Chief Administrative Officer

Chief Administrative Officer (CAO) | Monsey, NY · $100,000–$130,000

About the Role This is a strategic operator role at a high-growth medical billing and revenue cycle organization, responsible for building and scaling the company's entire administrative backbone. Reporting directly to the COO, the CAO will drive operational discipline across billing support functions, ensure healthcare compliance, and turn business objectives into scalable infrastructure and measurable outcomes. It's a hands-on leadership seat for someone who thrives on turning chaos into process.

Key Responsibilities

Revenue Cycle Operations & Compliance

• Oversee administrative operations supporting revenue cycle management, including credentialing, onboarding, compliance, IT systems, and internal workflows


• Maintain processes across billing, collections, and IDR support functions to ensure consistency, speed, and accuracy


• Implement performance tracking across teams, including KPIs for claim submission timelines, collection rates, denial resolution, and IDR outcomes


• Ensure full compliance with healthcare regulations including HIPAA and No Surprises Act requirements


• Establish internal audit and quality assurance programs to maintain billing accuracy and compliance standards

Strategic Partnership & Vendor Management

• Partner with the COO to drive capacity planning, staffing models, and resource allocation based on client volume and growth projections


• Oversee vendor relationships including clearinghouses, billing platforms, and third-party service providers


• Lead system optimization initiatives across practice management systems, reporting tools, and workflow automation

Financial Oversight & Team Building

• Support financial oversight by managing administrative budgets, cost controls, and operational efficiency initiatives


• Drive onboarding and implementation processes for new clients, ensuring smooth transition and minimal disruption to revenue flow


• Build and mentor administrative and operational teams, creating a high accountability, performance-driven culture

Interested? Send your resume to: [email protected]