Chief Operating Officer (COO) jobs in United States
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Exact Billing Solutions ยท 15 hours ago

Chief Operating Officer (COO)

Exact Billing Solutions is a technology company focused on transforming medical billing through proprietary AI. The Chief Operating Officer will partner with the Founder/CEO to lead day-to-day operations across various departments, ensuring operational excellence and driving the company's growth in AI-enabled medical billing.

BillingConsultingHealth CareMedicalSoftware
Hiring Manager
Scott Schoneman
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Responsibilities

Build, lead, and optimize the operational infrastructure that supports rapid growth
Oversee all RCM functions, operational teams, and process standardization
Establish KPIs, dashboards, and accountability frameworks across the business
Ensure operational alignment between AI development, product deployment, and billing execution
Work with engineering, product, and data teams to embed AI into daily processes
Identify opportunities for automation and efficiency across the revenue cycle
Champion digital transformation and modernization of legacy workflows
Develop and lead scalable onboarding processes for external clients
Ensure high satisfaction, performance outcomes, and contract retention
Partner with the CEO on pricing, service lines, and market expansion strategies
Build and mentor high-performing teams across operations and support functions
Promote and expand the EBS Cares culture throughout the organization
Maintain a people-first mindset while managing performance rigorously
Lead organizational design, hiring planning, and leadership development
Collaborate with Finance to drive accurate forecasting, budgeting, and resource allocation
Optimize margins, improve cash collections, and ensure operational efficiency
Participate in strategic planning, risk mitigation, and long-term business modeling

Qualification

Senior operations leadershipRevenue cycle managementHealthcare financial workflowsProcess standardizationTeam developmentStrategic thinkingComfort in high-growthTechnology implementation

Required

BS/BA required. Masters strongly preferred
10+ years of senior operations leadership, preferably in RCM, healthcare services, or tech-enabled operations
Experience scaling multi-site or multi-team operations
Strong understanding of revenue cycle, compliance, and healthcare financial workflows
Proven ability to lead transformation, standardize processes, and implement technology
Demonstrated success hiring, developing, and inspiring high-performing teams
Comfort operating in a founder-led, high-growth environment
Strategic thinker with the ability to execute tactically and with urgency

Benefits

21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays)
100% paid family health insurance premium
100% premium paid for dental and vision insurance for family
Concierge medical doctor for employee
100% premium paid for long-term disability
SERP (Supplemental Executive Retirement Plan) for employee
Generous 401(k) match
Annual C-suite bonus program

Company

Exact Billing Solutions

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Exact Billing Solutions offers revenue cycle management to help reduce medical billing costs.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase