25 East Hickman Street

Winchester, KY 40391

(866) 719-0191

Fax: (859) 901-0015


Billing Management

Information Technology

Tim Smith

Tim Smith, RMC, RMM

Chief Executive Officer, Owner


Tim is one of the co-owners and co-founders of MD Billing Services. He helped start the company soon after he graduated from Asbury College in 2002 with a Bachelor of Arts in Media Communications. He has billed for family practice, pain management, and has experience with medical practice operations as an employee of MD Consulting (mdconsultingky.com). Tim served as MD Biling's CFO for over 5 years and became CEO in January of 2016. Tim's wife, Amanda is an Internal Medicine/Pediatrics physician at KY One Health Primary Care Associates. They are the proud parents of a son and a daughter.

Pat Smith

Pat Smith, RMC, RMM

Chief Financial Officer, Owner


Pat is the founder and owner of MD Billing and its affiliate, MD Consulting (mdconsultingky.com). Pat has been working in the medical field since 1968. Her first job was at a privately owned hospital where she worked in every department of that facility. She did anesthesia billing for over 14 years before starting her own business, MD Consulting, so she could work from home and be with her children. She has maintained long-term relationships with her clients; some for over 30 years. She has set up over 35 practices in different specialties and has never had a practice that did not flourish. Pat is very knowledgeable in all facets of medical practices and continually receives education in both practice management and billing. Throughout her career she has negotiated contracts and dealt with the onset of managed care, all the while keeping her skill set sharp in all aspects of medical billing and reimbursement. She stills works everyday and is often seen billing and working on coding issues for her clients. She has had a part in training every biller that works for MD Billing. She welcomes your phone call and would love to talk with you about your new or existing practice. She offers free consultation and gladly answers any questions you might have in reference to running a very successful medical practice.

Amy Crump

Amy Crump, RMM

Consultant, Owner


Amy is a co-owner of MD Billing Services and a partner of MD Consulting (mdconsultingky.com). Amy has worked in the medical field for almost 15 years and has experience with both primary care and specialty practices. Amy holds a BA in Accounting from Asbury College. Amy is married to MD Billing's Network Administrator, Kevin. They have 4 children.

Steve Smith

Steve Smith, RMM



Steve offers financial consulting to MD Billing. He also has billing experience with obstetrics. He met Pat while they were attending Southeastern Christian College. They were married and then he graduated from Eastern Kentucky University with a Bachelor Business Administration. He is essential to the operations of MDBS as well as to his wife Pat.

Bud Clevenger II

Bud Clevenger II, RMC, RMM

Vice President, Chief Operating Officer


After graduating from Eastern Kentucky University, with a degree in Insurance and Risk Management, Bud worked insurance claims in KY, WV and PA. After 13 years in the insurance industry, Bud joined the MD Billing in 2010. He is involved in the day to day operations of the billing and consulting services as well as overseeing human resources for the business. Bud and his wife, Joy have two young sons.

Marianne Skaggs

Marianne Skaggs, RMC

Billing Manager


Marianne joined the MDBS team in 2011. She has had over 10 years of billing experience in many areas such as hospital, long-term care and physician billing.

Stephenie Osten

Stephenie Osten

Internal Auditor


Stephenie began her career with MD Billing as our Internal Auditor in March 2015. She has been in the medical billing field since 1991. Stephenie started with claims processing with EDS, which at that time processed claims for Kentucky Medicaid. She also processed refunds for Ky Medicaid Providers before moving to a position with Provider Services Department, which took all incoming calls from Kentucky Medicaid Providers. After working there for 7 years Stephenie began a new job in Frankfort, KY at a billing company in 1998 and was there until March of 2015. She started ther as a biller, billing for specialties including but not limited to, Radiology, Surgical, Radiation Oncology, Primary Care & Pain Management. She also handled all start up process for new clients, monitored daily and monthly revenue cycles. Providing reports & was the customer service liaison between the billing company and the clients. Stephenie is married and has twin girls.

Monica Manning

Monica Manning, RMC

Assistant Billing Manager


Monica is married with two children. She has an Associates Degree in Office Administration. She worked for two years as a receptionist for a local internal medicine office. She began with MD Billing Services in the fall of 2003 and does billing for an orthopedic practice.


Jamie Gabbard

Practice Manager


Jamie is the Practice Manager for Kentucky Orthopedic Associates. She is originally from New Jersey and has resided in Kentucky since 2004. She has been in the healthcare field since 1998, beginning her career at the age of 20 in the Allergy and Asthma specialty. Since then she has gained billing and management experience is cardiology, chiropractic and orthopedics. She lives in Lexington with her husband and son.

Kevin Crump

Kevin Crump, RMM

Director of Technology, Network Administrator


Kevin joined MD Billing Services, LLC in January 2004. He has gained experience with the Paradigm billing software and the medical billing process and continues to work on internal processes and data retrieval. Kevin has also served on the advisory board for QRS, the Paradigm software vendor. Kevin’s educational background is in industrial technology with a specialization in electronics. Previously, he worked as a research and development engineer. In his 10 years of engineering he earned multiple patents in the personal protective equipment industry. His hobbies are playing the guitar, working on instruments, riding motorcycles, woodworking, and being creative whenever the opportunities arise.


Vic Mollet, CCNA

Information Technology Support


Vic began working with our MD Billing as a computer networking consultant in 2014. We quickly saw how valuable he was to our company and hired him full time in 2015.


Bryan Cottrell

Information Technology Support


Bryan began working here at MD Billing, LLC back in December 2018. He acquired a Bachelors degree in Computer Science, and is currently working on obtaining certifications. At MD Billing, he is one of our programmers and general IT support for day to day activities. His hobbies include playing table top games, working on his computer, reading, and listening to music.


Davida Abner, CPC, CEMC, CPMA

Billing Specialist


Bio Coming Soon

Chasity Bryant

Chasity Bryant, RMC

Billing Specialist


Chasity graduated from National College in 2009 with a diploma in Medical Billing and Coding and Medical Office Specialist. She began her career at Kentucky Orthopedic Associates as part of the front office staff in May 2009. She began doing billing for them in 2010 before transferring to MD Billing in September 2016. She is married with two children.

Tonia Chanslor

Tonia Chanslor, RMC

Billing Specialist


Tonia has worked in the medical field for 33 years. She has been a receptionist in various medical offices in Lexington and Winchester. She worked in a local physician’s office for eight years before coming to MD Billing in August 2003. Tonia is a billing clerk for a Pediatric/Internal Medicine group and an Ophthalmology Specialist. She resides in Winchester with her husband and she has two children.

Julia Early

Julia Early, RMC

Billing Specialist


Julia graduated from Bluegrass Community & Technical College in 2013 with an associate's degree in Medical Information Technology, Administrative Option. She is experienced in medical billing for pediatrics and mental health. She currently resides in Winchester.


Connie Crowe

Billing Specialist


Bio Coming Soon


Betsy Elleman, RMC

Billing Specialist


Betsy has been with MD Billling since November 2013. Prior to that she worked for eighteen years at a gastroenterology office in Winchester. She has been working in the medical field since 1990. She has experience in all aspects of the medical office. She is lives in Lancaster with her husband Mike and their daughter Elizabeth Brett.

Hollie Greene

Hollie Greene, RMC

Billing Specialist


Hollie began working for MD Billing Services in July 2016. She currently specializes in dermatology billing. She started working in the medical field as a medical records clerk at Saint Joseph Hospital. She previously specialized in medical credentialing before coming to MD Billing. She resides in Winchester with her husband and two dogs.


Cynthia Haggard, RMC

Billing Specialist


Cynthia worked at Winchester Municipal Utilities for 7 years, where she posted payments, did customer service, and worked on month end spread sheets. After WMU, Cynthia worked at Trapp Elementary School for 7 years. She had many administrative responsibilities there and did a variety of jobs to keep the school running smoothly. Cynthia then began her career with MD Billing as a Medical Biller in March 2014. She has billed for primary care and anesthesia. Cynthia is married and has a son in college.

Stephanie Hughes

Stephanie Hughes, RMC

Billing Specialist


Stephanie Hughes has 25 years experience in the medical field. She started out as a part-time nursing assistant from 1982-1986 at Mercy Hospital in Owensboro KY. She has attended Georgetown College from 1984-1986 in which her primary studies included biology and chemistry. Next she worked in the business office at Georgetown Community Hospital from 1986-1999 where she had worked at different positions as PBX Operator, Registration Supervisor, and Medicare Specialist. During the time she worked at the hospital, she also worked for Dr. Narayan Venguswamy, a general/vascular surgeon, from 1991-1993 as the receptionist and biller. From 1999-2005 she worked with Samaritan Hospital as the Medicare and Medicaid Specialist and also was a “super user” in which she helped in building and training of employees with a new computer system. Then from 2006-2007, she began to work for Bluegrass Medical Group as the biller, which specialized in internal medicine. Now she has come to MD Billing Services in April 2007 as a biller. Stephanie resides in Winchester, KY with her two children, Maria and James.

Donna Keeton

Donna Keeton, RMC

Billing Specialist


Donna began working for MD Billing Services in July 2004. She currently specializes in Dermatology billing. She started working in the medical field as a medical records clerk at Samaritan Hospital and has worked as a receptionist/front office manager at Internal Medicine practices in Lexington and Winchester. Donna resides in Winchester with her husband and daughter.


Dottie Kempffer

Billing Specialist


Dottie joined the MD Billing staff in November of 2013 as a medical claims specialist. She enjoys working here because the staff is exceptional to work with. She enjoys helping our providers with their denied claims. Dottie's past work experiences include 10 years with Winchester Medical Assoc. (WMA) with 7 Providers. There, her position was Billing/Claims Specialist, posting payment, working denied claims, and customer's accounts. When that office was purchased by KY One Health, she transferred to their billing department and worked with 6 Medical Primary Care Offices in the Claims Department. Before moving to Kentucky, she was in California where she worked for American Sprinkler Inspection. Her duties were contracts, billing/accounting for 15 years in Fountain Valley, California, prior to that she worked for Hoag Memorial Hospital as Purchasing Agent for five years in New Port Beach, California. Dottie is happly married to her husband, Terry. She has two daughters, and 7 grandchildren. She attends Grace Baptist Church in Winchester, KY. Dottie enjoys to travel and go camping in her spare time.


Jessica Martin

Billing Specialist


Bio Coming Soon

Jackie McCloud

Jackie McCloud, RMC

Billing Specialist


Jackie joined the MD Billing team in July 2010. Prior to that he worked 27 years managing apartment complexes in Winchester and also served as the athletic director and girl’s fast pitch softball head coach at George Rogers Clark High School here in Clark County. Jackie administrates all documents scanning for every biller at MD Billing. He also bills for a psychiatry practice.

Shelly McClure

Shelly McClure, RMC

Billing Specialist


Shelly recently joined MD billing staff September 2016 as a medical biller. She graduated from Kentucky College of Business with a degree in medical secretary. Shelly began work in the medical field at Clark Regional Medical Center in the radiology department from 1998-2007 then went to work at Kentucky Orthopedic Associates in Winchester where she was part of the front office staff until Feb 2016 and then transferred to the billing department. Shelly resides in Powell county with her son and fiance.

Kay Moore

Kay Moore, RMC

Billing Specialist


Kay began working at MDBS in 2004. Previously, she worked for over 11 years as an office manager for a group of orthopedic surgeons. She has billed for family practice, wound care, gastroenterology, and cardiology. She currently specializes in physician hospital billing. Kay is married to Jim and they have two daughters.


Marisa Moore

Billing Specialist


Biography coming soon.


Charlene Ragland, RMC

Billing Specialist


Charlene has worked in the medical field for 19 years. Before coming to MD Billing Services she worked at Thomas ENT and Allergy Clinic in Winchester for 15 years, with the last 4 years as Practice Administrator. Prior to Thomas Clinic she worked at Delta Natural Gas for 20 years in the Inventory and Measurement Department. In 2009 she joined the MD Billing family working part time then went full time in 2014. Her medical experience has included ENT, allergy, OB/GYN, cardiology and family practice. Charlene is very involved at Southland Christian Church where she attends with her family. She is the leader of the Backpack Program and serves as Session Host every Sunday. Charlene enjoys volunteering in the community and spending time with her family. Charlene resides in Winchester with her two daughters and two granddaughters.

Diane Reece

Diane Reece, RMC

Billing Specialist


Diane worked in a local physician’s office as the front desk receptionist for two years before transferring to MD Billing in July of 2006. She does the billing for an orthopedic practice. Diane is married and lives in Winchester and has two grown sons.


Rebecca Robinson

Billing Specialist


Bio Coming Soon

Becky Shepherd

Becky Shepherd, RMC

Billing Specialist


Becky has worked in several medical venues. Her first job in the medical field was working in data processing at Clark Regional Medical Center. She has also worked as a receptionist/billing clerk for local dentist Dr. Billy Ballard as well as the front desk receptionist for family physician, Dr. Scott Baker. She has worked for MD Billing since July 2004, and has billed for cardiology, pain management, optometry, and ophthalmology.

Cynthia Shimfessel

Cynthia Shimfessel, RMC

Billing Specialist


Cynthia joined the MD Billing staff in January of 2012 as a Medical Claims Specialist. She has worked in the following specialties: Family practice, Obstetrics, Bariatric, Pediatrics, Dermatology, Primary Care and Emergency Room; however her main focus is tracking payments on outstanding charges and denied claims. Past work experiences include 10 years with The United States Department of Agriculture as a program assistant, 5 years with GenApps-Tobacco Research Company, 5 years in a Medical Office working the front desk/receptionist, and Pioneer Federal Savings Bank. (Coincidentally her job at Pioneer Federal was in the same building that MD Billing is now located.) She resides in Winchester and has 3 children-Stetson, Colton and Caycee.


Stephanie Waller, RMC, CNA

Billing Specialist


Stephanie began her career with MD Billing as a Medical Biller in July 2014. She began her billing career in 2001 with Big Sandy Healthcare in Prestonsburg, KY. When she moved to Winchester in 2004 she began working for Associates for Women's Care in Lexington, KY where she started out as a receptionist, then was promoted as their Financial Counselor/Assistant Office Manager for over 8 years. She is knowledgeable and has background experience in all aspects of a practice from receptionist to the clinical staff. She also has her Certified Nursing Assistant (CNA) license. Stephanie's billing experience is with OB/GYN, primary care, cardiology and Hospice. Stephanie is married to Lee Waller and they have 3 boys, Bryson, Brayden and Jase. She and her family are members of Grace Baptist Church in Winchester.

Ann Wilkinson

Ann Wilkinson

Billing Specialist


Biography coming soon.


Natalie Woosley

Billing Specialist


Natalie began her career with MD Billing in May 2019. Prior to joining MD Billing, she was Office Manager and Insurance Biller for Dr. Mark Simon, Ophthalmologist, in Winchester for 15 years. She began her work within the medical field with Dr. Mark Pascuzzi in 1988. She currently specializes in Emergency Physicians' billing. Natalie has been married to her husband, Joe, for 32 years and together they have 3 daughters: Lauren Thomas (Brandon), Brooke and Brennan, and one grandson, Sawyer.

Tina Leslie


Coding Manager


Tina joined the MD Billing team in 2014. Her experience includes, auditing, billing and coding, for inpatient, outpatient, and operative reports. Her favorite areas of coding and auditing are cardiology, orthopedics, and emergency room. Tina worked in post secondary education which led her to the field of Medical coding and billing. She became an instructor and department director for a local college in 2012 and most recently the president of the AAPC Lexington local chapter in 2016 and Vice-president in 2017. She continues to be an active member and travels as a speaker for continuing education and instructional opportunities. Her certifications include CPC, CPMA, CEDC, CEMC, CHTS-TR. When Tina isn’t working she can often be found playing in her garden or with her two grandsons.

Maegan Farmer

Maegan Farmer, CPC



Biography coming soon.


Shelby Boone



Since 2011, Shelby has spent summers working part time at MD Billing while attending Morehead State University. She graduated with a Bachelor’s of Business Administration in Accounting in 2015. She then joined our staff at MD Consulting full time. She completed a Master’s of Business Administration from Morehead State in 2017.

Robin Bush

Robin Bush, CPC, RMC, RMM

Administrative Assistant


Robin began her career at MD Billing Services in August 2004. Prior to joining the MD Billing staff, she had worked in Christian education for 16 years, with the last eight of those years in the administration capacity. Her first responsibility at MD Billing was billing for a cardiology group. Her billing experience has also included internal medicine, OB/GYN, pediatrics, and neurology. She served as Manager of Billing Operations for many years and received her CPC, Registered Medical Manager and Registered Medical Coder Certifications. In December 2019 Robin took a new position as the Administartive Assistant for MD Consulting. Robin, along with her husband Phil, enjoy traveling and spending time with their children and grandchildren.


Carolyn McCloud

Consulting Assistant


Carolyn started her employment at MD Consulting in 2013. She also was the administrative assistant at the First Church of God in Winchester for 22 years. After retiring from the church in 2015, she was able to spend even more hours working at MD Consulting. Carolyn is married to Jackie McCloud and they have 2 children, 4 grandchildren, and 1 great grandchild.

Lindsey Norton

Lindsey Norton

Payroll and Benefits Manager


Lindsey graduated from the University of Kentucky. She holds a Bachelor of Science in Accounting and a Bachelor of Business Administration in Finance. Prior to joining the MD Consulting staff in February 2011, she worked in public accounting for three years. Lindsey lives in Winchester with her husband and daughter.

Betty Clevenger

Betty Clevenger


"Aunt Betty" has been our courier since the beginning of 2006. She has driven thousands of miles transferring information between medical offices and our office. She delivers to Winchester, Lexington, Paris, Versailles, and Mount Sterling. Without her things would not run so smoothly around MDBS. And yes, she is Pat's actual aunt. She has been married to Bud Clevenger, Sr. since 1959 and they are the parents of Bud Clevenger, the Vice President of MD Billing.

Bud Clevenger

Bud Clevenger


Bud came to work at MD Billing at the end of 2010. He runs multiple courier routes each week all over the state of Kentucky. He has been married to “Aunt Betty,” one of the other couriers for MD Billing, since 1959. And as you probably can guess, they are the parents of MDBS’s Vice President, Bud Clevenger, Jr.

Alta Johnson

Alta Johnson


Alta started running the "Winchester route" in February of 2007. She helps insure that all MDBS paperwork is in the right pace whether she is driving around town as the courier or filing in the office.

Pat Kaiser

Pat Kaiser


Pat Kiser has been running the southeast courier route for MD Billing since 2009. She is a retired librarian from the Estill County public school system. She has three sons, 12 grandchildren, and 2 great grandchildren.