Medical Records & Billing Administrator

Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime? 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.   Ophelia 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.About the Role 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 What we're looking for 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 This is a remote position requiring reliable internet access and a private workspace suitable for handling confidential patient information in compliance with HIPAA standards. Our Benefits Include 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 tenur...