Fractional Controller & CFO · Pennsylvania, New Jersey, Delaware

The books tie. The close lands. The payers pay what they owe.

Controller-level financial operations for multi-location dental and specialty groups — monthly close, intercompany, and revenue cycle oversight, without carrying a full-time controller on payroll.

Seventeen years working inside group-practice finance — billing operations, revenue cycle management, and controllership.

Most group practices outgrow their bookkeeper years before they can justify a controller.

The symptoms are consistent: a close that slips past the third week, intercompany balances nobody wants to open, a P&L by location that leadership quietly distrusts, and underpayments that are never found because nobody is checking paid amounts against the contract.

Four things, done properly, every month.

Where the money usually is

Most groups are underpaid, and the write-off bucket hides it.

A payer pays a claim. The amount is lower than the contract says it should be. The difference is small enough that nobody queries it, so it posts as a contractual adjustment and disappears. Repeat that across a fee schedule, a year, and several locations, and it stops being small.

Your billers cannot see it, because from inside the queue each claim looks paid. It only appears when somebody reconciles paid amounts against the contracted fee schedule systematically, by payer and procedure — which is a modelling job, not a billing job. Finding a pattern like that, and running the recovery conversation afterwards, is work I have done.

The guides

I publish how I work, not just that I work.

Seven guides covering the reconciliations a multi-location practice has to get right — the proof formats, the step order, and the specific things that go wrong. Free, ungated, no email required.