Our executive team blends decades of IONM‑specific expertise with operational rigor and a relentless focus on ROI. We don’t just oversee—IONM revenue cycle management is in our DNA. From out‑of‑network claims management to denial arbitration, we lead the strategies that drive measurable growth and lasting performance. Partner with leadership built for one purpose: delivering results.
As Chief Financial Officer for Axis Neuromonitoring and Apex IONM Solutions, Laura Trotter leads with vision, strategy, and a deep understanding of what drives both people and performance. She oversees the full revenue cycle for Axis and ensures Apex’s partner organizations operate at the highest levels of efficiency and integrity.
Apex has seen exceptional growth under Laura’s leadership, with multiple client organizations quadrupling revenue in just two years. Her focus on leadership development, process improvement, and alignment around shared goals has strengthened both outcomes and culture. By combining data-driven strategy with a people-centered approach, Laura continues to elevate the company’s reputation for operational success and trusted partnership.
Laura built her career in healthcare operations and performance management. She began as a technical writer before moving into healthcare administration, serving as an IVF lab and surgery center administrator where she developed a taste for complex out-of-network billing. She joined Axis Neuromonitoring in 2018 to undertake denial management, later advancing to Director of Operations at a national RCM firm. After successfully scaling that company’s client base, she returned to Axis to lead Apex’s next stage of growth, becoming Vice President in 2025.
A graduate of Abilene Christian University with a Bachelor of Science in Psychology and a concentration in Organizational Development, Laura is also a certified medical coder. Her leadership blends empathy with decisive vision, fostering trust, accountability, and a shared sense of purpose across her teams.
When she’s not driving organizational transformation, Laura enjoys running, traveling, and spending time with her family and dogs.
Bryan Cheairs is an accomplished healthcare operations executive with extensive experience leading organizational growth, operational strategy, and business performance across complex healthcare environments. As President of Axis Neuromonitoring, LLC and APEX IONM SOLUTIONS, Bryan oversees enterprise-wide operations and strategic initiatives focused on strengthening organizational infrastructure, optimizing financial and operational performance, and supporting sustainable long-term growth.
Bryan brings a multifaceted operational leadership background with deep expertise in healthcare administration, organizational development, financial oversight, and process optimization. Throughout his career, he has partnered closely with executive leadership teams to implement strategic operational plans, improve financial performance, streamline workflows, and build scalable operational structures that support continued expansion. Prior to serving as President, Bryan held the role of Executive Practice Manager, where he led operational functions across HR, Finance, IT, administrative operations, and revenue cycle support initiatives while helping strengthen organizational processes and cross-functional collaboration.
Before joining Apex and Axis, Bryan helped found and build the Texas Ear & Vestibular Institute from the ground up, contributing to its successful growth and operational development. As Practice Manager and Director of Operations, he launched new clinical programs, expanded service offerings, and established a strong physician referral network.
A U.S. Navy veteran, Bryan brings mission-driven leadership, operational resilience, and a strong focus on people development. He is passionate about building high-performing teams, mentoring future leaders, and creating sustainable operational frameworks that promote growth, accountability, and long-term organizational success. Bryan graduated Magna Cum Laude from Norwich University with a Bachelor’s degree in Business, concentrating in Leadership.
Outside of work, Bryan enjoys spending time working around his ranch, taking the boat out on the lake, playing golf, and watching a wide variety of sports.
Myrna Labanon is a healthcare operations leader with extensive experience in revenue cycle management, reimbursement strategy, and operational optimization. As Director of Revenue Cycle Operations for APEX IONM SOLUTIONS, Myrna oversees enterprise-wide revenue cycle strategy, focusing on strengthening financial performance through cash flow optimization, denial mitigation, reimbursement operations, and regulatory compliance initiatives. She works cross-functionally across operational and leadership teams to improve revenue integrity, enhance organizational sustainability, and drive measurable business outcomes through data-driven decision-making and disciplined operational execution.
Prior to her current role, Myrna served as IDR/Negotiation Team Lead, where she specialized in out-of-network claims negotiations, Independent Dispute Resolution (IDR) processes under the No Surprises Act, and arbitration strategy. During her tenure, she helped strengthen operational workflows through the development of SOPs, negotiation processes, and performance-driven operational metrics designed to improve efficiency and reimbursement outcomes.
Myrna is recognized for her analytical mindset, collaborative leadership style, and deep understanding of complex healthcare reimbursement operations. She is passionate about building scalable operational structures, improving organizational performance, and creating sustainable processes that support long-term growth and operational excellence.
Outside of work, Myrna enjoys spending time with family and friends, exploring new restaurants and travel destinations, and staying engaged in professional development within the healthcare operations and revenue cycle management space.
Sabena Miller is a finance and operations leader with extensive experience in financial management, revenue cycle operations, and organizational performance strategy within the healthcare industry. As Accounting Controller for Axis Neuromonitoring, LLC, Sabena leads financial strategy, planning, and reporting initiatives that support executive decision-making, operational scalability, and long-term business growth. She oversees budgeting, forecasting, financial analysis, and multi-entity financial operations while driving process improvements that enhance reporting accuracy, operational visibility, and financial performance.
Throughout her career, Sabena has focused on building KPI-driven financial frameworks that strengthen forecasting accuracy, improve cash flow management, and provide leadership teams with actionable operational insights. She partners closely with cross-functional stakeholders to align financial strategy with organizational objectives, support cost optimization initiatives, and improve operational efficiency across business functions.
In addition to her financial leadership responsibilities, Sabena also serves as Director of RCM Education & Training for APEX IONM SOLUTIONS, where she supports organizational development through education, training strategy, and operational enablement initiatives within revenue cycle management operations. Her combined experience in finance, operational leadership, and workforce development allows her to bridge financial strategy with practical operational execution to support sustainable organizational growth.
Sabena is recognized for her analytical approach, collaborative leadership style, and commitment to continuous improvement. She is passionate about developing scalable financial processes, empowering teams through education and training, and helping organizations build strong operational foundations that support long-term success.
