Experience. Innovation. Partnership.

Susie Gruber is the Co-Founder of G&G Medical Practice Solutions, LLC, where she leads strategic growth, business development, innovation, and long-term planning. With more than two decades of healthcare leadership experience, Susie has dedicated her career to helping physician practices improve operational performance, strengthen financial stability, and navigate the increasingly complex business of healthcare.

Her career has spanned nearly every level of medical practice administration — from billing specialist and office manager to practice manager, senior revenue cycle leader, and business owner. That hands-on experience has provided her with a practical understanding of the operational, financial, and regulatory challenges practices face every day.

Early in her career, Susie was among the first 200 professionals in the United States to earn the Certified Professional Coder designation. While her career has long since expanded beyond coding, that foundation continues to influence her approach to compliance, reimbursement strategy, payer policy, and operational excellence.

As founder of JLG Medical Billing LLC, Susie built a reputation for delivering far more than traditional billing services. She has partnered with physicians and healthcare organizations to improve workflows, optimize reimbursement, strengthen payer relationships, enhance compliance, and develop sustainable business strategies that support long-term practice growth.

Susie is also the founder of The Hiraeth Group LLC, her parent software and technology company created with a long-term vision for medical practice operations tools. Its flagship platform, ProSuite, is currently in testing and is being shaped around credentialing, licensing, recredentialing, provider management, reporting, compliance oversight, and the administrative workflows practices need to manage with confidence.

Throughout her career, Susie has lived by a simple philosophy: give 110% and always go the extra mile. She believes exceptional service is earned by anticipating challenges, solving problems proactively, and consistently exceeding client expectations.

Jen Girouard brings more than a decade of healthcare leadership and operational expertise to G&G Medical Practice Solutions. She helps healthcare organizations improve efficiency, strengthen compliance, and optimize every stage of the revenue cycle with practical, responsive support.

Prior to co-founding G&G Medical Practice Solutions, LLC, Jen founded Mountain Medical Billing LLC, where she built a reputation for helping physician practices improve operational efficiency, strengthen payer compliance, and resolve complex billing and administrative challenges with accuracy and precision.

Her experience spans the full revenue cycle, including medical billing, practice management, credentialing, provider enrollment, prior authorizations, referral coordination, accounts receivable management, and bookkeeping. She has supported providers across pain management, chiropractic, acupuncture, physical therapy, orthopedics, primary care, and other specialties.

Jen is recognized for her exceptional work ethic, analytical thinking, and ability to solve difficult reimbursement challenges. Her expertise in payer policy interpretation, denials management, and workflow optimization helps practices improve financial performance while reducing administrative burden.

Before entering healthcare administration, Jen developed a strong foundation in bookkeeping and accounting, giving her a well-rounded understanding of how clinical care, administrative workflows, and financial operations intersect. Her experience spans both independent physician offices and large multi-facility healthcare organizations, allowing her to adapt quickly to different operational environments and payer expectations.

As a licensed Emergency Medical Technician, Jen also brings valuable clinical insight to her administrative and revenue cycle work. Her understanding of patient care, provider documentation, and healthcare operations strengthens her ability to support providers and bridge the gap between clinical operations and revenue cycle management.