REMOTE Chief Operating Officer (RCM Healthcare Billing; $150-190K+)

REMOTE Chief Operating Officer (RCM Healthcare Billing)

Location: REMOTE - Must be based in the US

Salary: $150,000-$190,000 Bonus Benefits

Benefits: Medical, Dental, Vision, 401k, Life, AD&D, Disability, HSA, FSA, Holidays, PTO

Job Type: Full-Time

Typical hours: Mon-Fri; flexible (40-50 hrs./week)

Travel: minimal; 1-2x per yr; Domestic

Start Date: ASAP

Sponsorship is not available

REMOTE Chief Operating Officer (RCM Healthcare Billing) Description

Our client, a well-established healthcare billing and practice management firm, is seeking a Chief Operating Officer (COO) to enhance operational efficiency and drive sustainable growth. This role is both tactical and visionary, requiring a leader who can shape strategy while remaining engaged in execution. The ideal candidate is an experienced healthcare operations executive with a background in RCM, offshore team management, and performance-driven leadership. Success in this role means establishing clear goals, ensuring team alignment, and fostering accountability at every level—daily, weekly, and monthly—without micromanaging or taking over responsibilities. We’re looking for a humble, hands-on leader who is as comfortable developing high-level strategy as they are digging into day-to-day operations when needed. If you thrive in a collaborative environment where your insights and expertise will directly influence the company’s future, this is your opportunity to make a lasting impact.

REMOTE Chief Operating Officer (RCM Healthcare Billing) Responsibilities

• Lead and oversee end-to-end healthcare billing operations

• Develop and implement process improvements that drive productivity and cost savings

• Set and track KPIs, SLAs, and operational benchmarks to maintain high performance

• Partner with executive leadership to define and execute long-term strategic goals

• Manage and mentor a team of 20-30 employees, providing guidance and accountability

• Set clear performance expectations and foster a culture of continuous improvement

• Oversee offshore teams, ensuring alignment with company goals and operational excellence

• Champion customer satisfaction and client retention through streamlined processes

• Collaborate with clients and internal teams to optimize the revenue cycle

• Ensure compliance with HIPAA, payer regulations, and industry best practices

• Identify bottlenecks and inefficiencies, implementing automation and technology solutions

• Standardize and document best practices to scale operations effectively

REMOTE Chief Operating Officer (RCM Healthcare Billing) Qualifications

• Bachelor’s degree required; MBA preferred

• 5 years of senior leadership experience in healthcare billing (COO, VP, or similar) required

• Proven experience managing offshore teams required

• Experience leading teams of 20 with a focus on KPIs and performance metrics required

• Expertise in process improvement, automation, and technology optimization required