Executive Leadership

Bryan Koch, CEO

Bryan Koch is a seasoned executive with over 20 years of experience in revenue cycle management (RCM). As the Chief Executive Officer of Missing Piece ABA Billing & Consulting, Bryan brings a proven track record of driving growth and operational excellence in RCM businesses and consulting for healthcare organizations.

Before joining Missing Piece, Bryan spent four years at Medtronic Diabetes, where he led revenue cycle operations teams. Prior to that, he oversaw Kareo’s Managed Billing Service, delivering RCM solutions to a wide range of medical specialties. He also played a pivotal role in establishing DocuTap’s RCM services for the urgent care sector and helped scale Greenway’s RCM business, which supported thousands of physicians across 32 specialties.

Earlier in his career, Bryan served as Chief Operating Officer at Medac, a leading RCM company specializing in anesthesia and pain management, serving over 2,500 providers across 33 states. Additionally, he spent five years as a manager in Ernst & Young’s Health Sciences practice, consulting for various healthcare facilities.

Bryan earned his Bachelor of Arts in Accounting from Michigan State University and continues to leverage his expertise to transform and optimize revenue cycle operations within the healthcare industry.

Learn more about the Missing Piece Solution here.

Maura Janssen, Vice President of Operations

With over 12 years of experience in operations management, Maura Janssen is a seasoned leader dedicated to driving organizational success and fostering growth. As Vice President of Operations, Maura has consistently demonstrated a sharp eye for industry trends by monitoring the competitive landscape and attending key industry events to stay ahead of emerging initiatives.

Maura has a proven track record of cultivating talent within the organization, identifying, training, and developing future leaders. Their mentorship has set numerous team members on a trajectory toward management roles, strengthening the company’s leadership pipeline.

For the past seven years, Maura has been instrumental in business development, single-handedly signing all new clients and contributing significantly to the company’s growth and revenue. Their ability to forge strong client relationships and align services with client needs underscores their strategic vision and commitment to excellence.

Maura combines operational expertise with a forward-thinking approach, making them a dynamic and results-driven executive poised to lead organizations to new heights.

Jennifer Withington, Director of Revenue

With over 11 years of experience in ABA Revenue Cycle Management, Jennifer Withington has developed a reputation for her ability to tackle complex claim processing issues and ensure the timely reimbursement of services. Throughout her career, Jennifer has worked closely with both government and commercial payers, leveraging her expertise to resolve challenging billing obstacles. When necessary, she has effectively engaged the Department of Insurance to ensure fair resolution and prevent unnecessary delays in reimbursement.

Prior to her work in revenue cycle management, Jennifer managed residential group homes for individuals in the community who had not previously had access to early intervention services. Her work in this field sparked a deep passion for advocating for equitable access to ABA therapy and funding, and she remains dedicated to supporting individuals who can benefit from these services.

Jennifer is committed to ensuring that every individual has access to the resources they need to succeed, and she continues to push for improvements in the ABA funding landscape to better serve those in need.

What Clients Say..

Like most small businesses, our success is predicated upon personal relationships and a consistent revenue stream.  Since opening, Missing Piece Billing has been a great partner and an essential element of both.  They guided us through the billing and authorization process and took the lead on contracting and patient invoicing, allowing us to focus on serving our families.  As our company has grown from 1 to 100, I can say with great confidence that we would not be where we are today without them.

Clinton Paul, President

Engaging Minds Autism Services

Indiana Provider

Missing piece billing has been great to work with. They have been our billing partner for many years now. They have wonderful staff that is very easy to work with, they are helpful and always follow through to help on any requests we have.

Esther

Specialized Autism Consultant

Massachusetts Provider

Missing Piece has been providing billing services to Lighthouse Autism Center from 2012, when we first opened our doors, to present day.  They are not just a service provider, but a true “partner” who has contributed to our success over the years.  We highly recommend Missing Piece to those who wish to take their organizations to the next level.

Gregg & Sandy Maggioli, Founders

Lighthouse Autism Center

Indiana & Michigan Provider

Missing Piece delivers. Your problems are solved before you even notice, and you benefit from knowledge gained by Missing Piece via other clients’ problems even before they are yours to suffer. They are ahead of the game at every turn, be it denials for improperly reviewed claims, contracting issues, or auth utilization, they have you covered. We could not replace their services with ten full time staffers, and they cost far less than that each month.

Jason Shaw, BCBA, President & CEO

Child’s Play Plus

Indiana Provider

Since starting Circle City ABA, Missing Piece has been a valuable part of our organization’s growth. The bright team at Missing Piece provides insight and clarity in navigating the complex world of ABA insurance and creates confidence for our company. We highly recommend Missing Piece and the valuable partnership they bring to their customers.

Jennifer Lanham, M.A., BCBA, President

Circle City ABA

Indiana Provider

Partnering with Missing Piece to handle our insurance and billing needs came at the perfect time for our organization.  Payment and issues with claims consumed a large portion of our week.  Once we started working with the team at Missing Piece, we experienced faster turnaround with payment, billing and authorizations were streamlined, and credentialing couldn’t be easier.  Their dedicated team is always there to support our business and has given us back the time to focus on patient care.

Kelly Mcguire, Director of Operations

The Bedrock Clinic & Research Center, Inc.

New Jersey Provider

We have used Missing Piece Billing and Consulting for many years and are very satisfied with their services and support. Their team is knowledgeable and professional and have been wonderful to work with. We trust their expertise and would highly recommend them for all your ABA billing needs.

Libby Caswell, MS., BCBA, Executive Director

Disability and Autism Services of Indiana

Indiana Provider

When we began the process to become a Medicaid and insurance provider, a friend advised us to call Missing Piece for help.  As it turns out, that was the best piece of advice we got in relation to this journey.  The folks at Missing Piece have been there every step of the way, providing us with guidance, support, and taking many hours of work onto their workload.  We are so grateful!

Tami Burt

Executive Director

The Bridge of Georgia