Field Reimbursement Manager - Northeast

Heartflow; Hartford (CT); Remote; USD 95,000 - 110,000; Full time

Job summary

An innovative medical technology company is seeking a Field Reimbursement Manager to support billing and reimbursement processes. This role involves collaborating with marketing to create educational materials, assisting the sales team with coding concerns, and ensuring compliant billing practices. The ideal candidate will have extensive experience in coding and billing within the US healthcare system. This remote position requires up to 50% travel, making it perfect for someone looking to make a significant impact in the field of heart care. Join a team dedicated to revolutionizing precision heartcare and improving patient outcomes.

Qualifications

• 5+ years in coding and billing at US hospitals.
• Experience with governmental and commercial claims.
• Demonstrated medical service coding experience.

Responsibilities

• Create educational materials on coding and billing.
• Support sales team with billing concerns.
• Educate customers on appropriate use of codes.

Skills

Coding and billing knowledge

Excel proficiency

Communication skills

Understanding of hospital billing

ICD-10 code interpretation

Education

Associates Degree

Bachelor’s Degree

CPC certification

COC certification

Tools

Excel

Word

PowerPoint

Job description

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Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease, the #1 cause of death worldwide, using cutting-edge technology. The flagship product—an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis—provides a color-coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare.

Heartflow is a VC-backed company that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 400,000 patients worldwide.

The Field Billing Manager will be the face of HeartFlow in supporting our customer’s administration and billing professionals to ensure they can successfully bill and collect reimbursement on FFRct claims. He/she will collaborate with HeartFlow’s Marketing team to create relevant educational material and educate and support our Sales team on coding and billing concerns, including attending sales calls at customer sites. He/she will work directly with the customer to ensure compliant coding of FFRct, educate them on components of the code and associated charges and payment, and provide support on prior authorization workflow and claims appeals.

This position will be a remote position with up to 50% travel throughout the US required.

Job 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.
  
  

Skills Needed:

• 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.
  
  

Educational Requirements & Work Experience:

• 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.
• CPC preferred, COC preferred, cardiology experience a plus.
• Bachelor’s degree preferred.
  
  

This position is remote, however, you must be located in one of the following states as listed or be able to relocate. Please note, at this time, we are not able to sponsor re-location.

A reasonable estimate of the base salary compensation range is $95,000 to $110,000 per year, cash bonus, and stock options.

Heartflow is an Equal Opportunity Employer. We are committed to a work environment that supports, inspires, and respects all individuals and do not discriminate against any employee or applicant because of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. This policy applies to every aspect of employment at Heartflow, including recruitment, hiring, training, relocation, promotion, and termination.

Positions posted for Heartflow are not intended for or open to third party recruiters / agencies. Submission of any unsolicited resumes for these positions will be considered to be free referrals.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Medical Equipment Manufacturing

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