Simplify Your Practice and Maximize Revenue

Complete Revenue Cycle Management for
Medical & Dental Clinics, Practices and Hospitals

  • Shared Vision: Your Business is our Business
  • Cloud Based Billing Software or Work on Yours
  • Certified Coders: ICD 10 Coders
  • Real Support with Dedicated Managers

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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

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

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

Julie Clements

Vice President of Operations: St. Paul, MN

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, St. Paul, Minnesota; where after a busy day with OSI, she changes hats to “soccer mom and coach.” Incidentally, she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.

Natalie Tornese

Natalie Tornese

CPC: Director of Revenue Cycle Management: Healthcare Division

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.

Meghann Drella

Meghann Drella

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

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.

Amber Darst

Amber Darst

Solutions Manager: Practice and Revenue Cycle Management: Healthcare Division

Hired for her dental expertise, Amber brings a wealth of knowledge and understanding of the dental revenue cycle management (RCM) services to MOS. Having worked as a dental insurance coordinator, office manager, and a fill-in dental assistant, she knows how important it is to make sure everything is noted, coded, and billed correctly to ensure top returns in Accounts Receivables. In addition to this experience she brings to the MOS team, Amber’s true foundation is establishing and maintaining a high level of personal relationships between herself and her clients. This knowledge and relationship building is seen in her ability to help clients have a smooth transition to MOS’s outsourcing services. Amber currently resides in West Virginia. She enjoys spending time with family and has a heart of wanderlust.
Loralee Kapp

Loralee Kapp

Solutions Manager: Practice and Revenue Cycle Management: Healthcare Division

Loralee joined MOS’ Revenue Cycle Management Division in October 2021. She has a degree in Health Information Management and Technologies, with over five years of experience in medical coding and Health Information Management practices. She has worked in both physical therapy and skilled nursing, allowing for a wide array of experience in multiple specialties. Loralee strives to have an open and honest relationship and foster a positive work environment.

She currently resides in Pocatello Idaho with her husband, baby girl, and Goldendoodle. She loves hosting game nights and spending time with her family.

Jan Merrifield

Jan Merrifield

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

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.

Jessica Schwartz

Jessica Schwartz

Solutions Manager - Business Process Optimization Division

Jessica joined MOS’ Business Process Optimization Division in October 2021. She has an MBA with a concentration in Health Administration and Management. She has worked in home health, oncology admissions, college advising, and even a bakery. She’s focused on process analysis and human resources with an eye for the details. She currently lives in Los Angeles, California with her husband and two dogs. She loves doing anything creative or that involves good food.