Medical Records & Billing Administrator

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.

Interested in learning more about Ophelia and this role? Apply to work with us!