ABA Centers of America
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‑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/CEO and will lead 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
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
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, 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
Seniority level
Executive
Employment type
Full‑time
Job function
Other
IT Services and IT Consulting
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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‑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/CEO and will lead 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
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
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, 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
Seniority level
Executive
Employment type
Full‑time
Job function
Other
IT Services and IT Consulting
#J-18808-Ljbffr