Vice President of Payment Posting (Coral Gables)

Vice President of Payment Posting - Exact Billing Solutions (EBS)

Salary Range: $200K - $230K

This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location.

Who We Are

Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.

EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.

Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client‑first innovation.

Our Origin Story

Exact Billing Solutions was launched to address one of healthcare's most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties.

Recognition & Awards

• Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)
• EY Entrepreneur Of The Year® U.S. Overall
• Florida Trend Magazine – 500 Most Influential Business Leaders

About the Role

The Vice President of Payment Posting is responsible for overseeing the strategic direction and operational efficiency of revenue cycle management (RCM) functions, heavily focused on Out of Network (OON) with growing focus on In-Network (INN) and Medicaid. This is more than just an operational leadership role—it is an opportunity to drive business transformation, guide the organization to market, and be a key player in a high-growth, high-impact journey. The Vice President will be instrumental in shaping the future of Out-of-Network RCM commercialization and will influence the broader trajectory of the company's expansion and success.

The Vice President of Payment Posting will play a central role in implementing operational best practices, building scalable processes, and ensuring the seamless delivery of services while enhancing the company's competitive advantage in the industry. This role demands a strategic thinker with a deep understanding of RCM, a proven track record in operational leadership, and a passion for driving transformative change within a rapidly growing organization.

The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position.

Key Responsibilities

• Oversee the daily operations of the team, ensuring that all outstanding claims are processed, followed up on, and resolved in a timely manner.
• Monitor and manage the posting process to ensure timely and accurate posting for all clients.
• Review and analyze reports to identify trends and areas for improvement.
• Review the productivity and quality of each team member's work and provide specific areas for improvement.
• Build and scale high‑performing teams that drive efficiency, accountability, and results.
• Develop and refine client onboarding, integration, and management processes to support a growing external client base.
• Shape the go‑to‑market strategy, working closely with business development and operational leaders to ensure seamless execution.
• Leverage AI and automation to create a best‑in‑class RCM platform that differentiates us in the market.
• Serve as the face of the company both internally and externally, representing our commitment to excellence and driving the vision forward. Lead with confidence, strategic foresight, and the ability to inspire teams to execute with precision.
• Externally engage with clients, partners, and industry stakeholders to ensure our value proposition resonates and meets the expectations of a growing client base. Nurture relationships, secure buy‑in, and demonstrate the unique advantages of our RCM offering while fostering a collaborative and partnership‑driven environment.
• Inspire a culture of accountability, high performance, and continuous improvement. Ensure operational health while creating an environment where teams feel empowered to excel, collaborate, and innovate.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Management, or a related field. An MBA or other advanced degree is highly preferred.
• Minimum of 10 years of experience in operations management, with at least 5 years in a senior leadership role within the healthcare or RCM industry.
• Minimum 5-7 years of experience in medical billing and collections, preferably in the healthcare industry.
• Proven track record of successfully scaling operations and leading large, cross‑functional teams.
• Experience with automation and AI integration in operational processes is a significant advantage.
• Strong strategic thinking and problem‑solving skills, with the ability to translate vision into actionable plans.
• Excellent leadership and team‑building skills, with a focus on fostering a culture of accountability and high performance.
• Exceptional communication and interpersonal skills, capable of engaging effectively with clients, partners, and internal teams.
• Proficiency in data analysis and performance metrics, with a keen eye for identifying trends and opportunities for improvement.
• Ability to manage multiple priorities in a fast‑paced, dynamic environment.
• Familiarity with RCM software and tools, as well as general IT systems used in healthcare operations.
• Understanding of AI and automation technologies and their application in RCM processes.
• Deep understanding of the healthcare industry, specifically out‑of‑network RCM, including regulatory requirements and payer landscapes.
• Knowledge of market trends and best practices in RCM and healthcare operations.
• High level of integrity and ethical standards.
• Strong executive presence and the ability to inspire confidence and trust.
• Adaptability and resilience in the face of challenges and change.

Benefits

• 21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays)
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• Medical, dental, vision, long‑term disability, and life insurance
• Generous 401(k) with up to 6% employer match

About Exact Billing Solutions

Exact Billing Solutions is committed to building a culture of professionalism, accountability, and operational excellence. We believe billing is more than a back‑office function—it’s a vital part of delivering quality healthcare. By hiring individuals with the right blend of expertise, integrity, and client focus, we empower providers to thrive while making the business of healthcare more efficient and sustainable.

Join our mission and help transform healthcare billing with precision and purpose!

Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.