
Created with a different vision. Operating with a unique passion.
In the beginning, founder Ned Koenig was led by a simple vision: patients deserve a better billing experience.
Today, that vision is stronger than ever. Unlike agencies who focus on intimidating patients into payments, we have pioneered a truly patient-first approach—coupling uncommonly trained patient advocates with custom technology and data-driven processes designed to help patients pay their balances. We maintain a 100% focus on healthcare—servicing providers, hospitals, physician groups, and other medical specialties.
It’s what’s taken us from a basement office to an industry pioneer. KeyBridge has grown into the industry-recognized leader in patient billing and recovery services.
We are Problem Solvers, Innovators, and Care Deliverers.
From the leadership team to our patient care representatives, we’re on a mission to change the experience and expectations of the patient billing cycle.
Scott Koenig
CEO
Scott has been leading KeyBridge since 1993, guiding the company to new heights with a clear vision and a commitment to excellence. With a background as an aerospace engineer, including design and flight test work on Air Force One and the International Space Station, Scott brings a unique perspective to leadership. His focus on cutting-edge technology, innovative management systems, and strong communication skills drives KeyBridge's success. Passionate about carrying forward his father’s vision for the company, Scott ensures the core values resonate across the organization. Outside of work, he enjoys playing golf and music as his go-to stress relievers.
Scott Cottrill
President
Since joining KeyBridge in December 2021, Scott has focused on creating a bold vision for the company’s future and aligning resources to make that vision a reality. With a talent for developing strategy and improving performance, Scott ensures that KeyBridge consistently delivers exceptional value to its clients. He is passionate about seeing the business through the eyes of clients and continuously enhancing their experience. What Scott enjoys most about his role is guiding each department to set ambitious goals and watching them succeed. When he's not at work, you’ll find him caring for his lawn or exploring new destinations through travel.
Brian Garver
Senior VP, Business Development and Marketing
Brian is a passionate business development leader and is also recognized as an expert facilitator/speaker focused on Patient Financial Experience, Organizational Culture and Employee Engagement. His excitement is contagious when sharing compelling evidence of how the revenue cycle plays a large, connected role in overall patient satisfaction and how patient satisfaction drives financial performance. He is an active member of both HFMA and AAHAM.
Michel Clement
VP, Finance
Since 2017, Michel has brought a data-driven mindset and strategic focus to his role at KeyBridge. As Vice President of Finance, he leads forecasting and pricing strategies for clients and prospects, monitors revenue performance, and plays a key role in business planning. Michel uses client data to project outcomes and ensure maximum financial impact, both for KeyBridge and its partners. He thrives on collaboration, innovation, and shaping the future of the company. Outside of work, Michel enjoys spending time outdoors, traveling with family, cooking, and golfing.
Tami Piper
Director, Production Operations
With over three decades of experience in call center management and collections, Tami plays a vital role in leading KeyBridge’s day-to-day operations. She focuses on onboarding new clients, supporting their ongoing needs, and ensuring consistent, high-quality results. Tami also oversees the Business Process Outsourcing team, helping clients reach their revenue goals through efficient back-office solutions. Her passion for continuous improvement and effective patient communication is matched by her commitment to delivering outstanding outcomes for clients—always with the patient experience in mind.
Luke Ralston
Director, Information Technology
Since 2007, Luke has led the charge in building and maintaining KeyBridge’s secure, high-performing technology infrastructure. As Director of Information Technology, he oversees a skilled team of developers and systems engineers focused on creating innovative, efficient solutions that support both internal workflows and client experience. Luke brings deep expertise in IT strategy, system architecture, and cross-functional collaboration to every project. What makes the role especially meaningful to him is the strong sense of teamwork and belonging at KeyBridge. Outside the office, you’ll find him enjoying the outdoors, traveling with his family, playing basketball, fishing, or cheering on his kids at their sporting events.
Brad Stephens
Director of Collection Operations & Compliance
With over 27 years of industry experience—and more than two decades at KeyBridge—Brad leads both collection operations and compliance with a deep understanding of what drives performance and protects patients. Brad is responsible for ensuring high-quality outcomes through smart recovery strategies, strong client partnerships, and a robust compliance management system. Brad’s ability to turn complex regulations into practical action has earned him recognition as a subject matter expert in FDCPA, HIPAA, Reg F, and more. He is PCS Certified and represents KeyBridge as a Certified Collection Manager. Off the clock, Brad enjoys playing guitar, reading, traveling, and hiking in Arizona.
Sarah Kruger
Director, Production Operations
Sarah has led the Early Out Operations team with a focus on compassion, strategy, and results. As Director, she oversees the performance and execution of KeyBridge’s early-out self-pay programs, guiding a high-performing team committed to delivering patient-centered financial care. With expertise in operational leadership, client relationship management, and performance analytics, Sarah builds workflows and training programs that drive both quality outcomes and a positive experience for patients. She takes pride in developing her team, aligning performance with client goals, and adapting strategies to meet evolving needs. What she values most is the opportunity to make a real impact—on the lives of patients, the success of clients, and the growth of her team. Outside of work, Sarah enjoys traveling and spending quality time with her family.
Kalai McHan
Controller
With over 30 years of expertise in the realm of Accounting, Kalai McHan is a seasoned professional who comprehends the intricacies of operating within a dynamic finance team. Her unwavering belief in the power of collaboration underscores her approach to financial management. As a diligent financial expert, Kalai is responsible for crafting meticulous financial statements, insightful business reports, and accurate forecasts. These tools, in turn, empower the leadership team to gain a comprehensive understanding of the company's financial landscape.
Susan McDonald
Regional Director of Business Development, KY, MD, OH, PA, VA & WV
Susan brings more than two decades of healthcare industry expertise to her role at KeyBridge, where she partners with hospitals and providers across six states to strengthen their revenue cycle performance. Known for her thoughtful, solution-driven approach, Susan listens closely to each client’s unique challenges and helps identify opportunities to build on what’s working. Since joining KeyBridge in 2018, her deep knowledge of the industry—combined with her warmth and genuine desire to help others—has made her a trusted ally to many. She holds a CRCE certification from AAHAM and is active in leadership roles with COPAM and HFMA. Outside of work, Susan enjoys gardening, baking, traveling, walking, and cherishing time with her grandchildren.
Zak Kruse
Regional Director of Business Development, IL, IA, KS, MN, MO, NE, ND, SD & WI
Zak has an extensive background in sales, leadership, and operations. His passion for people and relationship-building has driven his career, where he excels in helping organizations thrive and enhancing patient experiences. Zak is dedicated to optimizing financial efficiency and fostering positive organizational cultures. His deep expertise and commitment to excellence make him a key asset in driving growth and success. Zak is an active member of HFMA, AAHAM, and holds CRCR certification.
Kylene Coate
Marketing and Sales Coordinator
Since 2019, Kylene has led KeyBridge’s marketing efforts with creativity, drive, and a strong focus on client connection. She works closely with the sales team to craft meaningful experiences and messaging that reflect the KeyBridge brand and value. With a background in communication and marketing from Trine University, her strengths include event planning, proposal development, and project execution—but her passion lies in always finding new ways to learn, adapt, and support the team. Kylene is constantly exploring new tools and technologies that can improve efficiency and impact. Outside of work, Kylene enjoys spending quality time with her family, especially her adorable nieces and nephews.
Built Around a Culture of Curiosity, Care, and Conviction.
Energy, enthusiasm, passion—that’s what our people bring to the table, day in and day out. It’s a culture that we’re fiercely loyal to cultivating—building a place where people love to work, so they can deliver services that drive real results. Our Focus:
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Be Present
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Choose Your Attitude
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Make Their Day
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Play
A Culture Unlike Any Other…
We pride ourselves on building and maintaining an innovative culture. Go behind the scenes to see what’s happening at KeyBridge.

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See Where We Are Speaking Next…
Our leaders are sought after to present at industry conferences and special events. Here’s where we’ll be next.

MI HFMA Transform YOUR Team
The key to success is the people that surround you. Learn how to build an effective, high-performing team that delivers results. Don't miss Brian Garver's session at MI HFMA Spring Conference when he will be presenting the Master Class "Transforming YOUR Team into a Performance Powerhouse".
…
MI HFMA Spring Conference Transform YOUR Team
You don't want to miss Brian Garver's Master Class "Transforming your Team into a Performance Powerhouse". The key to success is the people that surround you! Learn how to build an effective and high-performing team that delivers results.
MI HFMA Spring Conference
Thursday, May 23,…