Management Team

The executive and management team at CPa Medical Billing includes over 15 members and is among the best in the industry totaling over 200 years of combined experience across many states and most specialties.

Meet the CPa Medical Billing Team

Executive Team

Carmen Pascarella, President & CEO

Carmen has 20 years in health care management in various roles of medium to large multi-specialty groups. Most recently, he served as CFO to a large multi-specialty group for the past 7 years where he helped create a seamless and virtually paperless medical billing system, while bringing the practice to a profitable status. Carmen’s expertise includes medical billing management, purchasing, third party contract negotiations and overall practice financial management.

Throughout his career, he has focused on creating flexible, high performance environments that deliver lower costs while improving productivity, quality, staff morale and customer satisfaction. Carmen is an expert in deploying technology and management resources to support medical practices that thrive even in today’s challenging conditions. He holds an accounting degree from Bentley University and was a Certified Professional Coder through the AAPC.

Dorothy Smith, Chief Operating Officer, LPN, CCA

Dorothy has worked in healthcare for over 30 years. She has a strong clinical and non-clinical background including but not limited to Nursing, Financial Management, Billing & Coding, Revenue Cycle Management, Healthcare Compliance and Medical Information Technologies (MIT) including EHR/ EMR systems. Throughout her career Dorothy has managed staff in multi-specialty FQHC clinics, physician offices with over 50 physicians, with more than 15 sites/ locations. Dorothy managed financial operations for 3 different Community Healthcare Practices (FQHC), a Hospital and Physician offices. Dorothy’s expertise is in facilitating the strategic planning process & continuous quality improvement projects, budgeting and forecasting with monthly global financial reporting, quality improvement projects, clinical outcomes reporting and UDS reporting.

Dorothy is a member of American Association of Medical Audit Specialist (AAMAS), American Health Information Management Association (AHIMA), American Association of Professional Coders (AAPC), American Nursing Association (ANA) and has served on a number of boards as well as a Member of A Compliance Committee, Performance Improvement Committee, Advisory Board Member for Branford Hall Career Institute, Advisory Board Member for Century Collection Agency.

Zhanna Berkovskaya, Director of Billing

Zhanna has over 13 years of medical billing experience across multiple states with various specialties such as FQHC's, Dentistry, Family Care, Podiatry, and Urgent Care.

Zhanna also has over 7 years of management experience, most recently with eClinicalWorks (eCW), as well as Athena and Docutap, where she spent significant efforts with training new clinics and their staff on implementing best practice workflows within their system.

Peggy Middleton, Director of Human Resources, MBA, MPA

Peggy joined CPa Medical Billing in 2022 and has over 25 years of diversified and progressive experiences in Human Resources Management, Leadership and Human Services. She’s an innovative leader who builds organizational value by strengthening people, processes, and performance for both private and public companies. Peggy is adept in managing diverse HR functions such as but not limited to benefit administration, policy development, HR compliance, management coaching and development, employee relations, training and development, performance management and talent acquisition.

Her educational pursuits include: two master’s degrees in both Business and Public Administration, a bachelor’s degree in Business Administration and several human resources certificates from HRCI, SHRM and the University of New Haven (UNH). As a lifelong learner, she is passionate about HR and an active member of the Society of Human Resources (SHRM) and New Haven Alumnae Chapter of Delta Sigma Theta Sorority Incorporated. Peggy is an adjunct professor at Post University and has received community acknowledgments and recognition for voluntary services performed in both CT and NJ.

Cherlynn Villa, Director of Billing, CPC

Cherlynn joined CPa Medical Billing in 2022 and has over 12 years of Medical Billing, Coding and Auditing experience along with over 15 years of management experience. Cherlynn specializes in Orthopedic Surgical and Outpatient Billing, Physical Therapy, Occupational Therapy, Podiatrist, Physiatrist, Chiropractic Therapy and Durable Medical Equipment billing as well as independent Outpatient Chart Compliance Auditing.

She is a former Board Member of Connecticut Medical Group Management Association (CMGMA), a current American Institute Career Advisory Board Member and a Certified Professional Coder through American Association of Professional Coders (AAPC).

Christina Wagner, Director of Billing & Compliance, CMPE, CHCO, CPC, COC, CGIC

Christina joined CPa Medical Billing in 2022, bringing more than 20 years of experience in medical billing, coding, compliance and revenue cycle management of private practices and outpatient hospitals with her. She holds an undergraduate degree in Healthcare Administration from Charter Oak State University and is on track to earn her master’s degree in Healthcare Administration from the University of New Haven in 2023. She is certified by the American Academy of Professional Coders as a Certified Professional Coder, Certified Outpatient Coder and Certified Gastroenterology Coder, the American Institute of Healthcare Compliance as a Certified HIPAA Compliance Officer and by the American College of Practice Executives as a Certified Medical Practice Executive. Christina is a member of both the Medical Group Management Association as well as the Connecticut Medical Group Management Association (CMGMA) and has sat on the CMGMA Board of Directors since 2016.

Management Team

Shannon Gallant, Billing Accounts Manager

Shannon joined CPa Medical Billing in 2018, bringing more than 15 years of medical billing and revenue cycle experience to the company. Focusing efforts on multiple specialties, Shannon has experience with Dermatology, Gastroenterology, Internal Medicine, Podiatry, and Federally Qualified Health Centers (FQHC) serving practices located across California, Connecticut, New York, and Massachusetts.

Shannon's experience encompasses various practice management systems, including Centricity Practice Solutions and EPIC. Shannon holds an undergraduate degree in Health Care Management from Columbia College and a Master of Business Administration (MBA) in Health Care Management from Albertus Magnus.

Elsie Juarbe, Billing Accounts Manager

Elsie has over 14 years of experience working in the Healthcare Industry. Elsie has specialized in FQHC Revenue Cycle Management. Elsie’s knowledge/experience includes scheduling, pre-registration, patient registration, billing, follow up and collections.

Elsie has worked with multi patient types from Behavior Health, Pediatrics, Adult Medicine, Family Medicine, In-patient Medical(Adult & Pediatric) and Dental. Elsie has worked with several different Practice Management Systems including Sage Intergy Advanced Data System, Epic, Centricity and Dentrix.

Heather McEvoy, Billing Accounts Manager, CPC

Heather has over 8 years of experience as a billing account manager. Her expertise is in billing and coding for Ophthalmology practices. She is an active member of the American Society of Ophthalmic Administrators and has attended many nationally held annual meetings.

Heather has experience with several software systems and was instrumental in implementing a new EHR at a practice with successful attestation of Meaningful Use. Throughout her career, Heather has enjoyed working in different positions within the ophthalmology revenue cycle.

Chris Nacinovich, Billing Accounts Manager, CPC-A

Chris joined CPa Medical Billing in 2019. He has over 20 years of experience working in the healthcare industry, including multiple areas of Revenue Cycle. Chris has worked for large multispecialty practices inclusive of Cardiology, Endocrinology, Family Practice, Gastroenterology, Hematology/Oncology, Internal Medicine, OB/GYN, Otolaryngology, Podiatry, and Rheumatology.

Chris’ experience includes scheduling, registration, coding/scrubbing, charge posting, billing, accounts receivable, collections, customer service, and reporting/analysis. He has worked in multiple practice management systems, including Greenway Intergy and EPIC. Chris is a Certified Professional Coder through the American Association of Professional Coders (AAPC) and has a Bachelor of Science degree in Advertising and Marketing Communications with a focus on Public Relations from FIT in New York.

Sara Pekar, Billing Accounts Manager

Sara joined CPa Medical Billing in 2022 with over 18 years of work experience in the healthcare industry. She began her career with processing healthcare claims which sparked her passion for learning all aspects of healthcare revenue cycle management. Throughout the years, she did just that, learning everything from front desk to billing to management. As a seasoned manager she adapts to change with ease and maintains a calm demeanor in the most stressful situations.

She applies her vast knowledge of medical billing to solve difficult problems and provide efficient solutions. Her impeccable customer service skills help her to provide the best overall experience for everyone she interacts with on a daily basis. Sara also excels in team building, professional development, and strategic procedure implementation. Aside from her knowledge, skills, and abilities she is a team player, has a great personality and drive to make good, better.

Tracy ScaniffeTracy Scaniffe, Billing Accounts Manager

Tracy Scaniffe joined CPa Medical Billing in 2019 and held the position as billing specialist until she was hired into the role of Billing Accounts Manager. Tracy has over 30 years revenue cycle experience and previously held the role of Director of Revenue Cycle for a Connecticut-based hospital. In addition to hospital experience, she has a vast knowledge of outpatient hospital, skilled nursing, long-term care, independent care, boarding home, home care, hospice care and assisted living services.

Tracy was instrumental in migrating over to new hospital & skilled nursing based EHR’s simultaneously while maintaining cash flow to meet financial objectives. In addition, she chaired ICD10 and Employee Engagement Committees and was an active member of the Corp Compliance Committee.

Nicole Supik, Dental Billing Accounts Manager, CPC – A

Nicole has over 10 years of experience working in the Dental Industry. She specialized in general dentistry, pediatric, periodontal and orthodontic revenue cycle management. Nicole’s knowledge/experience includes dental coding, treatment coordinating, billing, follow up, credentialing and collections.

She has worked dental in multiple states including Massachusetts, Connecticut, Nevada, New York, Florida, Maine, Vermont, Texas, and New Jersey. Nicole has worked with several different dental Practice Management Systems including Epic, Centricity/Athena, Dentrix, DSN, eCW, NextGen, Easy Dental, Softdent, Eagle Soft and Open Dental etc.