Meet the Team

Charles James Jr. - CEO/President

Charles James is President and CEO of North American Healthcare Management Services, founded in 1992. Charles is a Past President of the National Association of Rural Health Clinics, as well as Past President of the Illinois Rural Health Association. 

Charles started his healthcare career in 1991, providing info systems management for James Clinic; a large, multi-site medical group in Central Missouri. James Clinic locations were some of the first RHCs in Missouri. North American HMS was created after James Clinic was purchased by a large hospital system. Charles James, Sr, David, and Charles went to work helping certify RHCs and help make them financially successful. Charles provided all of the field work with RHC implementation through 2019. 

Charles provides many educational sessions, in-person events, and webinars across the country. Including multiple sessions for the NARHC Certified Rural Health Professional courses. Charles also wrote several sections of the CRHCP Certification Examination.

cjamesjr@northamericahms.com

David James, CPA - CFO

David S. James, CPA is the Chief Financial Officer of North American Healthcare Services and Great Mines Health Center. He is responsible for the financial and accounting activities for Great Mines Health Center. These activities include, financial statement preparation, Capital asset reporting and tracking, Federal, State and private grant budgeting, tracking and drawdowns, audit preparation and coordination, forecast and budgeting, UDS reporting, Finance Committee and board presentation, payroll ledger and reporting, investment tracking and reporting and 340b Monitoring, Tracking and Auditing. David is actively involved on GMHC’s behalf at the Missouri Primary Care Association. 

David is responsible for the preparation of North American HMS client cost reports, financial projections, client accounting systems, budgeting, and North American’s internal accounting system.


djames@northamericanhms.com

Sonya Morgan, CRHCP - COO

Sonya Morgan has been with North American for over five years, bringing with her two decades of Revenue Cycle Management experience from Next Gen. Within her first year, she was promoted to Chief Operating Officer and shortly thereafter earned her Certified Rural Health Professional Certification. In her role, Sonya manages the Accounts Receivable team, oversees provider enrollment, ensures claims are submitted timely, and guarantees monthly reports are generated. She plays a critical role in North American’s overall success. One of Sonya’s most valuable contributions is working on-site with clients to assess and strengthen information-gathering processes. Since accurate data collection is essential to Revenue Cycle success, she partners closely with office reception and administrative staff to ensure accuracy from the start. Sonya then develops Standard Operating Procedures that clearly define roles and responsibilities for both client and North American teams, ensuring everyone performs at their best.


sonya@northamericanhms.com

Tami Schneidler, RN, CRHCP - Clinical Quality Officer/Practice Transformation Specialist

Tami Schneidler started her Registered Nurse career in a small Critical Access Hospital in rural Missouri. She has served in many capacities during her nursing career such as Med-Surg, Operating Room, PACU, Outpatient Surgery, Emergency Room, Home Health, and most recently as the Director of Provider Based Rural Health Clinics. Tami was honored with her mother and grandmother for having served a combined 99 years of nursing service to the residents of the county in which she resides. Tami brought over 25 years of rural healthcare experience to North American Healthcare Management Services in 2019 when she assumed the role of Clinical Quality Officer. As a Certified Rural Health Clinic Professional, she is passionate about all thing’s rural health. Tami oversees the RHC Accreditation process for North American. She serves as RHC accreditation project lead. Tami will oversee the process of implementing RHC compliance in the physical clinic facility. She will come on-site for a mock RHC survey. Tami enjoys partnering with clinics to enhance quality programs, achieve ongoing compliance, and assist with survey preparation.


tami@northamericanhms.com

Erin Aune, MBA, CPC, CRHCP, RHCLC - Executive Assistant

Erin plays a key role at North American HMS, managing marketing and social media, coordinating educational events and webinars, helping represent the organization at conferences, and supporting clients with proposals and RHC-related questions. Her work keeps her closely aligned with the needs of rural health clinics. Previously, she served as Director of Glasgow Clinic Specialty Care and was later promoted to Vice President of Strategic Programs. She holds certifications as a Rural Health Clinic Professional (CRHCP) and Professional Coder, giving her a well-rounded understanding of clinical, regulatory, and financial operations. A strong advocate for rural health, Erin has served on the board of the National Association of Rural Health Clinics (NARHC) and its policy and education committees. She also spoke at a Senate hearing on RHC challenges, reinforcing her dedication to rural communities.


erin@northamericanhms.com

Lara Mitalovitch, CRHCP - Clinical Quality Specialist

With more than a decade of experience in rural healthcare and four years at North American HMS, Lara is dedicated to helping clinics succeed in the challenging areas of compliance and quality care. As a Clinical Quality Specialist, she partners with clients to navigate the Rural Health Clinic (RHC) accreditation process, implement Patient-Centered Medical Home (PCMH) models, and maintain ongoing regulatory compliance.
Lara also supports clients by integrating their operations with InQdocs, our online policy and procedure management platform. In addition, she assists Clinical Quality Officer Tami Schneidler with both new implementations and ongoing clinic support. Her work includes providing electronic health record (EHR) assistance, and she recently collaborated with CFO David James on our 2024 Cost Reporting services. A Certified Rural Health Clinic Professional (CRHCP), Lara combines hands-on expertise with a collaborative approach, ensuring that clients feel supported at every step.


lara@northamericanhms.com

Erica Kilby, CRHCP - Enrollment Coordinator

Erica Kilby serves as the Enrollment Coordinator at NAHMS, bringing over 30 years of experience in the medical field and a lifelong dedication to patient care. Her passion for helping others has guided her throughout her career, shaping her reputation for compassion, professionalism, and reliability. Since joining NAHMS in October 2022, Erica has been an integral part of the team, using her extensive knowledge and attention to detail to ensure smooth and efficient enrollment processes for clients and partners alike.

Residing in Live Oak, Florida, Erica enjoys a full and rewarding family life. She is a proud mother of three and a loving grandmother to one grandchild. Her nurturing nature and strong work ethic shine through
both personally and professionally, making her a valued member of the NAHMS team and her community.


erica@northamericahms.com

Kristin Southerland - RCM Supervisor

Kristin has over 18 years of experience in provider-based and independent Rural Health Clinic (RHC) billing. She joined North American HMS in 2019 as a Client Specialist and moved into the Revenue Cycle Management Supervisor role in 2024.

In her current position, Kristin manages onboarding for new clients, improves billing processes and workflows, and provides support to NAHMS account managers. Her deep RHC billing knowledge
and practical problem-solving skills help ensure accurate, efficient, and compliant billing operations.

Kristin is a key part of the North American HMS team and its ongoing growth.


kristen@northamericanhms.com