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Management Team

A Trusted BPO Partner

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

President

Rajeev immigrated to the United States from India in the mid 90’s; with an education in physical therapy and computer science, and began working as a physical therapist.

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.

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..

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..”

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.”

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..

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..

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..

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..

Michael Myshin

SEO Manager – Digital Division

Michael joined the MOS team in January 2023 as the SEO Manager. Having spent his career at a full-service advertising..

Dalton Renteria

SEO Associate – Digital Division

Dalton joined MOS in March 2022. He brings an A.S. in Computer Science and a certificate for SEO knowledge..

Rajeev Rajagopal

Rajeev immigrated to the United States from India in the mid 90’s; 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 billing and liability issues and the importance of the good back and front office support to a successful practice. After experiencing a clinic saving money by outsourcing, he called Bob and “the rest is history”.

He manages the day-to-day operations of MOS from NY. 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.

Rajeev, resides in Long Island, NY. When not working on MOS projects, Rajeev is doing things with his active son, or spending a little time on the badminton court.

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. 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.

Julie Clements

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.

Natalie Tornese

Natalie joined MOS’s Revenue Cycle Management Division in October 2011. She brings twenty five years of hands on management experience to the company.

Jessica Schwartz

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

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 joined MOS’s Revenue Cycle Management Division in February of 2013. She is CPC certified with the American Academy of Professional Coders (AAPC).

Jan Merrifield

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.

Loralee Kapp

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.

Michael Myshin

Michael joined the MOS team in January 2023 as the SEO Manager. Having spent his career at a full-service advertising agency, he brings 7 years of digital marketing experience and a passion for all things technical. He’s worn many hats in the digital world and specializes in search marketing. Born and raised in Boise, Idaho, he loves to spend his free time golfing, reading or relaxing with his wife, son and two spoiled dogs.

Dalton Renteria

Dalton joined MOS in March 2022. He brings an A.S. in Computer Science and a certificate for SEO knowledge. With a background in Digital Marketing as an intern for MOS, he’s continuing to take classes as he goes for his B.S. in Computer Science and acquire other certifications in his field.

Dalton lives in Belvidere, IL with his girlfriend, his cat, and his fish. In his spare time, he plays in a men’s adult league for soccer and coaches private soccer lessons.