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Why SMB | Team | Partners

Established in 2012, SMB is a medical billing and practice management consulting company committed to delivering healthcare practices unrivaled, tailored services. At SMB, we pride ourselves on being the best partner to handle all back-office functions for health-centered practitioners, allowing them to focus on what matters most to them, treating patients. We dedicate our knowledge and energy to help the practitioners achieve their highest level of revenue.

Why SMB?

Every medical practice wants to concentrate on increasing its business by providing the best service and making their patients smile. We want to alleviate physicians and administrators from dealing with insurance companies, and take pride in providing resources to clients that will exceed their expectations.

  • Excellent Customer Services
  • Experienced Coders and Medical Billing staff
  • Efficiency
  • Increased profits
  • Accountability

As medical billing gets more and more specialized and regulated, compliance becomes paramount and we comply with all regulations set forth by OIG. We understand that a medical practitioner needs to follow rules when processing and billing claims as well as rules regarding confidentiality of healthcare information, including the Health Insurance Portability and Accountability Act (HIPAA).

We stay compliant by:

  • Offering specialized compliance training and education for our staff
  • Conducting regular audits focusing on high-risk billing and coding issues
  • Inspection of all ongoing HIPAA developments, and their effect on transaction and code sets; privacy; and security
  • Maintain HIPAA compliancy
  • Implement changes in workflow processes as they are published by the government

We hold ourselves to rigorous auditing standards so you can be assured that we’re doing the job right. We view ourselves as an extension of your medical facility.


SMB has a fantastic team of experienced coders, accounts receivable specialists, and managers who ensure that coding, billing, and collections gets done properly and efficiently so that our clients can focus on what they do best - treating their patients!

Adrianne Nittala,
President and Founder

Adrianne Nittala, president and founder of Specialized Medical Billing and Consulting, has demonstrated success in the health care field both as an Administrator of an orthopedic practice, and with leading a successful revenue cycle management company. With more than 20 years of experience in billing, collections, coding and physician practice management, Adrianne brings a wealth of experience and knowledge to the field. Adrianne holds degrees in Health and Human Services, and Human Resources Management.

Before founding Specialized Medical Billing and Consulting, (SMB) in 2012, Adrianne served as a Practice Administrator for a local orthopedic practice, where she was responsible for developing and implementing efficient processes for the multi-specialty practice. Adrianne’s duties included overseeing office operations that included everything from staffing, coordination of insurance contracts and liability coverage to billing, collections, coding and ensuring compliance with standards and regulations.

While working in multi-specialty practice Adrianne developed a deep appreciation for the dedication, commitment and hard work shown by private practices. She also realized that many private practices, facilities, and medical centers lacked the billing and coding know-how to bring in the revenue needed to keep a consistent and steady income in the center. Through this experience she developed a desire and passion to help private practices, by sharing her billing and coding expertise. Adrianne combined her business savvy with her vast knowledge and understanding of medical practice operations, including revenue cycle management to form SMB. Adrianne resides in Powell, with her husband Kal, and their two beautiful daughters. In her free time she volunteers at her daughter’s school by serving on the PTO Board, is a Girl Scout Leader, is an active member of the Chamber of Commerce, and enjoys traveling and spending time with her family and friends.

Heather Kost CPC, CPMA
Operations Manager

Heather has been with Specialized Medical Billing since its inception and has over 24 years of experience in many aspects of medical billing including coding, auditing, charge entry, payment posting and End of Month financials. She is proficient in utilizing multiple practice management platforms including various billing software systems. Heather is AAPC certified in coding and medical auditing and a graduate of The Ohio State University. When she’s not crunching numbers at the office, she enjoys travelling with her family, attending festivals and cheering on the Buckeyes..

Amber Knight, CPC
Billing and Coding Supervisor

Amber Knight has been with Specialized Medical Billing since 2016. Amber started off as a Billing Specialist and has since been promoted to Coding and Billing Supervisor. She does coding, charge entry, AR follow up, team auditing, collections, and other special projects. She graduated from Central Ohio Technical College in 2016 with an Associate’s degree in Health Services Technology (Medical Coding) and obtained her CPC right before graduation. Amber has over 12 years of customer service experience that allows her to understand customer needs and provide an unparalleled level of service. Amber is a wife and mother who lives on a horse farm and enjoys being creative in her spare time. She likes painting, crafting and reading when time allows.

Alison Hatfield,
AR Billing Supervisor

Alison began her career in the medical filed in 2008, where she worked front office for an orthopedic group, and then progressively moved into a patient care coordinator position where she worked hand and hand with her surgeon. From that positon she transitioned over to billing and has been in a billing role for five years now. She was soon promoted to Lead Billing Specialist, and then she has recently accepted the role of Billing AR Supervisor for our company. She enjoys researching and following up on claims that have not paid. She is always finding creative solutions to difficult accounts and strives to solve all issues in a timely manner. She currently resides in Gahanna with her husband, Adam of seven years and their five-year-old daughter, Sidney. When Alison is not working she enjoys traveling or being active outside hiking or working out.

Deborah Becker,
Billing Support Supervisor

Deborah has been with Specialized Medical Billing since its inception. She has 20 years of revenue cycle management experience, including charge entry, patient collections and accounts receivable follow up. She is well versed in several practice management systems and has impeccable knowledge of clinic operations which plays a huge role in understanding practice workflow. She has been instrumental in training incoming staff on the practice management software systems. She is a graduate of Franklin University and holds a degree in Organization Leadership and Management, and Human Resources Management. Her hobbies include taking family vacations, cooking and party planning.

Holly Williamson,
AR Billing Supervisor

Holly began her career as an elementary school educator and decided to make a career move to the medical billing field in 2014. She started off as a medical billing specialist then became a practice lead and now an AR Supervisor. She works daily in the accounts with coding, charge entry, insurance follow up, and patient collections. She is proficient in many practice management systems and enjoys the investigative aspect of billing. Outside of work she loves spending time with her teenage daughter and her athletic activities, being out in nature, and traveling.

Samantha Kanagy,
AR Billing Supervisor

Samantha started her career in the medical field in 2012 as a customer service representative for a medical billing group. From there she moved on to become an AR Specialist and Billing Team Lead. She joined the Specialized Medical Billing team in 2019 as a Billing Specialist and has since moved into a Billing Support Coordinator position. Samantha is a graduate of the University of Rochester and is working on her second degree in Health Administration. She enjoys outings with her family and playing softball.

Rebecca Fleming,
Billing & AR Supervisor

I started my career in medical billing in 2011 as a billing representative; taking phone calls, working A/R and posting payments and was later promoted to Client Services Support. In my role as Client Services Support I learned credentialing, EDI enrollments, new client implementations, training and file building in multiple billing systems. Later I transitioned into the position of Revenue Cycle Manager which taught me how to monitor all aspects of billing from a high level. I started with Specialized Medical Billing in 2018 as a Billing Support Coordinator and accepted the role of Billing & A/R Supervisor shortly after. I currently have one son and in my spare time I enjoy spending time with my family and watching old Disney movies.


Medical billing, especially the in-depth, committed work like SMB, is intricate and complicated with various nuances that need expert diligence. Our partners complete our vision and exemplify our mission. They work like an extension our organization, providing us value added services. In all matters, our partners reflect our core values and stride with us in our journey to providing simplified solutions to complex medical billing problems.


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330 East Wilson Bridge Rd,
Suite 100, Worthington, OH 43085.
Ph (614) 461-8154

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