Our Team

We bring decades of experience building and managing revenue cycle operations of scale.

SCALE RCM Leadership

Bobby Trenczer

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

Melissa Smith

VP, 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

Melinda Ramhit

VP, RCM Consulting

Melinda Ramhit is 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 Physician Group 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. 

Cathy Crisfield

Associate, RCM

Cathy is an RCM Associate at SCALE RCM.

Cathy brings over 12 years of experience working in operations and medical billing at family medicine, gynecology, pain management, cardiology, physical therapy, endocrinology, and multi-specialty physician practices across the tristate area.

Prior to SCALE RCM, Cathy was the Account Manager at CSI Medical Billing where she managed accounts receivable, denial management, patient billing and collections, insurance coverage verification, claims reconciliation and appeals.

Cathy is a former Billing Specialist at Rockland Thoracic and Vascular Associates and former Billing Supervisor at Medstar Inc. She has worked with all major commercial carriers, Medicare and Medicaid.

Cathy has extensive experience working with clients to improve revenue and work flow processes as well as training staff to improve overall efficiency.

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