Each founder brings a unique and seasoned level of knowledge to our services. With strengths in health plan payor operations, finance, medical credentialing, compliance and IT/Security, Optimal RCMS can navigate the internal complexities of health plan Claims, UM, Contracting, Provider Registration, and Credentialing. As such we are uniquely qualified to guide our providers and optimize revenue.
Rick Knutzen, brings over 18 years of Healthcare experience, consulting and knowledge in the following areas: Provider Enrollment, Fee/Contract Negotiations, Medicare/Medicaid procedures and RAC Audits. He has worked with physician groups of many specialty types and sizes (IPA’s, MSO’s, MCO’s, Medical Groups, etc.) as well as medical clinics, ambulatory surgery centers, hospitals and other ancillary providers. The experience with Provider Enrollment allows for an alternative perspective on the Medical Billing process and how it affects providers in more ways than just revenue flow. Rick holds a Bachelor’s Degree in Business Management and is an active member of the AAPC.
Debbie Cuadros is an experienced leader having co-founded a global services company with responsibilities for compliance, service delivery management, marketing and client engagement oversight. Utilizing her engagement management and service delivery background, she ensures Optimal clients receive professional, timely and seamless support for their billing practice. She has a Bachelor’s and Master’s Degree in Business Management / Organizational Leadership. Debbie is an elected official serving as a School Board Member and serves on the Board of various non-profits (veteran’s advocacy, a teen theater company and the Soroptimist International).
With over 25 years in the Credentialing industry, Tammy holds an active CPCS & CPMSM certification and is an active member of both NAMSS and CAMSS Associations as well as a member of the AAPC. Tammy remains very involved in the Credentialing community and keeps up-to-date on regulatory requirements, health plan standards, CMS changes, and more. Tammy has facilitated over 20 NCQA and 2 URAC surveys, and she has been a trusted resource in the industry. She has participated in several National and Local conferences where she was the key note speaker on credentialing and regulatory topics. Tammy holds a Bachelor’s Degree in Business Management/Organizational Leadership and is also co-owner of Gemini Diversified Services, Inc.
With over 25 years’ experience in medical office system technologies for HMO, PPO, Medicare, Medi-Cal, Commercial and Workers Compensation providers, Erin has spent her career managing teams focused on claims processing, reconciliation of denied claims/underpayments, payment and adjustment posting based on contractual payment methodologies and Division of Financial Regulatory Legislation.