Exact Billing Solutions Chief Operating Officer (COO)

Job Description

Job Description

About Exact Billing Solutions – Who We Are & Why This Matters

Exact Billing Solutions was founded nearly a decade ago with a mission to transform medical billing through proprietary AI , not off-the-shelf tools or outsourcing work overseas. What we are building today is far beyond traditional RCM—EBS is a true technology company , backed by tens of millions in self-funded investment , developing AI that is purpose-built to outperform every billing platform in the market.

The company was founded by an EY Entrepreneur of the Year , a leader with deep industry relationships and a strong track record of building and scaling companies at speed. You may have seen some of the media coverage around his work and the innovations that shaped this industry.

We are now entering a new chapter: commercializing our AI technology and scaling EBS into a best-in-class external RCM provider.

This means building a team of elite operators and subject-matter experts who can shape our processes, influence product development, lead client strategy, and partner directly with the founder and executive group.

This role is not maintenance: It is creation. Evolution. Category definition.

Why This Role Is Exciting

The right COO will:

• Help redefine how medical billing is done through real AI , not buzzwords.
• Architect and scale the operational infrastructure of a high-growth technology-enabled RCM business.
• Work directly with a founder who has built, scaled, and exited successful companies.
• Influence product direction, client strategy, and expansion into major external provider networks.
• Join at the ideal moment—when innovation, investment, and opportunity are aligned.

We are seeking someone who wants impact, ownership, and the chance to help build something that will reshape the future of healthcare billing.

Role Overview

The Chief Operating Officer will serve as a strategic partner to the Founder/Chairman and CEO leading the day-to-day operations of Exact Billing Solutions across Revenue Cycle, Operations, Technology Integration, Client Management, HR/People, and organizational performance. The COO must be able to operate at scale, execute with precision, and bring a blend of operational rigor, strategic thinking, leadership maturity, and cultural stewardship.

This role will be responsible for transforming EBS into a national leader in AI-enabled medical billing and ensuring operational excellence across all departments while maintaining the company’s deep commitment to people and culture.

Key Responsibilities

Operational Leadership & Scale

• 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.

AI Integration & Process Modernization

• 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.

Client Strategy & Growth Enablement

• 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.

People Leadership & Culture Stewardship

• 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.

Financial & Operational Performance

• 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.

What Makes EBS Different – EBS Cares

Beyond technology and operational scale, EBS is deeply committed to supporting our employees and their families. EBS Cares is the philosophy behind how we invest in our people.

Education Support & Tuition Reimbursement

• Tuition reimbursement for employees and dependents
• Eligibility for PELL grants plus EBS support
• $3,000 per semester (2 per year), grades C or higher
• Eligibility after 90 days
• Designed to support lower-income families and frontline workers

Youth & Family Programs

• Free Boys & Girls Club memberships
• YMCA membership coverage
• 100% paid youth recreational sports leagues (within limits)

Transportation Support

• Bus passes for entry-level employees

Fair Compensation, Reviews & Bonuses

• Transparent review system for all team members
• Meaningful bonuses tied to collections outcomes
• Example: a frontline team member may receive a $2,000 bonus

Emergency Aid Fund

• Financial support for employees facing unexpected hardship

EBS is not just a billing company.
Not just an AI company.
Not just a healthcare company.

It’s where innovation meets purpose , where technology meets humanity , and where people matter as much as performance .

Requirements

• BS/BA required. Masters strongly preferred.
• 10+ years of senior operations leadership in RCM, preferably in 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