with her positive and bubbly personality, make her a welcome addition to the MOS team.

Jan is a third generation OU grad and resides in Tulsa, OK. She is actively involved in non-profit agencies. Her sons, dancing, singing, and entertaining fill her with joy.

Meghann Kiernan, CPC: Senior Solutions Manager: Practice and Revenue Cycle Management, Healthcare Division

Meghann Kiernan: Solutions Manager

Meghann has a formal education in Medical Coding and Billing and over 12 years of hands on experience in the field. She is CPC certified with the American Academy of Professional Coders (AAPC). She has a strong understanding of ICD-10-CM and CPT requirements and procedures, and regularly attends continuing education classes to stay up to date with any changes. Meghann has a great rapport with all of her clients, and has a unique ability to handle each Client’s account with the attention needed for success. She is presently involved in Medical Billing, Medical Coding, Verification and Authorization services for MOS.

Currently residing in New Jersey., Meghann’s interests include Music, Sports ( she is a big NY Giants fan) and spending time with family.

Monica Barber: Internet Marketing Manager: SEO, SEM, and Social Media

Monica Barber

Monica joined the MOS team in 2013. Starting out as a Sports Journalist in the 90s, she has always been involved in online and offline marketing, web designing, Internet marketing and marketing management. She has successfully designed digital marketing campaigns for Fortune 500 and small to mid-size companies such as Krispy Kreme and Thomas publishing group. Working with companies such as EGC Group, Prime Visibility and as an entrepreneur she has garnered immense experience as a Digital Marketing Expert. Monica resides in Long Island, NY, focusing her efforts on improving her hoops game and creating new MOS digital strategies to keep up with the ever changing algorithms of Search Engines.

One of her favorite quotes; "Whatever the mind of man (or woman) can conceive and believe, it can achieve."
– Napoleon Hill.

DhananJay .S. Nair: Support and Solutions Specialist

DhananJay .S. Nair

Dhananjay (DJ) started his career when he joined the MOS team in early 2012 and has been an integral part of the company as a support and solutions specialist. He holds a Degree in Mechanical Engineering as well as certifications in Designing & Networking.

New to this field but quick to adapt and learn, DJ has played a role in organizing MOS’ internal documentation, managing the company’s internal and customer support. He resides in India and works as a bridge to MOS’ operations in India.

Like every youngster, DJ likes gaming, music and the gym. He is an avid traveler and loves exploring new places.