Medbilling (CareBiller) - is a trusted leader in providing long-term care (LTC) medical billing services. With a focus on accuracy, dedication, and delivering measurable results. Our team of experienced professionals ensures seamless billing operations for our clients, allowing them to focus on their core services while we handle the complexities of billing and collections. At CareBiller, we believe in empowering our employees through continuous learning, career development opportunities, and a collaborative work environment. 
Ready to lead a revolution in healthcare operations? CareBiller is on the hunt for a powerhouse Chief Operating Officer (COO) to turbocharge our Medical Billing and Client Support teams! If you thrive on building elite teams, love turning chaos into streamlined processes to get excited about driving automation and data-driven results, this is your moment. Take full ownership of operational excellence, set new standards, and make a real impact on cash flow, client satisfaction, and the future of medical billing.  

Requirements for the role 

• 6+ years in operations leadership (COO, Operations Director, Call Center/Service Director) in healthcare, e-commerce, finance or services.
• Proven experience building sales/support call centers and implementing CRM/workflow automation ( custom CRMs/ERP ).
• Track record of KPI design and performance management; strong data literacy (Excel/BI).
• Process design skills: SOPs, scripts, QA standards, and training programs.
• People leadership: hiring, coaching, change management, and culture-building.
• Strong analytical and problem-solving skills; owner’s mindset and bias to action.
• Budgeting and cost control; vendor management for telecom, software, and logistics.
• Stakeholder management and executive reporting; ability to translate ops metrics into business outcomes.
• Experience launching new locations/teams from zero; crisis management.
• English: Upper-Intermediate+; Ukrainian is a plus.
• Full-time, 12.00-21.00 EET, 40h per week , flexible 

 Nice to Have

• Experience in LTC/Skilled Nursing Facility (SNF) billing or healthcare revenue cycle. 

Responsibilities: 

• Own day-to-day operations across Billing, Client Support, and Call Center; ensure SLA adherence.
• Design, implement, and continuously improve standard operating procedures (SOPs), policies, and quality assurance across all functions.
• Deploy and optimize CRM/ERP and workflow tools (e.g., PeopleForce, custom CRM, call-center platforms, IT Fin) to automate reporting, eligibility checks, authorization tracking, claims submission, and denials management.
• Establish KPI frameworks (productivity, aging, DSO, call quality, CSAT) and run weekly/monthly performance reviews with clear actions.
• Build and lead high-performing teams: hiring, onboarding, training, coaching; create scalable knowledge bases, scripts, and playbooks.
• Drive cross-functional collaboration with HR, Finance, IT, and Client Success; align incentives and remove process bottlenecks.
• Lead continuous improvement initiatives: streamline queues, reduce rework, improve first-pass claim acceptance, and enhance client communications.
• Own budget planning and cost optimization; monitor P&L drivers across staffing, tools, and vendor contracts.
• Ensure compliance with healthcare billing regulations and data privacy; enforce documentation and audit readiness.
• Report operational health to CEO: dashboards, forecasts, risk analysis, and mitigation plans. 

We offer:   

• Stable income, 30 holidays and days off are bonus days
• BCP and Support in Conditions of Limited Electricity
• Yoga classes
• Free English lessons  
• Workshops  
• Mentoring Education  
• Paid Team-Building activities
• Corporate transfer
• Comfortable office with coffee and goodies