About Us

Based in Tulsa, Oklahoma, Managed Outsource Solutions (MOS) is a leading outsourcing company focused on providing value-added services to help its clients transform their businesses. With more than 15 years of national and international exposure in the industry and dedication to excellence, we serve various industry verticals from our onshore and offshore centers.

For the team at MOS, it’s all about understanding client challenges and objectives and using our extensive domain expertise to provide innovative, cost-effective solutions using the latest technology. In fact, we are known for our SOLUTIONS approach, a strategy that helps our clients stay competitive.

Why Us

Established in 2002, Managed Outsource Solutions (MOS) has over a decade’s valuable experience in the field of outsourcing. Our niche expertise and "SOLUTIONS" approach has helped us build lasting relationships with our clients. We understand that when companies outsource, it’s not just about cutting costs. Our value-added and friendly approach and readiness to provide our clients with effective solutions for any kind of challenge has stood us in good stead in the competitive world of business process outsourcing.

MOS - A Trusted BPO Partner

MOS - A Trusted BPO Partner

From a company that provided medical transcription services, we have rapidly developed and expanded into a global organization providing an array of back office services as well as into more strategic areas of businesses.

We are a one-stop provider for web-based services such as medical transcription, business transcription, legal transcription, medical billing and coding, healthcare and law office staffing, website designing, search engine optimization, data entry and document conversion.

We work as an extension to the client’s office, and not as another company. The executive team members and project support personnel who lead our team have proven capabilities that enable us to provide services that enhance client productivity and efficiency.

Advantages of Choosing MOS

  • We work with entities in a wide range of industries, ranging from start-ups to major companies.
  • We have vast experience in handling BPO and back office and tasks for health care, legal, information technology, and other sectors and can provide customized solutions in short turnaround time. For the medical industry, we ensure HIPAA-compliant solutions.
  • A global outsourcing company based in the US, MOS has offshore centers in India. Whether you want onshore or offshore services, we can deliver.
  • When you partner with us, you leverage the benefits of state-of-the-art infrastructure, the latest technology, and committed teams.
  • We are flexible and can meet your changing needs.
  • Our stringent quality control processes allow us to deliver superior results that meet client specifications.
  • We have various security measures in place to ensure the safety of the sensitive data that you entrust us with.
  • Our regular reporting system keeps you informed of progress on your work.
  • Our prices are very competitive and can save up to 40% on your operational costs.
  • We do not say "YES" unless we have the resources and the expertise to execute the project.

Constantly striving to stay ahead with new techniques, our focus is on developing strategies that help our clients increase productivity, reduce costs, and stay competitive.

Management Team

In this global economy, outsourcing of functions in an office is becoming more common. Headquartered in Tulsa Oklahoma, Managed Outsource Solutions provides reliable business process outsourcing solutions to global enterprises. The company was started with a mission to help our clients leverage outsourcing services designed to improve productivity and quality as well as cash flow and the bottom line. With more than 15 years of national and international exposure in the industry, we deliver an entire spectrum of business process outsourcing services for a wide range of industries such as Medical, Legal, Media, Information Technology and others.

We work as an extension to your practice, not as another company. Growth over the past few years has helped us to establish our reach across the country and the world. Here are our executive team members and project support personnel who lead our team.

Rajeev Rajagopal
Rajeev Rajagopal
With an interest in information technology, Rajeev has guided MOS to extensive use of digital technology and the internet that benefits MOS as well as MOS's clients.
Bob Kruse
Bob Kruse
With previous experience as engineer and hospital CEO, Bob and his wife began entrepreneuring in 1993 with Kruse & Associates; recruiting and placing healthcare professionals.
Digital Brand Manager - SEO, SEM, and Applications

Juan joined MOS in October 2021 and brought with him over 11 years of experience in providing small business and corporate-level solutions for Digital Marketing primarily in SEO, SEM, SMO, and Technology. Juan has a deep analytical mind, drive, experience, know-how, and more importantly the project management skills to keep projects humming and delivered to satisfaction. You can always find him geeking over servers or immersed in blockchain technologies.

In his spare time, he manages a home garden with his two daughters and dabbles in real estate.

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.

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.
Meghann Drella
Meghann Drella
CPC: Senior Solutions Manager - Practice and Revenue Cycle Management, Healthcare Division
Meghann joined MOS's Revenue Cycle Management Division in February of 2013. She is CPC certified with the American Academy of Professional Coders (AAPC).
Natalie Tornese
Natalie Tornese
CPC: Director of Revenue Cycle Management - Healthcare Division
Natalie joined MOS's Revenue Cycle Management Division in October 2011. She brings twenty five years of hands on management experience to the company.
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. Her experience ranges from surgical and home health RN to ownership of a Medical Equipment company.
Julie Clements
Julie Clements
Vice President of Operations - St. Paul, Minnesota
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 MOS in March of 2008.


MOS Philosophy and values

Every business has challenges; and in order for any business to thrive, solutions must be found for these challenges. And, even though we like to think positive; "Murphy's Law" seems to be continually lurking; in other words, there will always be challenges.

We, at MOS, fully understand this, and our business model is centered on SOLUTIONS; for us yes, but more importantly for our clients. You have Challenges? We have Solutions.

So, in developing our business model, we asked ourselves how best to accomplish this? In doing so, we developed a set of principles, core values, ideas, etc;

Philosophy and Values

This is one of those words/values that permeate all we do; so it's first on the list. We've always liked the slogan first coined by Southwest Airlines: "Hire for attitude, train for skills". Yes, attitude deals with people; who we are, how we act (and react), how we care and what we care about, (our empathy), how we relate to others, and much more.

Again, drawing on smart (successful) folks: Tom Watson, Sr., founder of IBM, said""I believe the real difference between success and failure in a corporation can very often be traced to the question of how well the organization brings out the great energies and talents of its people." and Watson Jr. carried on that tradition saying: "the basic philosophy, spirit, and drive of an organization have far more to do with its relative achievements than do technological or economic resources, organizational structure, innovation, and timing."

So, our attitude is to help our clients find solutions, to work with them and each other, to be positive, to be honest, to enjoy our work, to make a difference. It works, for us and for our clients.


Related to attitude, yes, but without empathy, we cannot properly relate to your problems; let alone find solutions. With empathy, we listen to customers; we "feel your pain". Without empathy, we won't develop the personal relationships with customers that we desire; that helps us meet a goal of "long term business relationships". Without empathy, we don't properly care about the outcome of a project, from your perspective. Empathy helps us live our "honesty" value, again because we understand that one does not generally be dishonest with friends.


We recently formed an alliance with two other healthcare providers; and together, we are using a motto of "Integrity Matters". It does.

We include it as a core value, not only because we practice it, but Honesty and Integrity are core ingredients in TRUST, which is a core ingredient of long term relationships, etc. It is not only who we are, but imperative to our success. And remember, we measure that success by finding solutions for you.


This is easily one of those overused words; that has lost some meaning. Internally, we communicate, brainstorm, trust and like each other, respect each other, etc. However, very important to us is that you (the client) are also very much a part of the team. "We work for you" is another of those overworked phrases; but the essence here is that we are part of your team; we are here to help you meet your goals, find your solutions, etc.


Winning is part of teamwork, and that is what we want, but for you, and us. The proverbial win-win is an important part of all our projects; and an important part of teamwork; including all of us.


A phrase we live by is that we have to continually "earn your business. To do that, we have to give you value, i.e. "your money's worth". These three words incorporate that ongoing attitude of giving you work you can be proud of (as can we), being flexible to accommodate your needs, and demonstrating we care by being there for you. If we are going to earn that "long term relationship" we know we have to have your back; and WE DO.

Cutting Edge/Innovation

While not so warm and cuddly as "support"; we value staying in touch with (and utilizing) new technology and new ideas on a worldwide basis. We like to think outside the box. We are not afraid to try new things or take a few risks. Staying current is our desire for ourselves, for the services we offer, and for our clients. This is part and parcel to our desire to grow, both professionally and personally.


Yes, we want to stay in business. Yes, we want to prosper. But, we know and value that it has to be win-win. We use the phrase: "we will do all we can to make this work, except lose money"; and that goes both ways. We understand that the best way to "make money" and grow is to provide good, quality, timely, state of the art services; that will make our clients better; and to support those services in the same manner.


Certainly, last but not least, let's enjoy the ride. "Life's too short"; so let's have a sense of humor, let's get to be friends with "Murphy", and let's always "keep smiling". Our first value is attitude; make that a positive attitude; we'll get more done together and have more fun.

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