Medical Records & Billing Administrator

<div class="content-intro"><div><strong><em>Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime?&nbsp;</em></strong>Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it.</div> <div>&nbsp;</div> <div><a class="postings-link" href="https://ophelia.com/">Ophelia</a> is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.</div></div><h3><strong>About the Role</strong></h3> <h4>The Medical Records &amp; 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.</h4> <h3><strong>Key Responsibilities</strong></h3> <ul> <li>Process medical records requests ensuring timely and accurate turnaround</li> <li>Manage incoming payer mail, including sorting, routing, and responding to time-sensitive requests</li> <li>Process billing-team refunds, payer reconsiderations, and manual 837 claim pulls and postings</li> <li>Collaborate with the Internal Audit &amp; Compliance Associate to support audit-related documentation and record retrieval</li> <li>Identify and flag process inefficiencies or recurring issues in medical records or billing workflows</li> <li>Support other billing team functions as workload requires</li> </ul> <h3><strong>What we're looking for</strong></h3> <ul> <li>High school diploma or equivalent required; associate degree or relevant certification (e.g., medical records, billing/coding) preferred</li> <li>1–2+ years of experience in medical records, healthcare billing, or a related administrative healthcare role preferred</li> <li>Familiarity with payer request processes, medical billing terminology, and claims workflows (e.g., 837 claims) a plus</li> &