Leadership
Pinky Maniri-Pescasio
MSc, BSc, CRCR, CSAPM, CSPPM, CSBI, CSPR, CSAF, Certified in Healthcare A.I. Governance
CEO & Founder
A transformative force in healthcare leadership, Pinky Maniri-Pescasio is an accomplished executive and recognized national authority in Revenue Cycle Management (RCM), Artificial Intelligence (AI) integration, payer strategy, and healthcare operations. With nearly 30 years of experience spanning medical group practices, Ambulatory Surgery Centers (ASCs), and specialty surgical programs including Interventional Pain Management, Orthopedic, and Spine Surgery—she brings unparalleled insight into navigating the complex dynamics of the healthcare ecosystem.
Throughout her career, she has served as a strategic partner to physicians, CFOs, administrators, and private equity stakeholders seeking measurable performance, transparency, and sustainability. Her strategic leadership and implementation of AI-driven operational models have consistently improved profit margins, reduced administrative waste, strengthened payer relations, and positioned organizations for long-term success in a value-based care environment.
Her deep commitment to ethical operations, regulatory excellence, and financial integrity has made her a sought-after expert and national speaker on RCM best practices, audit readiness, AI governance, and healthcare business intelligence. She is the Co-Founder and Chief Operating Officer of GoHealthcare AI Solutions, LLC and the CEO and Founder of Pinnacle Professional Learning, where she develops high-ticket digital education platforms for revenue cycle and compliance professionals.
Healthcare Innovation, Vision, and Operational Strategy
Pinky Pescasio leads with vision, clarity, and execution. She excels at designing innovative, future-focused solutions that address the root causes of revenue leakage, patient access breakdowns, and payer underperformance. Her work blends advanced AI technologies with deep operational experience to automate routine workflows, reduce denials, and streamline surgical coordination, prior authorization, and medical necessity documentation.
From identifying bottlenecks to transforming workflows into scalable systems, she helps medical enterprises move beyond reactive management into predictive, intelligent, and accountable operational models. With a reputation for radical transparency and measurable results, she regularly collaborates with C-suite executives to redesign financial operations using technology, team alignment, and policy-based structures.
Revenue Cycle Management & Financial Optimization
A master architect of high-performance RCM systems, Pinky Pescasio has led multimillion-dollar transformations for medical groups and ASCs across the United States. Her RCM approach is grounded in payer intelligence, denial management, documentation control, and appeals strategy. She has consistently raised collection rates, improved cash flow, and streamlined reimbursement by engineering end-to-end RCM frameworks backed by automation and payer-specific insight.
Her methods ensure claims are not only submitted clean but built for reimbursement from the start. Her expertise spans charge capture optimization, CPT/ICD-10 coding alignment, authorization workflows, surgical case billing, payment posting, and real-time financial analytics. She empowers practices to manage each dollar across the revenue cycle with accuracy, speed, and compliance.
Regulatory Leadership & Audit ReadinessAs a healthcare regulatory expert, Pinky Pescasio builds robust compliance infrastructures that shield organizations from audits, penalties, and financial clawbacks. She specializes in Medicare and commercial payer audits, creating documentation policies and defensible processes that withstand scrutiny and improve audit outcomes.
Her compliance leadership includes the development of internal audit checklists, training programs, and corrective action protocols. She partners with legal counsel and compliance officers to ensure that every service billed is appropriately documented, medically necessary, and backed by a payer-accepted rationale. Her work reflects decades of mastery in regulatory law, payer guidance, and ethical operational standards.
Healthcare AI Integration & Business Intelligence
An expert in AI governance and digital healthcare transformation, Pinky Pescasio integrates artificial intelligence into every layer of healthcare finance, patient access, and operational management. She leverages tools such as ChatGPT and Availity Essentials to build AI-enhanced solutions that reduce administrative burden, automate appeal letters, verify patient eligibility, and analyze payer behavior.
She leads AI readiness assessments and implementation plans that align with compliance, risk management, and executive KPIs. Through her work, providers and administrators gain real-time visibility into denials, delays, collections, and payer gaps—allowing for faster corrective action and measurable gains in revenue protection.
Her insights into predictive analytics and machine learning use cases allow healthcare teams to shift from reactive reporting to strategic, data-driven action planning. She trains organizations on how to adopt AI responsibly, ensuring adherence to ethical frameworks and regulatory compliance throughout the AI lifecycle.
National Speaker & Industry Educator:
Pinky Pescasio is a nationally recognized speaker, educator, and healthcare operations coach. She has been invited to speak at financial leadership summits, revenue cycle conferences, and physician strategy roundtables across the United States. Known for her ability to distill complex policies into actionable roadmaps, she teaches best practices in AI use, payer strategy, documentation optimization, and RCM workflows.
She is also the founder of Pinnacle Professional Learning, a premier online education platform offering high-ticket healthcare training courses designed for medical billers, coders, administrators, and compliance professionals. Her flagship programs include Workers' Compensation Billing Mastery, Patient Responsibility & Collections Mastery, and Prior Authorization & Utilization Management Mastery—each built to support career advancement and organizational excellence.
Her educational voice is clear, trustworthy, and grounded in experience, which makes her courses, keynotes, and training workshops among the most respected in the industry.
Professional Certifications and Credentials:
Pinky Pescasio maintains a full suite of HFMA credentials, reflecting her deep knowledge in healthcare finance, RCM, data analytics, and ambulatory management. Her certifications include:
These credentials support her ability to advise medical groups on how to implement financially sound, ethically governed, and high-performing business strategies backed by real-time data and automation.
Signature Achievements:
Strategic Vision:
Pinky Pescasio’s mission is to transform healthcare operations into streamlined, transparent, and technology-enabled ecosystems where providers thrive, patients receive timely care, and organizations succeed under both fee-for-service and value-based models. Her unique strength lies in uniting operational integrity, payer intelligence, and AI innovation into a singular, results-oriented model.
Whether guiding a solo provider, restructuring a group practice, or launching an enterprise-level AI transformation, she provides the clarity, insight, and execution necessary to drive sustainable outcomes.
Advisory & Consulting Services Available:
Pinky Pescasio offers consulting, fractional COO services, educational engagements, and digital training solutions in the following areas:
Connect with Miss Pinky Pescasio:
Professionals and organizations seeking to elevate their healthcare operations, implement AI responsibly, or train their team in high-level billing, compliance, and patient access strategies are invited to connect.
Whether for a strategic consultation, industry collaboration, or speaking engagement, Pinky Pescasio brings decades of excellence, relentless dedication, and a clear vision for the future of healthcare.
Throughout her career, she has served as a strategic partner to physicians, CFOs, administrators, and private equity stakeholders seeking measurable performance, transparency, and sustainability. Her strategic leadership and implementation of AI-driven operational models have consistently improved profit margins, reduced administrative waste, strengthened payer relations, and positioned organizations for long-term success in a value-based care environment.
Her deep commitment to ethical operations, regulatory excellence, and financial integrity has made her a sought-after expert and national speaker on RCM best practices, audit readiness, AI governance, and healthcare business intelligence. She is the Co-Founder and Chief Operating Officer of GoHealthcare AI Solutions, LLC and the CEO and Founder of Pinnacle Professional Learning, where she develops high-ticket digital education platforms for revenue cycle and compliance professionals.
Healthcare Innovation, Vision, and Operational Strategy
Pinky Pescasio leads with vision, clarity, and execution. She excels at designing innovative, future-focused solutions that address the root causes of revenue leakage, patient access breakdowns, and payer underperformance. Her work blends advanced AI technologies with deep operational experience to automate routine workflows, reduce denials, and streamline surgical coordination, prior authorization, and medical necessity documentation.
From identifying bottlenecks to transforming workflows into scalable systems, she helps medical enterprises move beyond reactive management into predictive, intelligent, and accountable operational models. With a reputation for radical transparency and measurable results, she regularly collaborates with C-suite executives to redesign financial operations using technology, team alignment, and policy-based structures.
Revenue Cycle Management & Financial Optimization
A master architect of high-performance RCM systems, Pinky Pescasio has led multimillion-dollar transformations for medical groups and ASCs across the United States. Her RCM approach is grounded in payer intelligence, denial management, documentation control, and appeals strategy. She has consistently raised collection rates, improved cash flow, and streamlined reimbursement by engineering end-to-end RCM frameworks backed by automation and payer-specific insight.
Her methods ensure claims are not only submitted clean but built for reimbursement from the start. Her expertise spans charge capture optimization, CPT/ICD-10 coding alignment, authorization workflows, surgical case billing, payment posting, and real-time financial analytics. She empowers practices to manage each dollar across the revenue cycle with accuracy, speed, and compliance.
Regulatory Leadership & Audit ReadinessAs a healthcare regulatory expert, Pinky Pescasio builds robust compliance infrastructures that shield organizations from audits, penalties, and financial clawbacks. She specializes in Medicare and commercial payer audits, creating documentation policies and defensible processes that withstand scrutiny and improve audit outcomes.
Her compliance leadership includes the development of internal audit checklists, training programs, and corrective action protocols. She partners with legal counsel and compliance officers to ensure that every service billed is appropriately documented, medically necessary, and backed by a payer-accepted rationale. Her work reflects decades of mastery in regulatory law, payer guidance, and ethical operational standards.
Healthcare AI Integration & Business Intelligence
An expert in AI governance and digital healthcare transformation, Pinky Pescasio integrates artificial intelligence into every layer of healthcare finance, patient access, and operational management. She leverages tools such as ChatGPT and Availity Essentials to build AI-enhanced solutions that reduce administrative burden, automate appeal letters, verify patient eligibility, and analyze payer behavior.
She leads AI readiness assessments and implementation plans that align with compliance, risk management, and executive KPIs. Through her work, providers and administrators gain real-time visibility into denials, delays, collections, and payer gaps—allowing for faster corrective action and measurable gains in revenue protection.
Her insights into predictive analytics and machine learning use cases allow healthcare teams to shift from reactive reporting to strategic, data-driven action planning. She trains organizations on how to adopt AI responsibly, ensuring adherence to ethical frameworks and regulatory compliance throughout the AI lifecycle.
National Speaker & Industry Educator:
Pinky Pescasio is a nationally recognized speaker, educator, and healthcare operations coach. She has been invited to speak at financial leadership summits, revenue cycle conferences, and physician strategy roundtables across the United States. Known for her ability to distill complex policies into actionable roadmaps, she teaches best practices in AI use, payer strategy, documentation optimization, and RCM workflows.
She is also the founder of Pinnacle Professional Learning, a premier online education platform offering high-ticket healthcare training courses designed for medical billers, coders, administrators, and compliance professionals. Her flagship programs include Workers' Compensation Billing Mastery, Patient Responsibility & Collections Mastery, and Prior Authorization & Utilization Management Mastery—each built to support career advancement and organizational excellence.
Her educational voice is clear, trustworthy, and grounded in experience, which makes her courses, keynotes, and training workshops among the most respected in the industry.
Professional Certifications and Credentials:
Pinky Pescasio maintains a full suite of HFMA credentials, reflecting her deep knowledge in healthcare finance, RCM, data analytics, and ambulatory management. Her certifications include:
- Certified Specialist in Physician Practice Management (CSPPM)
- Certified Specialist in Revenue Cycle Management (CRCR)
- Certified Specialist in Payment & Reimbursement (CSPR)
- Certified Specialist in Business Intelligence (CSBI)
- Certified Specialist in Accounting and Finance (CSAF)
- Certified Specialist in Ambulatory Practice Management (CSAPM)
- A.I. Governance in Healthcare Finance & Operations (A.I. Governance)
(Jointly issued by Alignmt AI & HFMA)
These credentials support her ability to advise medical groups on how to implement financially sound, ethically governed, and high-performing business strategies backed by real-time data and automation.
Signature Achievements:
- Led a full-cycle RCM turnaround for a multisite orthopedic group, increasing net collections by 35% within 8 months
- Developed a payer appeals framework that reduced denial rates by 40% across spine and pain management procedures
- Implemented an AI-augmented prior authorization model that slashed processing time by 60%
- Created over 60 e-learning healthcare courses and eBooks to elevate operational knowledge across the medical workforce
- Built a credentialing and enrollment workflow for a national telehealth platform to scale across 30+ states
- Spearheaded an audit-proof documentation policy framework adopted by multiple Ambulatory Surgery Centers
Strategic Vision:
Pinky Pescasio’s mission is to transform healthcare operations into streamlined, transparent, and technology-enabled ecosystems where providers thrive, patients receive timely care, and organizations succeed under both fee-for-service and value-based models. Her unique strength lies in uniting operational integrity, payer intelligence, and AI innovation into a singular, results-oriented model.
Whether guiding a solo provider, restructuring a group practice, or launching an enterprise-level AI transformation, she provides the clarity, insight, and execution necessary to drive sustainable outcomes.
Advisory & Consulting Services Available:
Pinky Pescasio offers consulting, fractional COO services, educational engagements, and digital training solutions in the following areas:
- Revenue Cycle and Financial Performance Optimization
- AI Integration Strategy and Governance in Healthcare
- Prior Authorization Workflow Automation
- Workers’ Compensation and Auto-Injury Billing
- Credentialing and Payer Contracting Strategy
- Compliance and Audit Readiness Training
- ASC and Surgical Practice Operations Management
- High-Ticket Online Course Development and Licensing
- Keynote Speaking and Executive Roundtable Facilitation
Connect with Miss Pinky Pescasio:
Professionals and organizations seeking to elevate their healthcare operations, implement AI responsibly, or train their team in high-level billing, compliance, and patient access strategies are invited to connect.
Whether for a strategic consultation, industry collaboration, or speaking engagement, Pinky Pescasio brings decades of excellence, relentless dedication, and a clear vision for the future of healthcare.
Current HFMA Professional Expertise Credentials:
HFMA Certified Specialist in Physician Practice Management (CSPPM)
HFMA Certified Specialist in Revenue Cycle Management (CRCR)
HFMA Certified Specialist Payment & Reimbursement (CSPR)
HFMA Certified Specialist in Business Intelligence (CSBI)
HFMA Certified Specialist Accounting and Finance (CSAF)
HFMA Certified Specialist Ambulatory Practice Management (CSAPM)
HFMA Certified Specialist in Physician Practice Management (CSPPM)
HFMA Certified Specialist in Revenue Cycle Management (CRCR)
HFMA Certified Specialist Payment & Reimbursement (CSPR)
HFMA Certified Specialist in Business Intelligence (CSBI)
HFMA Certified Specialist Accounting and Finance (CSAF)
HFMA Certified Specialist Ambulatory Practice Management (CSAPM)
Upcoming Speaking Engagement in 2025:
I’m excited to be presenting at PAINWeek 2025! It’s going to be an incredible event filled with valuable insights from top experts in the field of pain management.
I’ll be presenting in 2 sessions and 1 discussion panel. One of them is “Making Sure Your Pain Clinic Gets Paid: Simple Revenue Tips” and sharing some simple revenue tips to help pain clinics get paid more efficiently and improve
financial outcomes.
If you're in the pain management field, this is the conference you don’t want to miss! Join me and other leading professionals for an unforgettable experience!
Register now for PAINWeek 2025: https://hubs.li/Q0389-X20
I’ll be presenting in 2 sessions and 1 discussion panel. One of them is “Making Sure Your Pain Clinic Gets Paid: Simple Revenue Tips” and sharing some simple revenue tips to help pain clinics get paid more efficiently and improve
financial outcomes.
If you're in the pain management field, this is the conference you don’t want to miss! Join me and other leading professionals for an unforgettable experience!
Register now for PAINWeek 2025: https://hubs.li/Q0389-X20
MEET OUR TEAM
Jai Vergara
Chief Technology Officer
Jai Vergara is a highly accomplished technology leader and UC Berkeley Data Science graduate serving as Chief Technology Officer. With deep expertise in software development, infrastructure management, data analytics, and cybersecurity, Jai drives the strategic vision behind our organization’s digital transformation and innovation initiatives.
As CTO, Jai sets the technological direction of the company, ensuring alignment with long-term business goals. He leads cross-functional teams in building scalable, secure, and efficient tech infrastructure to support client operations, data security, and AI-powered solutions. His leadership fosters a culture of innovation, continuous improvement, and forward-thinking architecture.
Jai brings a Master's-level academic foundation and real-world experience that enable him to bridge the gap between business needs and technical execution. He remains actively engaged with emerging technologies and industry best practices, guiding the organization in adopting digital tools that enhance performance, automation, and competitive advantage.
As CTO, Jai sets the technological direction of the company, ensuring alignment with long-term business goals. He leads cross-functional teams in building scalable, secure, and efficient tech infrastructure to support client operations, data security, and AI-powered solutions. His leadership fosters a culture of innovation, continuous improvement, and forward-thinking architecture.
Jai brings a Master's-level academic foundation and real-world experience that enable him to bridge the gap between business needs and technical execution. He remains actively engaged with emerging technologies and industry best practices, guiding the organization in adopting digital tools that enhance performance, automation, and competitive advantage.
Patrick Pescasio
VP of Human Resources & Talent Acquisitions
With his extensive knowledge in HR practices and regulations, Patrick is responsible for managing all aspects of our workforce. He excels in talent acquisition, employee development, performance management, and employee relations.
Patrick's expertise extends beyond traditional HR functions. He is skilled in designing and implementing strategic HR initiatives that align with our organization's goals and values. He ensures that our HR policies and practices promote a positive and inclusive work environment, fostering employee engagement and satisfaction.
As our VP HR, Patrick plays a key role in attracting top talent and building a high-performing team. He collaborates closely with hiring managers to identify skill requirements and implement effective recruitment strategies. Patrick also focuses on nurturing employee growth and development through training programs, career advancement opportunities, and performance feedback.
Patrick's expertise extends beyond traditional HR functions. He is skilled in designing and implementing strategic HR initiatives that align with our organization's goals and values. He ensures that our HR policies and practices promote a positive and inclusive work environment, fostering employee engagement and satisfaction.
As our VP HR, Patrick plays a key role in attracting top talent and building a high-performing team. He collaborates closely with hiring managers to identify skill requirements and implement effective recruitment strategies. Patrick also focuses on nurturing employee growth and development through training programs, career advancement opportunities, and performance feedback.
Diwani Hilvano
Director, Clinical Operations
Diwani Hilvano brings over 15 years of clinical leadership experience to her role as Director of Clinical Operations. She oversees the seamless integration of clinical workflows, ensuring excellence in patient care, operational efficiency, and regulatory compliance. With a background in nursing leadership and ASC operations, Diwani plays a critical role in aligning frontline care with strategic business goals.
Fred Ahmed
Regional Director, Revenue Cycle Management
Fred Ahmed is a seasoned revenue cycle strategist with deep expertise in payer relations, reimbursement optimization, and denial management. As Regional Director of Revenue Cycle Management, Fred leads multi-state RCM teams, driving operational improvements and accelerating revenue capture for high-volume surgical practices and specialty providers.
Rey Saunder
Regional Director, Revenue Cycle Management
Rey Saunder brings a data-driven approach to revenue cycle leadership. With more than a decade of experience in healthcare finance, Rey specializes in claims performance analysis, coding accuracy, and payer escalation strategies. He partners closely with clients to implement end-to-end RCM solutions that improve cash flow and ensure compliance.
Mylene Dela Cruz
Director, Credentialing and Contracting
Mylene Dela Cruz leads all credentialing and payer contracting operations with a strong focus on compliance, accuracy, and speed-to-revenue. Her expertise includes Medicare, Medicaid, commercial insurance enrollment, and group contract negotiation. Mylene ensures providers are credentialed on time and positioned for strong payer relationships.
Alyssandra Mcabangon
Legal Counsel
Alyssandra Macabangon serves as Legal Counsel, providing oversight on healthcare regulatory matters, contract reviews, and corporate governance. With a background in healthcare law and provider compliance, Alyssandra ensures that all business and clinical operations adhere to federal and state regulations, reducing risk and enhancing organizational integrity.
Josephine Mercado
Advisory - Clinical Nursing
Josephine Lugtu offers expert guidance in nursing protocols, patient care standards, and clinical team training. With a career rooted in hospital and ASC nursing leadership, she advises on clinical quality assurance and supports initiatives to elevate patient safety and satisfaction across care settings.
Camille Taylor
Executive Assistant to the CEO
Camille Taylor serves as the Executive Assistant to the CEO, providing high-level support with precision, discretion, and unwavering professionalism. She plays a critical role in coordinating executive communications, managing strategic priorities, and ensuring seamless day-to-day operations. Camille’s exceptional organizational skills and proactive approach make her an indispensable partner in driving the CEO’s vision forward.
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