The specialized medical operations team your practice has been missing.
Physicians, certified accountants, billing experts, prior authorization specialists, and marketing specialists running the back office of specialty practices across California — including neurosurgery, orthopedics, pain management, chiropractic and physical therapy, internal medicine, concierge medicine, workers' comp, and paralegal offices. Faster turnarounds, deeper expertise, lower overhead.
Book a 30-Minute Consultation
A working conversation about your practice's bottlenecks — no pitch deck.
THE PROBLEM
The Bottlenecks Every Practice Knows
Authorizations sit in queues for weeks.
Patients wait, surgeries get postponed, and your front desk doesn't have time to chase every payer. RPS turns most authorizations around in under 48 hours because we run a dedicated authorization team — not a receptionist juggling auths between phone calls — with peer-to-peer escalation when payers push back.
Denied and pending claims quietly drain revenue.
Most practices write off denials and let pending claims age in A/R because no one has the time or expertise to work them. RPS billers average 5–9 years of revenue cycle management experience in specialty practices. They work the appeals other teams give up on, and they catch the coding and documentation patterns that prevent denials in the first place.
One sick day breaks the schedule.
When your scheduler is out, appointments fall behind. When your biller leaves, claims stop going out. RPS delivers as a team, not as one person, and we operate across multiple time zones, which means coverage doesn't stop when your office closes. Overnight authorizations, after-hours patient calls, weekend documentation catch-up: the work continues while your local team rests. Redundancy by design, with extended hours built in. Something a single local hire structurally cannot offer.
WHAT WE DELIVERS
Every RPS role is filled by a specialist.
Internationally trained medical professionals handling clinical coordination, CIMA-qualified and chartered accountants running your books, billers with years of revenue cycle experience in specialty practices. This is the level of expertise most practices cannot find in their local talent market at any price. Below is how each department works. For practices that need support with expert witness work, QME evaluations, or other medical-legal services, see our dedicated Medical-Legal Department further down the page.
Alejandro Urich, MD
Venezuela
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CEO
I oversee the coordination and management of remote healthcare services. I ensure that operations run smoothly while maintaining a high standard of care. My role involves leading teams, optimizing processes, and blending my medical expertise with my position as director of Medical Service Organization to deliver compassionate and efficient care to patients.
[email protected]
Administrative Leaders
Experienced leadership behind every RPS department and every practice we serve.
WHAT RPS DOES?
Our Administrative Leaders operate at two levels. Inside RPS, department heads lead billing, authorizations, clinic operations, surgery coordination, bookkeeping, and social media, setting performance standards, coaching the team, and owning quality across every practice we serve. On the client side, remote practice managers oversee day-to-day operations for individual practices: staff schedules, healthcare compliance, cost control, patient flow, patient inquiries, budgets, and administrative processes. Both roles connect, so a practice always has a single point of accountability.
WHO DELIVERS IT?
Healthcare administrators and department leads with experience in practice management, revenue cycle operations, clinical workflows, and regulatory compliance. Many have led teams inside medical groups, MSOs, or specialty practices before joining RPS.
THE DIFFERENCE
You do not manage the outsourcing, and neither does a call center supervisor with a spreadsheet. Experienced leaders own the work at the department level and at the practice level, so quality is built in rather than checked at the end.
LEAD'S TEAM
Jawad Ahmad
Pakistan
Aixa Medina, MD
Venezuela
Keitzer Martinez, MD
Venezuela
Emily Torres
Ecuador
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Axel Manosalvas
Ecuador
Jesus Reyes
Venezuela
Katherine Rodriguez
Venezuela
Maria Logo, MD
Nicaragua
Ana Pozzi, MD
Brazil
Stephanie Garcia, MD
Venezuela
Muhammad Zahid
Pakistan
Rosi Cabrera, MD
Venezuela
David Gonzalez, MD
Venezuela
Gabriel Garcia, MD
Venezuela
Madel Santiago
Philippines
Authorizations
Prior authorizations turned around in under 48 hours.
The authorization queue is where practices lose revenue and patient trust. Imaging, procedures, specialist referrals, DME, medications, and surgeries each go through a different payer portal, with different forms and timelines. When auths drag on, patients reschedule, second-guess care, or shop another provider. The bottleneck is rarely the payer. It is the person submitting the auth also answering phones, checking patients in, and triaging clinical questions.
WHAT RPS DOES?
A dedicated authorization team manages submissions through every major payer portal, fax, and email channel. We follow up daily, document every interaction in your EHR, and escalate to peer-to-peer reviews when payers push back. When an auth is denied, we don't drop it, we work the appeal through the payer's specific guidelines until we get the approval or a documented final decision. Patients and referring providers are notified at every stage so your front desk is never the bottleneck.
WHO DELIVERS IT?
Specialists with deep experience in HMO, PPO, Medicare, workers' compensation, and personal injury authorization workflows. The team is trained in the specific documentation requirements of neurosurgery, orthopedics, and pain management procedures.
THE DIFFERENCE
Most in-office staff can submit an auth. Few have time to chase it. RPS is built around the chasing.
AUTHORIZATION’S TEAM
Maria Schwiglhofer
Philippines
Madel Santiago
Philippines
Billing and Revenue Cycle Management
Denial recovery that returns revenue you've already written off.
Most billing companies charge 5 to 9 percent of monthly collections and still leave 5 to 10 percent of revenue uncollected in denied and aged claims. The practice pays an industry-rate fee while writing off recoverable revenue. RPS resolves both sides — consistently operating under 2 percent of monthly collections while improving net collection rate and days in A/R.
WHAT RPS DOES?
End-to-end revenue cycle management: eligibility and benefits verification, charge capture review, claim scrubbing and submission, ERA and EOB posting, A/R follow-up by aging bucket, denial management, and underpayment recovery. We run root-cause analysis on denial trends — coding gaps, missing modifiers, payer-specific edits — and fix them at the source so denial volume drops month over month. Credentialing and provider enrollment are handled in the same workflow.
WHO DELIVERS IT?
Billers with 5 to 9 years of specialty revenue cycle management experience. The team is fluent in ICD-10, CPT, and HCPCS coding, and works across Tebra, eCW, Practice Fusion, Advanced MD and other major billing platforms.
THE DIFFERENCE
Industry-standard billing companies charge a percentage of collections. RPS works on a flat monthly fee, a predictable cost, under 2 percent of monthly collections. Net collection rate, days in A/R, and first-pass acceptance rate are how we measure performance, not how we bill.
Billing & Revenue's team
Fahad Balakh
Pakistan
Surgery Coordination
Patient-centered surgical coordination that moves cases from decision to recovery without delay.
Surgical scheduling is one of the most complex workflows in a specialty practice. It involves authorizations, medical clearances, hospital scheduling, equipment coordination, pre-op education, prescriptions, DME, post-op follow-up, and constant communication with the patient, the hospital, the primary care physician, and sometimes the attorney. A single missed step delays the case or causes a same-day cancellation.
WHAT RPS DOES?
We coordinate the full surgical pathway. That means confirming authorizations and medical clearances are complete before the case is added to the hospital schedule, organizing all preoperative paperwork, managing hospital admission logistics, and preparing the patient on what to expect. Post-operatively, we handle follow-up monitoring, wound care guidance, rehabilitation coordination, prescription refills, and DME logistics.
WHO DELIVERS IT?
Internationally trained medical professionals lead the surgical coordination team. They understand surgical workflows clinically, which means they can anticipate what a case needs without waiting for a checklist to tell them.
THE DIFFERENCE
The team coordinating your surgeries reads cases clinically. That means catching issues before the patient reaches the OR and recognizing what matters when something unexpected comes up post-op.
SUERGERY COORDINATION’S TEAM
Robert Bonalde, MD
Venezuela
Leslie Martinez, MD
Dominican Republic
Clinic Operations
A clinic department that runs without you needing to oversee it.
Clinic work is high-volume and high-variability — calls, referrals, scheduling, documentation, scribing, record requests, insurance navigation. It's the engine room of the practice, and when it's understaffed or wrong-staffed, everything else slows down. Patients wait longer to be seen, providers run behind, and follow-ups slip through the cracks.
WHAT RPS DOES?
We staff the full clinic workflow: inbound and outbound patient calls, referral management, appointment scheduling and calendar organization, EHR documentation, scribing during visits, proofreading of provider notes, medical record summaries, and report generation. We translate and scribe for Spanish, Arabic, Taiwanese, and Portuguese-speaking patients, and can add other languages as a practice's patient population requires. The team is trained in HMO, PPO, and Medicare workflows, and in personal injury and workers' compensation case handling. Beyond the operational training, our staff bring the human sensibility of caring for real patients, something AI tools cannot replicate.
WHO DELIVERS IT?
Most of our clinic team are licensed physicians from Latin America and all around the world. That changes what a scribe can do — instead of transcribing what they hear, they can summarize the clinical reasoning, flag inconsistencies, and produce notes that need less provider editing.
THE DIFFERENCE
You're not hiring a scribe who learns medicine on the job. You're working with someone who already speaks the language.
CLINIC OPERATION'S TEAM
Jesus Medina
Venezuela
Jenny Nguyen
Vietnam
Lia Lopez
República Dominicana
Doria del Nogal
Venezuela
Juliana Gordillo, MD
Colombia
Paola Pereira, MD
Portugal
Afrah Mohammed, MD
Sudan
Bookkeeping and Practice Financials
Finance handled by qualified accountants, not generalists.
Most independent medical practices either underinvest in bookkeeping (a part-time admin doing data entry in QuickBooks) or overpay an outside CPA firm for work that should be ongoing rather than annual. Both extremes cost the practice money — one in missed deductions and bad data, the other in fees that scale with billable hours.
WHAT RPS DOES?
Most independent medical practices either underinvest in bookkeeping (a part-time admin doing data entry in QuickBooks) or overpay an outside CPA firm for work that should be ongoing rather than annual. Both extremes cost the practice money — one in missed deductions and bad data, the other in fees that scale with billable hours.
WHO DELIVERS IT?
CIMA-qualified accountants and chartered accountants with experience in healthcare and multi-entity practice structures. This is the same level of credential found in corporate finance departments.
THE DIFFERENCE
The person closing your books understands financial statements at the level of a controller, not a data entry clerk. And unlike an external bookkeeping vendor, where the practice stays on the sidelines waiting for reports, RPS works as an internal extension of the practice, so the owner stays in control of the operation.
BOOKKEEPING’S TEAM
Musaab Sheikh
United Arab Emirates
Ibrahim Khan
Qatar
Kaushika Kapuliyadda
Sri Lanka
Social Media Strategy
A digital presence that brings in patients while you focus on care.
Patient acquisition has moved online. Patients research providers on Google before they ever call. They read reviews on Yelp and WebMD. They follow specialists on Instagram and LinkedIn. A practice without a managed digital presence is invisible to a growing portion of its potential patient base — and visible in the wrong way to anyone who finds a stale or empty profile.
WHAT RPS DOES?
Customized social media strategy aligned to the practice's growth goals, whether that's new patient acquisition, building professional referral networks, or strengthening reputation. We produce and publish content on Instagram, LinkedIn, and Facebook. We optimize LinkedIn profiles and expand professional networks. We run targeted advertising campaigns and manage organic search ranking. We monitor and respond to reviews across Google, Yelp, and WebMD, and we optimize for local SEO so the practice ranks for the searches that matter.
WHO DELIVERS IT?
A team of social media managers, graphic designers, and content writers — including healthcare-specialized creatives — who produce material that reflects the clinical brand rather than generic stock content.
THE DIFFERENCE
We don't build generic profiles. Each practice gets a personalized presence, content, voice, and visual identity built around the physician and the patients they serve. That's the kind of profile that actually performs in today's market.
SOCIAL MEDIA’S TEAM
Faris Friansyah
Indonesia
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Andres Perez
Venezuela
Janna Torculas
Philippines
Medical Legal Service
Full administrative support for Expert Witness, IME, QME, and Workers' Compensation cases. We manage your scheduling, medical record summaries, report formatting, deadline tracking, and billing.
MSK MSO's Medical-Legal Department provides a single administrative hub for Expert Witness work, Independent Medical Examinations (IME), and Workers' Compensation evaluations. Our team manages scheduling, medical record summaries, report formatting, DWC deadline tracking, and billing from intake through final collection.
We collaborate with neurosurgeons, orthopedic surgeons, pain specialists, chiropractors, and internal medicine physicians across personal injury, malpractice, labor, product liability, regulatory disputes, and QME, AME, or Utilization Review matters.
WHAT RPS DOES?
Expert Witness & IME: We handle scheduling, chart chronologies, report formatting from dictation, trial exhibit prep, and end-to-end billing collections.
QME & Workers' Comp: We manage panel intake, statutory deadline tracking, report finalization, Utilization Review (§4610), and step-by-step guidance for new QME applicants.
WHO DELIVERS IT?
Led by foreign-trained and certified physicians with thorough knowledge of DWC regulations and civil litigation. Every case coordinator, biller, and report specialist operates under physician-led quality review, ensuring personalized workflows that respect each physician's unique process.
THE DIFFERENCE
We offer a transparent flat-fee structure reflecting actual administrative effort. Workflows preserve your clinical voice in reports, with in-house billing aligned with HIPAA, DWC regulations, AMA Guides, and ethical codes. We absorb the entire administrative weight so you can focus strictly on your medical opinion.
MEDICAL LEGAL’S TEAM
Maria Palacios
COMPARISON
Why Practices Switch to RPS
Category
Local Hire
RPS
Caliber of talent
Local market only
Licensed physicians, CIMA-qualified accountants, specialty billing experts
Specialty experience
Trained on the job over months or years
Pre-trained in neurosurgery, orthopedics, workers' comp, and personal injury workflows
Coverage during PTO or illness
None
Built-in team redundancy
Operating hours
Single time zone
Extended coverage across multiple time zones
Language coverage
Usually English only
Spanish, Arabic, Portuguese standard
EHR readiness
Months of ramp-up
Pre-trained on Tebra, NextGen, AdvancedMD, Collaborate MD
HIPAA compliance
Practice manages
Built into every workflow, audited internally
Time to onboard
4–12 weeks
1–2 weeks
Scalability
New hire = new search
Add capacity in days
Annual cost per FTE
$55,000–$75,000 + benefits
$15/hr — roughly $31,200/year, no benefits or holiday costs
TWO PATHS, ONE DEPARTMENT
Expand Your Caseload
Grow case volume and attorney visibility without adding administrative weight. Pre case chronologies, statutory deadline tracking, billing and collections, and deposition prep packages handled end to end.
TWO PATHS, ONE DEPARTMENT
Take Your First Case
Build a medical-legal practice from day one. Personalized onboarding, annotated report templates, certification guidance, and physician-to-physician mentorship from experienced evaluators in our network.
What Sets Us Apart
At MSK MSO, we are committed to supporting both the medical professionals we serve and the patients they care for. We provide essential services, including remote professional staffing, scheduling, billing, bookkeeping, and insurance authorization, all backed by a bilingual (Spanish/English) team that ensures seamless communication. Our diverse medical staff, made up of general practitioners from around the world, enriches our care and fosters an inclusive, globally minded environment.
Practices That Trust RPS
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Questions & Answers
How does the quality of RPS staff compare to local hires?
In most cases it exceeds it. Our clinic and surgery teams are staffed by licensed physicians. Our bookkeeping team includes CIMA-qualified and chartered accountants with healthcare experience. Our billers average 5–9 years in specialty revenue cycle management. These are credentials most practices cannot attract for the equivalent local position.
Is RPS HIPAA compliant?
Yes. All staff sign BAAs, complete HIPAA training, work on secured connections with encrypted communication, and access PHI only through your EHR and authorized platforms. Compliance is audited internally
Where is the team physically located?
Our team operates from Latin America, Asia, and the Middle East across multiple time zones. This gives your practice extended coverage windows and built-in redundancy. All staff are vetted and trained, and many are licensed physicians in their home countries.
How does EHR access work?
We use your existing EHR with role-based access controlled by your practice. Our staff are already trained on Tebra, NextGen, AdvancedMD, CollaborateMD, and most major systems. There's no new software for you to learn.
What happens if a placement doesn't work out?
We replace any team member at no cost. We also build redundancy into every assignment, so your operations are never dependent on a single individual.
What does the contract look like?
Month-to-month with a short ramp-up period. No long-term commitment. Scale up or down as your practice needs change.
How is billing structured?
A flat monthly fee per role, or bundled department pricing. No hourly tracking, no surprise overage fees. You know your cost up front.
How quickly can we start?
Most placements begin within two weeks of signed agreement. Urgent coverage can be arranged faster.
Book Consultation
See What RPS Can Do for Your Practice
Book a 30-minute call. We'll review your current operations and show you exactly where RPS can save you time and money.
HIPAA compliant with BAAs on file
Most placements begin within 2 weeks
Extended coverage across multiple time zones