Hello friends! I am Melissa Pizor

Welcome to my About Me section! With over 20 years of experience in revenue cycle management, compliance, and healthcare operations, I’m passionate about helping organizations optimize processes, enhance financial performance, and achieve sustainable growth through tailored solutions and strategic leadership.
Passionate about turning complexity into clarity, I am a healthcare revenue cycle leader who thrives on delivering measurable results, empowering teams, and optimizing processes that directly impact patient care and financial performance. With over 20 years of experience, I’ve built a reputation for transforming underperforming revenue operations into streamlined, high-performing systems. I believe that every number tells a story—and my job is to ensure those stories drive sustainable growth, operational excellence, and lasting success. I hold several certifications through the AAPC including Certified Outpatient Professional Coder (COC), Certified Professional Coder (CPC), Certified Professional Compliance Officer (CPCO), Certified Professional Medical Auditor (CPMA) and a specialty legacy credential in Plastic and Reconstructive Surgery (CPRC). My leadership style is rooted in collaboration, mentorship, and fostering a culture of accountability, innovation, and excellence. I don’t just lead departments, I build high-performing teams that align people, processes, and technology to drive results that matter. Specialties: End-to-End Revenue Cycle Management | Process Optimization & Automation | Compliance & Regulatory Excellence (Medicare, Medicaid, HIPAA) | EHR & Systems Integration (Epic, Athena, eClinicalWorks, AdvancedMD, OpenPM) | Billing & Collections Strategy | Data-Driven Decision Making | Team Development & Leadership.
"“In healthcare, the revenue cycle is not just about numbers—it’s about ensuring resources are available to provide exceptional patient care.”" – Melissa Pizor

Years of professional experience and expertise in the healthcare industry

Revenue Cycle & Compliance Leadership – Driving Financial Growth & Operational Excellence
With over 20 years of expertise in revenue cycle management, compliance, and healthcare operations, I specialize in optimizing financial performance, improving workflow efficiency, and ensuring regulatory compliance. My leadership experience spans hospitals, physician groups, and healthcare organizations, where I have successfully transformed revenue cycle processes, reduced denials, and increased profitability.
Revenue Cycle & Financial Strategy
  • Revenue Optimization – Implementing strategies to enhance cash flow, reduce A/R days, and improve reimbursement rates.
  • Claims & Denial Management – Identifying root causes of denials and implementing corrective actions to maximize revenue recovery.
  • Payer Relations & Contracting – Negotiating contracts with payers to ensure competitive reimbursement and compliance with evolving regulations.
  • Billing & Coding Accuracy – Overseeing coding compliance, charge capture, and documentation audits to mitigate financial risks.
  • Regulatory Compliance & Risk Management – Ensuring adherence to Medicare, Medicaid, HIPAA, Stark Law, and Anti-Kickback Statute requirements.
Operational Efficiency & Compliance Expertise
  • Process Improvement & Workflow Optimization – Streamlining operations through automation, technology integration, and Lean methodologies.
  • Technology-Driven Revenue Cycle Solutions – Leveraging Epic, Athena, eClinicalWorks, AdvancedMD, and other EHR platforms to enhance efficiency.
  • Team Leadership & Training – Developing high-performing teams through mentorship, education, and strategic workforce planning.
  • Healthcare Consulting & Strategic Growth – Advising organizations on financial planning, credentialing, compliance, and revenue cycle best practices.
By combining financial strategy, operational efficiency, and compliance expertise, I help healthcare organizations enhance revenue performance, mitigate risk, and achieve sustainable growth in an evolving industry landscape.
Work Experience
M&R Healthcare Consulting Services, LLC (2017 – Present) – Managing Revenue Cycle & Compliance Director
As a founding leader at M&R Healthcare Consulting Services, LLC, I have helped healthcare organizations optimize revenue cycle operations, ensure compliance, and drive financial sustainability.
Transforming Revenue Cycle Performance
• Achieved a 30% average revenue increase for clients by designing and implementing tailored revenue cycle strategies to drive financial and operational improvements. • Increased operational efficiency by 50% through targeted workflow enhancements, compliance reviews, and strategic financial planning. • Led comprehensive revenue cycle audits, identifying inefficiencies in billing, coding, collections, and claims management, which resulted in significant reductions in claim denials and improved cash flow. • Provided strategic training and process development to ensure teams were equipped with the tools and knowledge to maintain long-term revenue cycle success.
Operational Efficiency & Growth Strategy
• Developed scalable revenue cycle models that improved collections, billing accuracy, and compliance adherence across multiple healthcare organizations. • Implemented automation solutions to streamline patient registration, insurance verification, and billing workflows, reducing administrative burden and enhancing efficiency. • Assisted healthcare startups and multi-specialty practices in structuring financial and operational infrastructures to support long-term growth. • Cultivated strong payer relationships, negotiating contracts and resolving escalated revenue cycle issues to support optimal reimbursement and revenue capture.
Transforming Healthcare Organizations for Long-Term Success
• Successfully guided healthcare practices through EHR transitions, ensuring seamless integration and enhanced operational performance. • Assisted in the financial turnaround of underperforming practices, implementing structured billing and collections strategies that boosted net revenue by 20% within the first six months. • Partnered with leadership teams to restructure operations, improve cash flow, and eliminate inefficiencies, allowing organizations to focus on delivering high-quality patient care without financial stress.
Octave (2024 – Present) – Director of Revenue Cycle
Currently leading revenue cycle operations for a network of 1,750 active providers, overseeing a $7M monthly revenue stream while managing a 25-member team and three revenue cycle managers.
Strategic Revenue Growth & Optimization
• Increased patient collections by 333% in one year, growing collections from $180K to $600K by restructuring billing workflows, automating processes, and reducing inefficiencies. • Drove the highest gross revenue month in company history by aligning operations, automation, and claims processing strategies. • Transitioned billing operations from two outsourced vendors to an in-house model, reducing costs, improving operational control, and increasing workload capacity by 40%. • Cleared extensive operational backlogs through strategic automation, improving cash flow and operational efficiency.
Chronwell Extensa (2021 – 2024) – Senior Director of Revenue Cycle & Compliance
Played a critical role in scaling revenue cycle and compliance operations for a multi-state healthcare system, supporting Chronic Care Management (CCM) and Remote Physiological Monitoring (RPM) programs.
Revenue Expansion & Compliance Leadership
• Delivered $6M in annual profit growth by building and scaling the Revenue Cycle and Compliance Department from the ground up. • Reduced claims processing time by 25% by analyzing denial patterns and optimizing workflows to accelerate reimbursements. • Increased net revenue by 35% over three years by implementing targeted revenue cycle strategies to capture missed revenue and minimize denials. • Introduced automated billing solutions that reduced departmental overhead costs by 20% while maintaining lean operations. • Led a 15-member team responsible for billing, coding, compliance, and financial analysis, ensuring financial stability and regulatory adherence.
MDS Practice Management (2015 – 2018) – Revenue Cycle & Compliance Director (Consultant)
During my tenure at Ascension Health, I played a pivotal role in expanding, modernizing, and financially strengthening healthcare operations.
Revenue Optimization & Regulatory Compliance
• Improved client cash flow by 20% within the first year by developing custom revenue cycle solutions tailored to organizational needs. • Increased clean claim rates by 14% and reduced denials by 12% by conducting workflow optimization and detailed claims audits. • Lowered accounts receivable days by 20%, enhancing cash flow and revenue cycle efficiency. • Minimized billing errors by 15%, refining coding practices to align with industry standards and regulatory compliance.
EisnerAmper (2015 – 2017) – Revenue Cycle Manager (Consultant)
Worked with large health systems along the East Coast, conducting on-site revenue cycle assessments and developing custom improvement plans to align processes with organizational goals.
What I bring to the table
I specialize in revenue cycle optimization, compliance leadership, and operational efficiency. My experience spans healthcare consulting, hospital leadership, and multi-specialty practice management, allowing me to develop datadriven solutions that drive financial success and operational excellence. At M&R Healthcare Consulting, LLC, I have helped clients achieve a 30% increase in revenue and a 50% boost in operational efficiency, showcasing my ability to deliver tangible, long-term results. At Octave, I spearhead revenue cycle transformation initiatives, successfully transitioning billing in-house from two outsourced vendors within my first six months. During this time, I increased patient collections by 177% and led the company to its highest-grossing revenue months in history. I have also driven automation efforts to streamline workflows, maximize productivity, and reduce manual inefficiencies, allowing the team to focus on higher-value tasks. At Chronwell Extensa, I played a key role in scaling revenue cycle and compliance operations for a multi-state healthcare organization. I built the Revenue Cycle and Compliance Department from the ground up, driving $6M in annual profit growth while increasing net revenue by 35% over three years. Optimized workflows to reduce claims processing time by 25% and implemented automated billing solutions that cut overhead costs by 20%. Led a 15 member team overseeing billing, coding, compliance, and financial analysis, ensuring financial stability and regulatory adherence. I am passionate about empowering teams, driving operational efficiencies, and ensuring financial sustainability in healthcare organizations. If you’re looking for a strategic revenue cycle expert who understands both the big picture and the intricate details of healthcare finance, I’d love to connect.