[Hiring] Medical Records & Billing Administrator @Ophelia

Role Description

The Medical Records & Billing Administrator is responsible for the day-to-day processing of medical records requests, incoming payer mail, and billing-related refunds and reconsiderations. This role is critical to maintaining timely compliance with payer and regulatory requirements while supporting the broader Revenue Operations team's audit and billing functions.

Key Responsibilities

• Process medical records requests ensuring timely and accurate turnaround
• Manage incoming payer mail, including sorting, routing, and responding to time-sensitive requests
• Process billing-team refunds, payer reconsiderations, and manual 837 claim pulls and postings
• Collaborate with the Internal Audit & Compliance Associate to support audit-related documentation and record retrieval
• Identify and flag process inefficiencies or recurring issues in medical records or billing workflows
• Support other billing team functions as workload requires

Qualifications

• High school diploma or equivalent required; associate degree or relevant certification (e.g., medical records, billing/coding) preferred
• 1–2+ years of experience in medical records, healthcare billing, or a related administrative healthcare role preferred
• Familiarity with payer request processes, medical billing terminology, and claims workflows (e.g., 837 claims) a plus
• Strong attention to detail and ability to manage high-volume, deadline-driven work independently
• Comfortable working in a remote environment with minimal day-to-day supervision
• Strong written and verbal communication skills
• Working knowledge of HIPAA compliance and confidentiality standards

Requirements

• This is a remote position requiring reliable internet access and a private workspace suitable for handling confidential patient information in compliance with HIPAA standards.

Benefits

• Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
• Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
• 10 company holidays
• Work From Home Stipend
• 401k Contribution Platform
• Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!