Succeed in an evolving healthcare landscape

End-to-end RCM services for high-performing physician practices

About us

SCALE RCM provides the specialized business, financial, and technical expertise and resources to help high-performing physician practices secure their futures. Our unbiased suite of RCM solutions was developed in response to the prevailing one-size-fits-all approach of the industry. Whether through optimizing in-house team performance or end-to-end fully managed solutions, we help practices thrive in today’s highly complex healthcare marketplace.

SCALE RCM brings decades of experience building and managing revenue cycle operations of scale. We have developed and refined best practice systems and processes through billing across more than 30 medical specialties as well as numerous sites-of-service and practice management and EHR systems.

Podcast: Leadership + Best Practices

We invite you to watch our first podcast featuring SCALE RCM President, Bobby Trenczer, interviewed by SCALE Healthcare CEO, Roy Bejarano.




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Featured clients


As part of SCALE Healthcare, SCALE RCM is uniquely positioned to deliver an unrivaled blend of strategic, financial and technical talent essential for the continued success of any practice in today’s evolving healthcare landscape. Let your billing department shine with SCALE RCM’s guarantee to:

The SCALE RCM Experience

RCM Expertise

  • Claims processing and adjudication
  • Benefits eligibility
  • Insurance credentialing
  • Payer contracting
  • Coding assessments, training and education

Efficient Onboarding Process

  • User-friendly diligence and contracting
  • Systematic onboarding
  • Rapid and controlled execution timeline
  • No practice management/EHR system change required
  • Ongoing communication and collaboration with your team

Integrated RCM Management Team

  • Beyond an outsourced third party
  • Performance improvement opportunities beyond RCM

Transparent and Comprehensive Performance Reporting

Not ready for fully managed RCM services? We can augment your current billing department with a range of consulting services.

RCM Consulting Services

How we work

Every engagement is unique since every practice is unique. We follow a standardized analysis to qualify and measure all areas of your revenue cycle management processes, from patient intake to insurance billing to patient billing and collections. Regardless of whether you engage us for consulting or fully managed services, we offer the same level of dedication, transparency and execution support to help your billing department succeed.

Dedicated, seasoned account leadership

We bring a highly experienced team of managers trained in our proprietary approach to holistic RCM performance management. Our team has a low ratio of account managers to accounts, ensuring high-touchpoint client communications and quality controls.

Regular performance update meetings

We review historical results across a broad range of workflows and results, identify areas for performance improvement, and provide regular analytics-driven updates, including predictive analytics and credentialing status reports.

Multilayered, analytics-driven internal quality controls and oversight

SCALE RCM’s proprietary, analytics-driven performance dashboards and benchmarking show real-time progress.

Integration with numerous SCALE Physician Group MSO services and solutions:
  • Finance – accrual revenue management
  • Payer contracting – payer project escalation, in-network negotiations
  • Coding – provider auditing, training and education
  • IT – business intelligence performance analytics, systems and site-of-service integration

Our specialties

Allergist / Immunology
Emergency Medicine
General Surgery
Hand Surgery

Hospice and Palliative Medicine
Infectious Disease
Infusion Centers
Internal Medicine
Family Practice
Interventional Cardiology
Nuclear Medicine
Orthopedic Surgery
Otolaryngology (ENT)
Pain Medicine

Pediatric Urgent Care
Physical Therapy
Psychiatry and Mental Health
Sleep Medicine
Speech Pathology
Thoracic Surgery
Urgent Care
Private Equity-Backed Platforms

“SCALE RCM brought a valued level of strategic & performance clarity to the revenue cycle program at one of our portfolio companies.  SCALE RCM was a trusted partner in leading key execution efforts to achieve target objectives in our revenue cycle business plan – from formalizing workflows & documentation processes to developing performance analytics to evaluating and supporting the implementation of revised staffing models.  SCALE RCM helped us achieve tangible results faster, in-line with projected timelines and with increased execution confidence along the way.”

Jon Kelemen, Vice President

The Beekman Group

“SCALE RCM has provided our organization with a blend of advisory leadership and on-going execution support to enable our revenue cycle department to implement new types of process automation, achieve performance improvement and bring a level of analytical transparency to measure results across key performance metrics.”

Marcelo ML. Lancman, Director

Northeast Regional Epilepsy Group

“SCALE RCM brought us the analytical clarity we were looking for to enhance our revenue cycle and provider credentialing programs. They were able to efficiently assess current performance, identify tangible opportunities for improvement and propose practical execution plans. SCALE RCM offers a unique blend of deep revenue cycle expertise, data analytics solutions and broader executive strategy perspective – the revenue cycle & credentialing performance measurement solutions and predictive models they developed helped bridge our billing operations with our executive management’s strategic needs.”

Greg Stephan, COO


Our leadership

Robert “Bobby” Trenczer


Robert “Bobby” Trenczer is the President of SCALE RCM.

Bobby is the former 14-year President of CSI Medical Billing. In this role, Bobby achieved mastery of billing for over 30 specialties, practice management systems and EHRs. He developed a portfolio of custom tools to help CSI Medical Billing’s clients achieve enhanced RCM performance, including a claim scrubbing software to maximize first-time throughput, process automation and workflow tracking. Bobby implemented Meaningful Use, MACRA/MIPS for clients resulting in physician practice bonuses and cost avoidance as well as executed PQRS and MIPS reporting for cost avoidance for non-EHR clients.

Prior to CSI Medical Billing, Bobby served as a quality control engineer at Ford Motor Company for six years, specializing in scheduling, logistics and process automation. In this role, Bobby achieved over $10M in savings from operations and quality improvements and oversaw a 300 percent improvement in warehouse delivery timing. Bobby also earned a Six Sigma Black Belt.

Bobby attended MIT as well as the U.S. Military Academy at West Point.

Melissa Smith

Vice President, Full-Service RCM

Melissa Smith is the Vice President of Full-Service RCM at SCALE RCM.

Prior to joining SCALE, Melissa was a Business Manager and Consultant at CSI Medical Billing for seven years. In this role, she managed billing for multiple specialties (20-plus), including oncology, chemotherapy and gastroenterology. She helped implement multiple new systems to improve workflow and productivity as well as internal auditing systems to evaluate clients’ processes. She both performed and reviewed the internal audits.

Melissa worked with two billing companies for five years prior to CSI Medical Billing, Inc., specializing in radiology, pulmonology, oncology, chemotherapy and radiation therapy.

Melissa obtained the credential of Certified Professional Coder (CPC) through AAPC in 2018 and is currently working towards obtaining the credential of Certified Professional Medical Auditor (CPMA) through AAPC. With these certifications, Melissa can review and submit medical records for client pre- and post-payment audits as well as recommend changes to EHR templates to correct and improve documentation.

Melinda Ramhit

Vice President, RCM Consulting

Melinda Ramhit is the Vice President of RCM Consulting at SCALE RCM. 

Melinda’s revenue cycle management experience began with CSI Medical Billing in 2012. Melinda directed accounts receivable management for an array of client specialties that worked with CSI. Melinda then went on to a Managed Care Analyst role for ABS Billing Services where she conducted analytics projects for Boston Children’s Health Physicians, a multi-specialty pediatric managed care organization. Over the years Melinda has leveraged her project management skills to save organizations millions of dollars in revenue.  

Prior to joining SCALE RCM, Melinda worked in the healthcare non-profit sector as a Senior Analyst in survey outcomes and research.  

Melinda studied at New York Medical College where she earned a Masters in Epidemiology, as well as the University of Delaware where she earned a Bachelor of Science in Health Studies. 

Podcast: Leadership + Best Practices

Case studies

Full-Service RCM Solutions

SCALE RCM successfully took over RCM for a multi-specialty practice with minimal disruption and improved performance.

Full-Service Billing

SCALE began working with a multi-specialty practice with approximately forty providers on a host of performance improvement initiatives.