About Us

Industry Leader in Full Service Revenue Cycle Management

about us
about us world class profiability

World-Class Profitability Solutions

Founded in 1989 and operating as a wholly owned company, PETTIGREW is a pioneer in providing revenue cycle management services and has expanded into a diversified and accredited industry leader on a global scale.  

PETTIGREW's clients span more than 20 specialties including cardiology, dermatology, podiatry, radiology, surgery, urgent care, emergency medicine, hospital medicine, intensivists, behavioral health, internal medicine and federally qualified health centers. We offer a complete suite of billing products and services for our healthcare industry clients.  

PETTIGREW provides exemplary customer service, along with a highly competent labor force that is empowered by industry leading processes and customized technology.  PETTIGREW gives clients the advantages they expect and the solutions they deserve.

Our Directors

chip pettigrew

D.W. “Chip” Pettigrew III, MD, FACEP

Chairman

Dr. Pettigrew began his career in emergency medicine in the US Army after completion of EM residency. He worked in large academic


emily m osetek

Emily M. Osetek, 
CHBME

President & CEO

Emily Osetek is the President and Chief Executive Officer of PETTIGREW. Osetek has over 30 years of RCM expertise and is an industry leader in this

rick pettigres

Rick Pettigrew, 
CPC

President Emeritus

More than 25 years ago, WorldSource Co-Founder and President Emeritus Rick Pettigrew.


mahmoud makki

Mahmoud Makki

Chief Technology Officer

Mahmoud Makki, (preferred to be called Makki), is the Chief Technology Officer at Pettigrew, where he leads the Information Technology and software development units.

julie dixon

Julie Dixon, SPHR, SHRM-SCP

VP of People & Culture

Julie Dixon is the VP of People and Culture. She has held several different positions at PETTIGREW since her employment began in


mark jones

Mark Jones

Vice President of Business Development and Client Services

Mark R. Jones has over twenty-five years’ experience in revenue cycle management and consulting and
skip pettigrew

D. W. "Skip" Pettigrew IV, MCSE

Director of IT

Skip joined PETTIGREW in 2003 after graduating from the University of Georgia with a BBA in Management Information Systems.
rene severns

Rene Severns, CPC

Director of Operations

Rene has over 30 years of medical billing experience with a background in private practices and ASC’s with a focus in Revenue

lorelei stull

Lorelei Stull

Director of Credentialing and Enrollment

Lorelei has 25+ years experience in all phases of Medical billing and Management.


Our Managers

jennifer deer

Jennifer Deer

Manager of Credentialing

leslie hamilton

Leslie Hamilton

Operations Manager, Hospitalist Department

mishica a stephans

Mishica A. Stephans, B.A, M.A.

Operations Manager, Hospitalist Department

kristie stevens

Kristie Stevens

Operations Manager for ER and Urgent Care

steven worsham

Steven Worsham

Client Service Manager

chip pettigrew

Emily M. Osetek, CHBME

President & CEO

Dr. Pettigrew began his career in emergency medicine in the US Army after completion of EM residency. He worked in multiple operational and clinical positions, including on deployment and in large academic EDs. Dr. Pettigrew also had oversight responsibility for different specialties and direct leadership in administration while he was in the military. Pettigrew left the military in the 1980s and moved to Athens GA where he started a private, democratic EM group and oversaw the emergency services for a large regional hospital. While there, Pettigrew founded a private coding and billing company that now does coding and RCM for millions of charts per year in multiple specialties across the country, with clients varying from small private practices to large multi-specialty, multi-state group practices. Pettigrew is active and involved with his state medical society, state specialty society (Past President), national specialty society (Councilor), and is on the Board of Governors for the Emergency Medicine Policy Institute.

emily m osetek

Emily M. Osetek, CHBME

President and CEO

Emily Osetek is the President and Chief Executive Officer of PETTIGREW. She has over 30 years of RCM expertise and is an industry leader in this field. Emily began her healthcare career working in the private hospital setting and learned all phases of Part A and B billing. She was later recruited by large RCM firms to help reengineer their companies for profitability as well as ensuring compliance with industry standards. Emily later bought and built her own RCM firm, Sourcenet Medical Billing Associates. She joined PETTIGREW in August 2019 as the result of the PETTIGREW acquisition of Sourcenet. Emily was named COO, and led our operations for the US, India and Philippines. She was promoted to CEO May 2022 and will continue to lead the company into its bright future.

rick pettigres

Rick Pettigrew, CPC

President Emeritus

More than 25 years ago, WorldSource Co-Founder and President Emeritus Rick Pettigrew left his life as a financial planner behind to take over the role of Business Manager in the emergency department where his brother-in-law was the physician in charge. Only a few months later, the two men joined forces on their own venture: A small medical services firm specializing in emergency care.

As an exceptionally goal-oriented person, Pettigrew immediately dedicated his time to becoming an expert in emergency medical coding and quickly earned the designation of Certified Professional Coder. Since that time, he has not only helped grow WorldSource Healthcare to a thriving international company, but he has also become a highly sought-after consultant, writer, and conference speaker on medical business services, coding best practices, and more.

Today, Pettigrew is a driving force at WorldSource with a focus on stability and superior customer service. Under his guidance the company remains a service provider that identifies, evaluates, and adapts to client needs, rather than providing one-size-fits-all, cookie-cutter solutions. Pettigrew prides himself on leading by example and instilling a consistent sense of clear, honest communication in everything he and his team does.

Pettigrew lives in Athens, GA, where he serves as the Chairman of the Elder Board at his church, and recently celebrated his 46th anniversary with his wife, with whom he shares 5 children and 16 grandchildren. When he’s not at work, he enjoys traveling, playing basketball, and teaching as an adjunct professor at Emmanuel College.

mahmoud makki

Mahmoud Makki

Chief Technology Officer

Mahmoud Makki, (preferred to be called Makki), is the Chief Technology Officer at Pettigrew, where he leads the Information Technology and software development units. His reputation as a digital visionary and leader in technology innovation precedes him as he brings over a decade of leadership experience in digital transformation projects globally and across multiple industries, including healthcare, telecom, and broadcast media. He is a Prince2 certified project manager and a Certified Change Manager with special focus in healthcare change projects, and brings a wealth of leadership experience to his role. He is well-versed in the latest developments in the technology field and is always on the lookout for new and innovative technologies that can benefit the organization.

Throughout his career, Makki has demonstrated a strong ability to communicate complex technical concepts to non-technical stakeholders, making him an effective leader in bridging the gap between the technical and non-technical teams. As the CTO, Makki is responsible for developing and implementing the company’s overall technology strategy. He is a results-driven professional who is passionate about technology and its potential to drive business growth.

Makki’s leadership and strategic thinking are unparalleled, and his ability to drive digital transformation and implement cutting-edge technology solutions make him a valuable asset to Pettigrew. He is committed to continuing to lead the technology team in achieving their goals and driving the company’s success.

julie dixon

Julie Dixon, SPHR, SHRM-SCP

VP of People & Culture

Julie Dixon is the VP of People and Culture. She has held several different positions at PETTIGREW since her employment began in 1989. She earned her HR certifications from the HR Certification Institute and the Society for Human Resource Management. She has helped develop the company culture, recruit the best talent, she handles compensation, benefits, labor and employee relations. Her mission is to provide HR solutions while helping the employees reach their full potential.

Julie lives in Monroe, GA with her family. She enjoys spending time with her family, pets and in the great outdoors.

mark jones

Mark Jones

Vice President of Business Development and Client Services

Mark R. Jones has over twenty-five years’ experience in revenue cycle management and consulting and currently serves as the Vice President of Business Development and Client Services for PETTIGREW. His varied roles within financial, operational, and client services sectors provide him with a unique perspective into how policy changes at even the lowest levels can affect an entire physician practice. Mark is a national speaker and has written or co-written numerous articles about pertinent reimbursement, legislative and procedural issues. He serves on the boards of the Emergency Medicine Policy Institute (EMPI) and the Emergency Medicine Practice Management Association (EDPMA).

skip pettigrew

D. W. "Skip" Pettigrew IV, MCSE

Director of IT

Skip joined PETTIGREW in 2003 after graduating from the University of Georgia with a BBA in Management Information Systems. He studied under Rick Pettigrew to learn the processes of each department and how the office operated as a whole. Skip joined the IT department in 2006. Prior to becoming the Director of IT at PETTIGREW, he worked as a helpdesk technician for Athens Micro. He gained multiple certifications to become a Certified IT Professional, Server Administrator, and Microsoft Certified Solutions Expert. Skip enjoys working with his IT team to learn the newest technologies, to use the best practices for a secure, efficient, technical environment, and to provide the client with the best solutions.

Skip lives in Athens, GA with his wife and 3 kids. His hobbies include basketball, frisbee, and singing.

rene severns

Rene Severns, CPC

Director of Operations

Rene has over 30 years of medical billing experience with a background in private practices and ASC’s with a focus in Revenue Cycle Management. She has been CPC certified since 2016.

Rene is the Director of Operations for the South Carolina office of Pettigrew Medical where she has been since August of 2019. Prior to that she was with Sourcenet Medical Billing for 5 years before Sourcenet was acquired by Pettigrew Medical. Currently, she oversees two divisions with multi-specialty providers and hospitalist physicians.

Her passion is customer service and being able to assist clients and staff in order to make them more successful and grow them to their fullest potential.

lorelei stull

Lorelei Stull

Director of Credentialing and Enrollment

Lorelei has 25+ years experience in all phases of Medical billing and Management. She began working AR, then worked her way through charge entry, coding, Collections and finally found a home working in Credentialing and EDI enrollments. She came to Pettigrew when Compass Billing was acquired in 2018 and was asked to spearhead establishing a credentialing Department for Pettigrew. Now four years later the credentialing department has grown from one person to a staff of fourteen in both the US and India. She is very proud of her team and all they have accomplished.
jennifer deer

Jennifer Deer

Manager of Credentialing

Jennifer started with Pettigrew Medical in November 2019 as a Credentialing Coordinator and was promoted to Credentialing Manager this month. As the Credentialing Manager, Jennifer works directly with clients to assist them with applications and participation with third party insurance carriers while overseeing all credentialing on our team.

She is a native to Mt. Pleasant, SC where she lives with her husband, two teenage sons and their rescue dog, Bella.

leslie hamilton

Leslie Hamilton

Operations Manager, Hospitalist Department

Leslie’s experience in full-revenue-cycle management expands over 30 years. She has worked in various billing specialties, including Home Health, DME, and Hospitalist. Leslie has been employed with Pettigrew and their acquired business, Sourcenet, for nine years. She is certified as a medical coder, receiving her first certification in 2009 with AHIMA, then with the AAPC in 2020. Leslie uses her natural leadership qualities to build and maintain strong teams that support our customer’s needs and promote profitability. She believes that our success is only evident by the strength of our teams, and she feels fortunate to work with some of the best billing professionals, here at Pettigrew. Leslie finds happiness in the time spent with her family and friends. Her husband, five children, and four grandsons are what she is most proud of. Operations Manager, Hospitalist Department Leslie’s experience in full-revenue-cycle management expands over 30 years. She has worked in various billing specialties, including Home Health, DME, and Hospitalist. Leslie has been employed with Pettigrew and their acquired business, Sourcenet, for nine years. She is certified as a medical coder, receiving her first certification in 2009 with AHIMA, then with the AAPC in 2020. Leslie uses her natural leadership qualities to build and maintain strong teams that support our customer’s needs and promote profitability. She believes that our success is only evident by the strength of our teams, and she feels fortunate to work with some of the best billing professionals, here at Pettigrew. Leslie finds happiness in the time spent with her family and friends. Her husband, five children, and four grandsons are what she is most proud of.

mishica a stephans

Mishica A. Stephans, B.A, M.A.

Operations Manager, Physician Services Department

Mishica comes to Pettigrew with over 30 years of experience in the Healthcare industry. Her background began as a Unit Clerk in the hospital setting in various departments from 1987 to 1996. She continued her interest in healthcare by working for a clearinghouse and then getting an Associate’s Degree in Medical Assisting with a Billing certification in 2001. Mishica continued her career as an office manager for a Nephrology practice for 10 years, which ultimately led to a teaching, then a Program Director position at a career college for 11 years. She managed the Medical Assisting and Medical Billing & Coding department for a very special population of students. Teaching and mentoring them to work for Healthcare Professionals and how to be marketable and successful in their careers. She continues to teach part-time for this college as she believes in continuing education and helping the underserved populations. During her teaching experience she continued her education by earning a Bachelor’s Degree in Healthcare Management and a Master’s Degree from Walden University for Health Education Promotion. Her education and work experience has afforded her the opportunity to bring to the table of Pettigrew a love for people, a heart for physicians and their practices and how to best align their services with the needs of their patients. In her current position as an Operations Manager, Mishica works with Pettigrew’s US, India and Philippines Team as a team of “ONE”. Mishica’s hobbies/interests include: My Faith, My 5 Sons and Daughter, 24 Grands, 8 G’Grands, traveling, shopping, reading, crafts and whatever her hands find to do for her church and community.
kristie stevens

Kristie Stevens

Operations Manager for ER and Urgent Care

Kristie Stevens has 25 years of experience in healthcare, areas of expertise are Urgent Care, Specialty services, and ER and she is currently the Operations Manager over ERs and Urgent Care for PETTIGREW Medical Services. Her various roles within Health Care Management give her a unique perspective in revenue cycle management.

Kristie is a wife, mother of 2 (Girl, Boy) and Gigi to a grandboy. She loves to spend time with her family and her fur babies. She also enjoys traveling, the beach is her happy place.

steven worsham

Steven Worsham

Client Service Manager

Steven started working with PETTIGREW in July of 2000. He has been instrumental in all phases of Medical Billing and Revenue Cycle Management. He began working in the Data Entry department and has held several other positions such as Credentialing Manager, AR Management, Reimbursement Management, Account Management and is now the Client Service Manager for one of PETTIGREW’s largest ED physicians groups. He was very instrumental in the implementation of our overseas office in the Philippines, training and heading up the Payment Posting and the AR Department teams. With onsite training and training remotely. He continues to work closely with the Philippines office and also the India office. He is very detailed in all areas he works and strives for customer\client satisfaction.