Heartflow · 3 months ago
Field Reimbursement Manager - North Central
Washington, DC
Full-time
Onsite
Mid, Senior Level
$90K/yr - $120K/yr
5+ years expHeartflow is a medical technology company advancing the diagnosis and management of coronary artery disease. The Field Reimbursement Manager will support customer administration and billing professionals to ensure successful billing and collection on FFRct claims, while collaborating with various teams to educate on coding and billing concerns.
Artificial Intelligence (AI)BiotechnologyHealth CareHealth DiagnosticsMedical
No H1B
Responsibilities
Work with Marketing to create and disseminate educational materials around coding, billing, prior authorization and appeals
Support commercial team by addressing coding and billing concerns throughout the sales and implementation process
Conduct conference calls or travel onsite to customers to educate on appropriate use of Category III codes and billing scenarios
Work with revenue cycle management both at customer site and internally with Heartflow Access Program
Read and interpret medical records to align with medical policy language to ensure accurate submission of claims. Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues
Collaborate with Field Sales team to identify facilities and practices that need reimbursement education and support regarding Heartflow products
Address questions associated with patient coverage, access, and reimbursement from accounts in collaboration and coordination with patient services as directed by policy and procedure
Conduct frequent claim reviews with practices to ensure appropriate reimbursement of Heartflow products
Maintain a deep understanding of Heartflow policies and requirements and perform the role in a compliant manner consistent with company guidance
Keep abreast of customer and market access industry trends
Provide coverage, coding, and reimbursement information to key staff members (i.e., practice administrators, reimbursement staff, and providers) in order to appropriately support patient access
Collaborate with field facing 'One Team' to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for access at practices
Qualification
Required
Outstanding knowledge of coding and billing in US healthcare system, including Medicare and commercial payers
Proficient in the use of Excel, Word, and PowerPoint with advance spreadsheet development skills
Excellent communication skills and customer support attitude
Strong understanding of hospital billing and coding infrastructure, including EMR, billing system, and personnel involved
Ability to interpret policies and medical necessity language to identify appropriate ICD-10 codes and medical records to submit claims
Greater than 5 years of demonstrated work experience in coding and billing at a US hospital managing both governmental and commercial claims reimbursement processes
Demonstrated medical service coding and reimbursement experience
Associates Degree in related field of study required
Preferred
CPC preferred
COC preferred
Cardiology experience a plus
Bachelor's degree preferred
Company
Heartflow
Heartflow is a medical technology company that provides various methods of diagnosis and treatment of cardiovascular disease.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
$890.72MKey Investors
Bain Capital Life SciencesPanorama Point PartnersCapricorn Investment Group
2025-08-08IPO
2025-03-26Convertible Note· $98M
2023-04-06Series F· $215M
Leadership Team
John Farquhar
President and CEO
Campbell Rogers
Chief Medical Officer
Recent News
GlobeNewswire
2026-01-16
Company data provided by crunchbase