Exclusively Focused on International Medical Claims
Over 50 years of combined expertise helping Caribbean, Central American, and Latin American healthcare providers recover U.S. insurance claims that others abandon.
Founded on a Clear Understanding
Riviera RCM was founded on a fundamental truth: managing foreign medical billing is not only highly complex—it requires specialized expertise that goes beyond the scope of most provider billing teams. From navigating the intricacies of diverse international payers to executing persistent, detail-oriented follow-up, successful claims resolution demands a level of knowledge and dedication that standard processes simply cannot support.
For many healthcare providers, managing international medical claims in-house is neither practical nor cost-effective. The process demands significant time, specialized knowledge, and ongoing resources—often beyond what internal teams can sustainably provide.
With over 50 years of combined experience, we bring together deep expertise in both healthcare claims resolution and insurance payer practices. Our team is uniquely equipped to navigate the complexities of international claims management, helping providers recover revenue that might otherwise be lost.
50+ Years Combined Experience
Our leadership team brings over five decades of expertise exclusively in healthcare billing, insurance operations, and international claims management.
Exclusive International Focus
We specialize solely in international medical claims—no domestic billing distractions, just focused expertise on cross-border healthcare revenue recovery.
Regional Expertise
Deep understanding of Caribbean, Central American, and Latin American healthcare systems, cultural nuances, and operational challenges.
What Drives Us Every Day
We believe clear and accurate information is essential to informed financial decisions and claim recovery outcomes. Our mission is to provide healthcare providers with the tools, expertise, and support they need to maximize their international claims recovery.
Specialized Expertise
We focus exclusively on international medical claims, bringing unparalleled knowledge of International insurance payer practices and inter-country billing complexities.
Relentless Advocacy
We never give up on valid claims. Through strategic follow-up, coordinated escalations, and dedicated patient advocacy, we achieve exceptional recovery results.
Exceptional Rates
All services delivered for a competitive contingency fee – the lowest in the market. Clear fees, clear expectations, clear results.
Experienced Leadership Dedicated to Your Success
Our principals bring collaborative expertise in healthcare billing, insurance operations, and international claims recovery—providing the strategic vision and operational excellence that drives exceptional results for our clients.
Sandy Kenslow
Principal & Director of Operations
Sandy Kenslow brings tremendous experience in the health insurance industry to her role as Principal and Director of Operations at Riviera RCM, L.L.C. During her 30-year career in the insurance brokerage space, she has held executive leadership positions guiding teams across the U.S., partnering with both national and regional payers in the health insurance market.
Her expertise spans working with group health plan sponsors and their employees, member advocacy in resolving complex claims, and deep knowledge of health insurance contract language and policies. Sandy's ability to bridge stakeholders and navigate the healthcare system makes her a trusted leader in driving processes and delivering results.
Known for her strategic vision and operational acumen, Sandy believes clear and accurate information is essential to informed financial decisions and claim recovery outcomes. In her current role, Sandy oversees the firm's operations with a focus on efficiency, compliance, and continuous improvement, fostering collaboration that elevates both organizational performance and client experience.
Julie Wolff
Principal & Director of Global Strategies
Julie Wolff brings over 30 years of expertise in healthcare billing and recovery to her role as Principal and Director of Global Strategies at Riviera RCM, L.L.C. Throughout her career, she has led the development and implementation of highly effective billing and recovery programs tailored to the complex needs of healthcare providers serving diverse patient populations.
Julie is recognized for establishing robust coverage verification processes that significantly reduce financial risk, as well as for designing efficient workflows that enhance the productivity of claims billing and follow-up operations. Her commitment to excellence has fostered long-standing, value-based relationships with top-performing hospitals, consistently delivering results that exceed expectations.
With a strategic and adaptable leadership style, Julie ensures that Riviera RCM remains responsive to evolving legislative and technological landscapes. Her focus on innovation and collaboration continues to strengthen the company's global partnerships and drive forward its mission of excellence in international medical claims management.
Partner with International Claims Experts
Discover how Rivera RCM’s specialized expertise and unwavering advocacy can elevate your international claims recovery. We welcome the opportunity to learn about your facility’s specific needs.