Heartflow · 1 day ago
Reimbursement Manager - Southeast
Florida, United States
Full-time
Hybrid
Senior Level
$90K/yr - $120K/yr
5+ years expHeartflow is a medical technology company advancing the diagnosis and management of coronary artery disease using cutting-edge technology. The Reimbursement Manager will serve as the primary consultant on coding, billing, and access for Heartflow FFRct Analysis, ensuring hospital and clinic partners succeed financially while aligning strategies with the internal Sales Team.
Artificial Intelligence (AI)BiotechnologyHealth CareHealth DiagnosticsMedical
Responsibilities
Act as the expert reimbursement partner embedded within the field team structure. Attend strategic sales calls to address complex coding and billing concerns, positioning Heartflow as a true consultative resource for customers
Collaborate with the Field Sales Team to proactively identify facilities and practices needing reimbursement education and support regarding Heartflow products
Educate the Sales Team on key coding updates, billing concerns, and reimbursement trends, ensuring the entire commercial team is strategically aligned and informed
Collaborate with the field facing "One Team" to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for patient access
Serve as the primary consultant for customer billing and administrative staff. Conduct calls or travel onsite to educate customers on the appropriate use of Category III codes, billing scenarios, and payment components
Provide comprehensive support throughout the full reimbursement cycle, from pre-service authorization to post-service collection
Support customers in optimizing their prior authorization workflow and claims appeals processes to maximize reimbursement success and minimize administrative burden
Conduct frequent claim reviews with practices to ensure appropriate reimbursement
Address and resolve patient coverage, access, and reimbursement questions from accounts, coordinating with patient services as directed by policy and procedure
Partner with Marketing to develop strategic educational materials (e.g., guides, presentations, FAQs) on coding, billing, and compliance for both customer and internal field team use
Identify, anticipate, and address patient and practice reimbursement issues by partnering with internal and external stakeholders
Maintain a deep understanding of Heartflow policies and industry trends to perform the role in a compliant manner consistent with company guidance
Qualification
Required
Greater than 5 years of demonstrated work experience in coding and billing managing both governmental and commercial claims reimbursement processes
Demonstrated medical service coding and reimbursement experience
Associates Degree in related field of study required
Deep Understanding of the Revenue Cycle: Expert knowledge of medical coding (CPT, ICD-10), payer policies, prior authorization workflows, and claims appeals processes
Policy Interpretation: Proven ability to interpret policies and medical necessity language to accurately identify appropriate documentation (e.g., ICD-10 codes, medical records) required for successful claim submission
Data Proficiency: Proficient in using the Microsoft Office Suite (Excel, Word, and PowerPoint), with advanced spreadsheet development skills for analysis and reporting
Cross-Functional Alignment: Proven ability to successfully collaborate and align with a direct sales force, serving as a respected consultative partner rather than a purely service-oriented resource. This requires a strategic mindset focused on enabling commercial success through access
Exceptional Communication: Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers
Ethical Practice: Unwavering commitment to ethical business practices and maintaining the highest level of compliance in all professional activities
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
H1B Sponsorship
Heartflow has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (3)
2023 (6)
2022 (9)
2021 (12)
2020 (5)
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 Chief Executive Officer
Tim Fonte
Chief Technology Officer
Recent News
The Motley Fool
2025-12-19
Company data provided by crunchbase