In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Randi Tapio, a seasoned revenue cycle management (RCM) leader whose career spans hands-on billing, consulting, and building high-performance teams. Randi shares her journey from working the front desk of a doctor's office to running her own billing center, exiting it, and ultimately launching MedCycle Solutions, now in hyper-growth mode.

She opens up about the realities of staffing in RCM, explaining why maintaining a strong team is one of the industry's biggest challenges: "We have to hire three people to keep one — and interview six to hire those three." Randi discusses how she builds and manages a fully remote U.S.-based team, the importance of trust-driven culture, and why strategic hiring and leadership are essential for sustainable revenue cycle performance.

This episode offers valuable insights for RCM leaders navigating growth, workforce challenges, and the evolving balance between human expertise and emerging technology.

This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

In this episode of "Leaders in Medical Billing," host Chanie Gluck welcomes Matt Seefeld, CEO of MedEvolve, to discuss his extensive experience in the healthcare industry. With over 24 years in management consulting, Matt shares insights into process improvement and technology development across the revenue cycle. He reflects on his journey from his early career at StockAmp and Associates to leadership roles at PricewaterhouseCoopers, Deloitte, and InterPoint Partners. Matt also discusses the transition from consulting to building a technology company, and the lessons he's learned along the way.

Tune in to discover valuable takeaways for medical billing professionals and insights into the evolving landscape of healthcare technology.

This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

[00:02:07] Measuring healthcare administrative performance.

[00:06:39] Tech bubble in healthcare.

[00:08:47] Complexity of healthcare revenue cycle.

[00:11:35] AI and coding denials feedback.

[00:15:19] Agentic automation in revenue cycles.

[00:19:40] Waste in healthcare processes.

[00:22:49] AI in patient engagement solutions.

[00:27:32] Importance of data transparency.

[00:29:11] AI automation and benchmarks.

[00:33:06] Social issues in healthcare.

In this special episode of Leaders in Medical Billing, host Chanie Gluck is joined by 4D Global CTO Nishant Mathew to explore how AI is reshaping the revenue cycle. Together, they break down the difference between deterministic and non-deterministic frameworks, discuss the levels of AI maturity in healthcare, and tackle some of the toughest challenges in medical coding.

Whether you're evaluating new tools, leading a billing team, or simply curious about what AI can and cannot do, this episode gives you a clear and practical view of where the industry is headed.

In this bonus episode of Leaders in Medical Billing, we're bringing you the full replay of our most recent, live webinar: AI for Patient Billing.

Hosted by Chanie Gluck, this session features a deep dive into how artificial intelligence is transforming one of the most overlooked — and increasingly critical — parts of the revenue cycle.

You'll hear from two seasoned RCM leaders actually using AI in the field:

• Jeff Robertson, CEO of Nexus, shares how AI tools like Raxia helped one client double monthly patient payments and reduce average days to payment by over 50%.

• John Gwin, CEO of Auctus Group, walks us through his experience using Inbox Health and other platforms to boost collection velocity while maintaining a strong patient experience.

They break down:

• The shift in revenue mix and why patient payments can no longer be ignored

• How to evaluate and select AI tools based on EMR integration, pricing models, and long-term ROI

• The importance of front desk processes — from capturing contact details to coaching staff on payment conversations

• Real-world metrics, implementation timelines, and what to expect as these platforms evolve

Whether you're new to AI or already exploring automation, this episode is packed with tactical insights and hard-won lessons to help you stay ahead.

👉 Listen in, take notes, and start optimizing your patient billing workflows today.

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Scott Delmarr, President of Congress Billing, to explore how substance use and behavioral health providers can take back control of their revenue cycle. With a background in forensic accounting and a deep understanding of the behavioral health landscape, Scott shares his journey from helping grow his ex-wife's billing company to becoming the go-to consultant for multi-location providers transitioning from outsourced to in-house billing.

Scott discusses the importance of diversifying your workforce, mindset when building high-performing teams (onshore and offshore), and why he believes treatment centers need more transparency and autonomy. He also discusses how he's leveraging tools like Power BI and payer automations to increase visibility and reduce denial rates for his clients.

If you're a behavioral health provider who feels "stuck" with your outsourced billing company—or if you're curious about the economics, risk, and ROI of bringing billing in-house—this episode is a must-listen.

Learn more about Congress Billing: https://www.congressbilling.com/

Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology.

In this episode of Leaders in Medical Billing, Chanie Gluck welcomes Davia Award, founder of Healthcare Partners Consulting & Billing (HPC), to share her extraordinary journey from a small-town biller to a national force in mental health RCM. With over 37 years in the industry, Davia is reshaping how billing companies operate—through empathy-driven leadership, building AI-powered tools like ClaimBuddy, and a bold mission to empower 100 women across the U.S. by 2027.

From tackling credentialing and coaching providers to developing bots for SOPs, Davia shows how holistic, tech-forward, and core values-centered leadership can change lives—and the future of medical billing. She also shares how she motivates her team to embrace AI and technology.

Learn more about HPC: https://hpcbilling.com/

Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology.

In this episode of Leaders in Medical Billing, Chanie Gluck speaks with David Strand, CEO of UnisLink and former COO of the Cleveland Clinic and Alina Health. David brings over 30 years of cross-sector healthcare leadership—from payers to providers to startups—and now leads UnisLink, a fast-growing RCM company backed by Riverside Partners.

David dives into what it takes to transition an early-stage RCM company into a scalable, process-driven organization. He shares insights on UnisLink's growth strategy, building offshore teams, AI for denial management, creating a consultative client experience, and the long-term vision of delivering value-based results for small and mid-sized practices.

Learn more about UnisLink: https://unislink.com/

Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology.

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Kem Tolliver, President & CEO of Medical Revenue Cycle Specialists and co-host of the RevDive podcast. Kem shares her journey from medical receptionist to a nationally recognized healthcare consultant and educator. She introduces her 4-quadrant revenue cycle model, designed to help practices optimize everything from patient intake to financial reporting. Kem also shares advice for medical billing company owners looking to become more consultative and value-driven in an increasingly tech-forward RCM landscape.

Learn more about Medical Revenue Cycle Specialists: https://www.medrevenuecycle.com/

Check out Kem's podcast, RevDive, here: https://www.medrevenuecycle.com/podcast

Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.

In this episode of Leaders in Medical Billing, host Chanie Gluck sits down with Brian Greenberg, a highly experienced M&A and strategic advisor in the Revenue Cycle Management (RCM) space. With 25+ years of experience and over 150 deals closed, Brian breaks down what makes a medical billing company attractive to buyers, how to increase your company's value, and how to prepare for a successful exit.

Brian shares trends in the Mergers & Acquisitions market in 2025 and how private equity is reshaping the healthcare landscape. You'll learn about what Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) range attracts top buyers and how client concentration and contracts affect your valuation. This episode also delves into how technology can boost your multiple and why specialization in niche markets matters more than ever

If you've ever asked, "What is my medical billing company worth?"—this episode is for you.

Learn more about Greenberg Advisors on their website: https://greenberg-advisors.com/

Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.

In this episode of Leaders in Medical Billing, host Chanie Gluck sits down with Ramesh Gogineni, CEO of Med-Strategies, who shares his entrepreneurial journey from India to the U.S., and how he built a hybrid offshore/onshore medical billing model along the way.

Formally an engineer with plenty of operations and tech experience, Ramesh's healthcare career started when he married a physician and decided to set up a company that set up Electronic Health Records (EHRs) and then a billing company. He highlights the challenges of early offshoring, why blending automation with human expertise is critical for success, and the optimal staffing mix for RCM operations today.

He also offers practical insights on using RPA, AI, and smart vetting processes to drive efficiency while maintaining quality in Revenue Cycle Management. Listen to this episode to hear first-hand experience from someone who has spent decades experimenting with offshoring medical billing. Plus, Ramesh shares what he's looking forward to in the future of medical billing: improving relationships between payors and providers.

You can find out more about Med-Strategies here: https://med-strategies.com/

Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.