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About Us: Leadership

Jimmie Proffitt Photo

James V. Proffitt III, MBA, CMPE, is President and Chief Operations Officer for MedAmerica Billing Services, Inc. Over the past 16+ years, Mr. Proffitt has been instrumental in re-shaping MBSI in terms of vision, re-organization, and the use of technology to improve efficiency and results for the client. "Excellence in billing requires excellence in the staff", is his motto. He believes that one of the most important keys to success is constant emphasis on staff development in basics and beyond. He is focused on positioning the company for growth and future technology advances to support the changing needs of revenue cycle management. Mr. Proffitt brings 30 years of experience in executive leadership including positions with Tenet Healthcare Systems, Catholic Healthcare West Medical Foundation, Pacific Physician Services Inc., and General Dynamics Corporation. He holds a B.A. in Finance from Cal State University and an M.B.A. from the University of Redlands. Mr. Proffitt is a member of the Healthcare Billing Management Association and holds a CMPE (Certified Medical Practice Executive) certification with the Medical Group Management Association.

Terrie Avila Photo

Terrie Avila is the Vice President of Revenue Cycle Management, having joined MedAmerica Billing Services, Inc. (MBSI) in 1999. Ms. Avila oversees medical billing for the Emergency Room and the Specialty Billing Department (Hospitalist, Skilled Nursing Facilities, Intensivist, and Wound Care sites) in California, Georgia, Tennessee, Oregon, Washington, Arizona, District of Columbia, Maryland, Kansas, Missouri, and Illinois. She also oversees the Patient Service Center and the Appeals Department. Previous roles with MBSI include Director of Coding and Compliance, and Director of Operations, overseeing both the Billing and Coding departments. She brings 20+ years of prior experience in both operations and the healthcare industry, including 11 years at CIGNA. Ms. Avila has a passion for healthcare and is dedicated to the continuing professional education in this fast-changing, challenging industry. She is a Certified Healthcare Billing Management Executive (CHBME), and is a member of the Healthcare Billing and Management Association and the American Academy of Professional Coders.

Elizabeth Lawson Photo Elizabeth Lawson is the Director of Finance for MedAmerica Billing Services, Inc. (MBSI). She was formerly the Controller for BroadLogic Network Technologies, Inc. and brings over 15 years of experience in Corporate Finance to MBSI. Ms. Lawson joined MBSI in 2005 as the Controller and was promoted to Director of Finance after three years. During her tenure at MBSI, she has been responsible for all aspects in Finance, including financial planning and strategies, internal controls, and the development and implementation of sound financial policies and procedures. Ms. Lawson received her B.S. in Accounting from Santa Clara University and is a member of the Healthcare Financial Management Association.
Dan Nagy Photo

Dan Nagy is the Director of Reimbursement Operations for MedAmerica Billing Services, Inc. (MBSI). Dan brings over 20 years’ experience as a financial services executive and consultant for a variety of banks, technology firms and consulting practices in the U.S. and internationally. As an industry operator, Dan led transaction banking and payment businesses within cash management and treasury service organizations for major global banks, including Citibank, JPMorgan Chase and Fiserv. He also led consulting projects in these areas for PwC and IBM.

As Director of Reimbursement, Dan oversees the Operations and Reimbursement Departments for the company, which includes payments, cash management, shared services, and treasury services.

Dan holds an MBA from American Graduate School of International Management and a Bachelor’s degree in international relations/political science from Colgate University. He also completed graduate and undergraduate studies at the Universidad Autonoma de Guadalajara and the University of Zambia. Dan has spoken at a number of industry conferences and authored articles on transaction banking, payments and process optimization, which can be found in notable periodicals. He is an inventor of a patented mobile payments solution that was developed during his time with Citibank.

Stephanie Montanez Photo

Stephanie Montanez, PHR, SHRM-CP has been with MedAmerica Billing Services, Inc. (MBSI) since 2004 and is currently the Director of Operations Support, overseeing Support Services, Knowledge Management and Facilities. Prior to this position she served as the Director of Human Resources for 12 years at MBSI. She came to MedAmerica with a 12 year background in Human Resource management from Collins Electric, and Qualex, Inc. (a Kodak Company).

As the Director of Operations Support, Stephanie oversees the overall development and implementation of MBSI’s Training Programs, multiple Facilities and Support Services which incoming and outgoing mail, scanning, prepping, rendition billing and electronic mail. Stephanie brings her human resource experience along with her operational knowledge provide support to Revenue Cycle Management Operations.

Stephanie holds a Bachelors of Science Degree in Business Management and is currently pursuing a Masters of Business Administration from the University of Phoenix. In addition she also holds a Professional in Human Resource (PHR) designation and a Professional Society for Human Resource Management Certification (SHRM-CP), and is a contributing member of the Society For Human Resource Management (SHRM), along with the Northern California Human Resources Association (NCHRA).

Guadalupe Carlos has been with MedAmerica Billing Services, Inc. since 1995, and serves as the Director of Application Support and Analytics. Prior to this position, she acted as the Director of Accounting for the company. Her vision is centered on providing outstanding support services for the MBSI management team, enabling all of our thought leaders to make the right decision at the right time, through the provision of applications, data, and analytics. Ms. Carlos has a Bachelor's of Arts degree from the University of California, Los Angeles, in Sociology, with an emphasis on Business Administration.

Elva Hurst is the Director of Decision Support and Development for MedAmerica Billing Services, Inc. (MBSI), and has been a leader within the organization for 25 years. Prior to her current role as the leader of a team of software developers, Ms. Hurst has held posts at MBSI as Human Resources Director, and Director of Operations. Ms. Hurst's many years of experience - not only with the company, but with the healthcare industry in general, places her in great standing to solve complex problems and identify opportunities for business process improvement. Ms. Hurst strives to implement solutions that better serve MBSI's clients by taking advantage of automation, while striking the ideal balance between human resources and technology. Ms. Hurst believes that the decision making capability of employees cannot be replaced by automation. She feels that with the strategic utilization of automation, employees can perform at a higher level as they focus on their core area of talent. Ms. Hurst holds a Bachelor of Science degree in Business Administration from California State University, Stanislaus.

Eric Ho serves as the Director of Technology Operations, having joined MBSI in early 2015. With a background of over 20 years as a technology professional, Eric has held various executive positions with healthcare related companies. He currently oversees the Systems, Telecommunication, Networking, IT Security, and Service Desk teams in the IT Department. He also heads the Data Acquisition and EDI departments - supporting the company's Billing Operations, as part of Technology Operations. Mr. Ho came to MBSI from Marina Medical Billing Services, where he served as Director of Technology for 5+ years, including roles with both T-System RevCycle+ and Intermedix by way of company mergers and acquisition. He brings MedAmerica Billing Services, Inc. a unique combination of IT expertise, together with the knowledge and experience of specific challenges that face the healthcare industry today. Mr. Ho holds a Bachelor of Science Degree in Information Technology from the University of Phoenix.

Emily Zahn Photo

Emily Wang Zahn, JD, is the Director of Compliance and Contracting. She joined MBSI in January 2015 as the Director of Contract Administration and Regulatory Affairs. Her department oversees compliance for MBSI as well as payor contract management, payor dispute resolution, new contracts, and settlement negotiations. Ms. Zahn helps facilitates an enterprise-wide culture of compliance with MBSI, CEP America and MedAmerica. She has a background as a litigator with Dinsmore and Shohl, LLP, defending, amongst others, Emergency Room Physicians and handling regulatory matters. Ms. Zahn's experience also includes management of the revenue cycle operations and client service management for emergency physician groups. She served as the Vice President, Emergency Department Compliance at Intermedix Corporation, and was the Assistant General Manager and Chief Compliance Officer at RevCycle+, Inc. (formerly Marina Medical Billing Service, Inc.) before joining MBSI. Ms. Zahn received her Bachelor of Arts at Princeton University, and her Juris Doctor from the University of Louisville, Brandeis School of Law. She is a member of the American Bar Association, Health Law Section, the Emergency Department Practice Management Association, and the Medical Group Management Association.