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GRACE-DECORUM
MEDICAL BILLING SERVICES
About
Nationwide Medical Billing Professionals
Company founders, Tracy Zikes, DNP, NP and Ramona Boyer, MSN, NP, CAC have used their past billing and credentialing experiences to catapult them into developing a company grounded on the principles of transparency, commitment, and client satisfaction.
They employ team members that are dedicated and knowledgeable.
Tracy Zikes, DNP, AGACNP, FNP, RN
Co-Founder & CEO
Dr. Tracy Zikes has been in healthcare for over 40 years, beginning her career in 1982 as a Certified Medical Assistant. In 1998, she graduated from J. Sargeant Reynolds and Jefferson (BSN) in 2010 College with her AAS-RN degree. In 2005, she earned her BSN, Magna Cum Laude, at JCHS-Carilion. In 2015, she graduated Summa Cum Laude from The University of South Alabama with her Masters in Nursing Degree for dual certifications in Adult Gerontology Acute Care Nurse Practitioner and Family Nurse Practitioner with a concentration in Emergency Medicine, as well as her Doctoral Degree in Nursing Practice. After several years practicing in Emergency Medicine, Dr. Zikes became autonomously licensed and started her own business managing skilled and long-term care patients. After experiencing firsthand the pitfalls of poor billing and credentialing practices, Dr. Zikes and business partner Ramona Boyer, NP founded Grace-Decorum Medical Billing Services with a commitment to provide a more conscientious, transparent, and well-cultivated billing and credentialing product. When Dr. Zikes is not busy, she enjoys spending time with her children and grandchildren at their family farm and beach home.
Dr. Tracy Zikes has been in healthcare for over 40 years, beginning her career in 1982 as a Certified Medical Assistant. In 1998, she graduated from J. Sargeant Reynolds and Jefferson (BSN) in 2010 College with her AAS-RN degree. In 2005, she earned her BSN, Magna Cum Laude, at JCHS-Carilion. In 2015, she graduated Summa Cum Laude from The University of South Alabama with her Masters in Nursing Degree for dual certifications in Adult Gerontology Acute Care Nurse Practitioner and Family Nurse Practitioner with a concentration in Emergency Medicine, as well as her Doctoral Degree in Nursing Practice. After several years practicing in Emergency Medicine, Dr. Zikes became autonomously licensed and started her own business managing skilled and long-term care patients. After experiencing firsthand the pitfalls of poor billing and credentialing practices, Dr. Zikes and business partner Ramona Boyer, NP founded Grace-Decorum Medical Billing Services with a commitment to provide a more conscientious, transparent, and well-cultivated billing and credentialing product. When Dr. Zikes is not busy, she enjoys spending time with her children and grandchildren at their family farm and beach home.
Ramona Crouse, MSN, FNP, RN
Co-Founder & CFO
Ms. Ramona Boyer is a Family Nurse Practitioner who began her career in healthcare at the age of 19 as a Registered Nurse with an Associate in Applied since in nursing degree from Wytheville Community College. From there she worked for many years in emergency medicine as well as in the worlds of home health and hospice care. In 2013 she graduated Summa Cum Laude from Radford University with a bachelor’s degree in nursing. Then, in 2015 she graduated Summa Cum Laude from Walden University with her Master’s Degree in Nursing. She then worked several years in emergency medicine and made her way into the world of post-acute and long term care where she still practices today. She has since become licensed to practice autonomously. Due to several negative experiences with billing companies she, along with fellow nurse practitioner Tracy Zikes, formed Grace Decorum Medical Billing Services in order to provide a comprehensive and reliable billing and credentialing service for health care providers with a focus on transparency. Both Boyer and Zikes cite their desire to provide a quality billing service in order for other health care providers to able to focus on the care of their patients without having to worry about their billing and business cash flow. Ramona loves spending time with her family including her fiancé, children, grandchildren and her Cane Corso, Ghost.
Ms. Ramona Boyer is a Family Nurse Practitioner who began her career in healthcare at the age of 19 as a Registered Nurse with an Associate in Applied since in nursing degree from Wytheville Community College. From there she worked for many years in emergency medicine as well as in the worlds of home health and hospice care. In 2013 she graduated Summa Cum Laude from Radford University with a bachelor’s degree in nursing. Then, in 2015 she graduated Summa Cum Laude from Walden University with her Master’s Degree in Nursing. She then worked several years in emergency medicine and made her way into the world of post-acute and long term care where she still practices today. She has since become licensed to practice autonomously. Due to several negative experiences with billing companies she, along with fellow nurse practitioner Tracy Zikes, formed Grace Decorum Medical Billing Services in order to provide a comprehensive and reliable billing and credentialing service for health care providers with a focus on transparency. Both Boyer and Zikes cite their desire to provide a quality billing service in order for other health care providers to able to focus on the care of their patients without having to worry about their billing and business cash flow. Ramona loves spending time with her family including her fiancé, children, grandchildren and her Cane Corso, Ghost.
Breanna Zikes
Billing & Credentialing Assistant
Breanna has been with Grace-Decorum since its inception in 2020. In addition to administrative duties, she has expanded her knowledge in medical billing and credentialing. Prior to joining Grace-Decorum, Bre served the New River Valley and Roanoke areas as a Service Facilitator and Home-Care Assistant for 12 years. She currently serves on the Riner Volunteer Fire Department Ladies Auxiliary, and prior, volunteered for several years on the Riner Rescue Squad. Bre works vigorously to establish life-long relationships, made evident by her proven dedication to community and customer service. Bre is a graduate of Auburn High School and aspires to advancing her education in the medical field. When she's not working or volunteering, Bre enjoys spending time with her husband and their two sons.
Breanna has been with Grace-Decorum since its inception in 2020. In addition to administrative duties, she has expanded her knowledge in medical billing and credentialing. Prior to joining Grace-Decorum, Bre served the New River Valley and Roanoke areas as a Service Facilitator and Home-Care Assistant for 12 years. She currently serves on the Riner Volunteer Fire Department Ladies Auxiliary, and prior, volunteered for several years on the Riner Rescue Squad. Bre works vigorously to establish life-long relationships, made evident by her proven dedication to community and customer service. Bre is a graduate of Auburn High School and aspires to advancing her education in the medical field. When she's not working or volunteering, Bre enjoys spending time with her husband and their two sons.
Brandi Crouse, BS Accounting
Billing Specialist and Department Coordinator
Brandi Tabor, Billing Specialist, holds a Bachelor’s degree in accounting, and has spent the last six years learning and expanding her knowledge of insurance and billing practices in the healthcare industry. She believes that in today’s healthcare, so much has shifted away from personal relationships and interactions that we are losing people in the process. Her goal is to help bring the personal interactions back into the process and show that we don’t have to forego the individual for the bottom line. Brandi prides herself in attention to detail and believes that being thorough on the front end will help minimize errors and promote timely and complete payment of claims. She also feels that being passionate about what you do can be the difference between being adequate and exceptional. Brandi is looking forward to bringing her passion to our clients to help maximize reimbursement and minimize lost revenue.
Brandi Tabor, Billing Specialist, holds a Bachelor’s degree in accounting, and has spent the last six years learning and expanding her knowledge of insurance and billing practices in the healthcare industry. She believes that in today’s healthcare, so much has shifted away from personal relationships and interactions that we are losing people in the process. Her goal is to help bring the personal interactions back into the process and show that we don’t have to forego the individual for the bottom line. Brandi prides herself in attention to detail and believes that being thorough on the front end will help minimize errors and promote timely and complete payment of claims. She also feels that being passionate about what you do can be the difference between being adequate and exceptional. Brandi is looking forward to bringing her passion to our clients to help maximize reimbursement and minimize lost revenue.
Teena Osborne
Billing Assistant
Teena is Grace-Decorum Medical Billing Service's newest billing team member, joining us in 2023. Teena has over 35 years of administrative and medical billing experience in private practice and long term care. She offers a wealth of knowledge in all aspects of revenue cycle management, and is committed to client service and satisfaction. On her off time, Teena loves spending time with her family, especially her grandchildren.
Teena is Grace-Decorum Medical Billing Service's newest billing team member, joining us in 2023. Teena has over 35 years of administrative and medical billing experience in private practice and long term care. She offers a wealth of knowledge in all aspects of revenue cycle management, and is committed to client service and satisfaction. On her off time, Teena loves spending time with her family, especially her grandchildren.
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