Senior Advisor · Ectivi Practice Partners
Nina brings forty years of medical practice management — from revenue cycle and financial oversight to staff mentorship and EMR transitions — across neurology, ophthalmology, cardiology, and primary care. Today she serves as Senior Advisor at Ectivi Practice Partners, mentoring Kim Munoz as principal.
About
Nina has spent more than 40 years in medical practice management — starting in neurology billing in the 1980s, building to a 20-year tenure as practice administrator at a three-doctor, three-location ophthalmology group, and going on to run an independent consulting practice that has served physicians across the Bay Area for the last decade. Her work covers the full operation of a medical office, not just the billing function.
She treats payment posting as diagnostic intelligence. By reading the patterns in posting data, she surfaces coding errors, missing modifiers, and scheduling bottlenecks that most practices never see. That same analytical lens applies across bookkeeping, EMR transitions, HR and payroll, and staff development — making every engagement a practice-wide improvement, not a line-item fix.
Senior Advisor & Practice Administrator Emeritus
Nina serves as Senior Advisor at Ectivi Practice Partners. She mentors Kim Munoz — the firm's principal — and consults selectively on long-standing engagements. New client work is led by Kim.
Career
Nina's career spans neurology, ophthalmology, cardiology, primary care, and functional medicine — always in the operational seat.
1984 – 1996
Started in neurology billing and credentialing at a Bay Area multi-location neurology group, then moved into full practice administration at a Walnut Creek ophthalmology center — managing 3 providers, 17 staff, and a full optical shop. The practice tripled in production over her seven-year tenure.
1996 – 2015
Practice Administrator for a three-doctor, three-location ophthalmology group in the East Bay. Managed HR, payroll, scheduling, EMR and PM transitions, surgical consultations, credentialing, marketing, and physician production reporting — implementing four practice management conversions (beta site on two of them) and serving as bank signer on all practice accounts for fifteen years.
2016 – Present
Founded an independent practice management consultancy serving physicians across the Bay Area. Engagements include practice sale transitions (valuation, EMR handoff, 401K and staff continuity), EMR and PM system installation and merges, HR and payroll administration, A/R reconciliation, and billing process oversight — including a Southern California concierge primary care launch she has supported remotely since 2010.
Current Engagements
Currently serving Grace Health & Wellness, Best of Health, and Gratitude Collaborative Healing — with prior engagements including Auker Eye Institute, Avenues for Health, and a Southern California concierge internal medicine practice.
Physician References
Excerpts from reference letters written by physicians and providers Nina has served. Names withheld for privacy; specialty and region preserved.
My practice has grown 20% per year with Ms. Munoz's guidance and expertise… I honestly don't know where my practice would be had it not been for her.
She worked for me as my practice manager for over twenty years, managing essentially all of the business aspects of my multi-office ophthalmology practice. For the last fifteen years she was a signer on all accounts at the bank.
She was able to direct the other employees without seeming to order them about… She is straight forward and loyal and her honesty is without question. I recommend her without reservation.
She was professional and capable. She worked well with patients and staff alike. It would be difficult to find someone more hard working and more loyal.
Her office management skills helped build [the practice] into what it is today… She has invaluable knowledge and skills and will be nothing but an asset to any medical practice.
Services
Engagements range from targeted projects to ongoing consulting across revenue cycle, financial controls, and staff management.
Revenue Cycle
End-to-end billing management with an analytical lens — from charge entry to final claim transmission.
Practice Management
Quarterly reviews, financial controls, and operational documentation tailored to the pressures of medical practice ownership.
Staff & Training
Hands-on facilitation, staff management, and mentorship that clears backlogs and builds staff capability — without creating friction.
Operations
Does your staff struggle to find a document that was scanned, filed, or faxed on their computer?
Ectivi can help by creating a systematic filing system on each desktop to make it easy for your staff to find the document needed. Searching for a file is a common problem in most medical practices we work in, wasting precious time and money. This service includes 2 hours of staff training on desktop organization.
System Expertise
Revenue cycle work is only as strong as the analyst's command of the platform. Nina brings deep, hands-on proficiency in the billing and practice management systems that drive modern medical offices.
She also fills a gap most consultants miss entirely: digital organization and document cleanup for practices where aging infrastructure is quietly costing the team time and accuracy.
Hands-on fluency in the EMR and practice management systems that run modern medical offices — AdvancedMD, Athenahealth, and Intellect — including ERA center work, posting discrepancy resolution, cross-over secondary insurance billing, fee schedule integration, and US Bank pass-through reconciliation.
Practice bookkeeping, quarterly financial comparisons, payroll and payroll taxes, 401K administration, and complex expense reconciliations between physicians.
Has converted and merged multiple EMR and practice management platforms across her career — including 3 different systems at a single group practice — minimizing disruption and maintaining billing continuity.
Insurance credentialing and contracting, staff hiring, counseling, reviews and termination, scheduling, PTO and payroll administration, and 401K management and distribution.
Contact
New engagements at Ectivi Practice Partners are led by Kim Munoz, principal of the firm. Reach out for a complimentary first conversation — whether you need a billing backlog cleared, a quarterly practice audit, or ongoing management support.
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