Field Reimbursement Manager - Northeast

HeartFlow, Inc; Hartford, Oxford, New Connecticut, Boston, Village of Philadelphia (CT, MA, NY, PA, NY); On-site; USD 84,000 - 110,000; Full time

Job summary

Join a pioneering medical technology company as a Field Billing Manager, where you will play a crucial role in supporting healthcare professionals with coding and billing processes. This exciting position involves collaborating with marketing to create educational resources, assisting the sales team, and ensuring compliance with billing standards. With the opportunity for remote work and travel, you will help facilitate the successful reimbursement of innovative cardiac care solutions. If you have a passion for healthcare and a strong background in coding and billing, this role offers a chance to make a significant impact in the industry.

Benefits

Cash bonus

Stock options

Flexible work schedule

Remote work opportunities

Qualifications

• 5+ years of experience in coding and billing in a US hospital.
• Demonstrated medical service coding and reimbursement experience.

Responsibilities

• Create educational materials on coding and billing.
• Support sales team with billing concerns and customer education.
• Conduct claim reviews to ensure appropriate reimbursement.

Skills

Coding and billing knowledge

Excel proficiency

Communication skills

Understanding of hospital billing

ICD-10 code interpretation

Education

Associates Degree in a related field

CPC certification

COC certification

Tools

Excel

Word

PowerPoint

Job description

HeartFlow, Inc. 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 FFR CT 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 (RoadMap Analysis), assess coronary blood flow (FFR CT 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 heart care.

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 remote 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 the 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 sites 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 the 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 the US healthcare system, including Medicare and commercial payers.
• Proficient in the use of Excel, Word, and PowerPoint with advanced spreadsheet development skills.
• Excellent communication skills and customer support attitude.
• Strong understanding of hospital billing and coding infrastructure, including EMR, billing systems, 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 a related field of study required.
• CPC preferred, COC preferred, cardiology experience a plus.

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

A reasonable estimate of the base salary compensation range is $84,500 to $110,000 per year, cash bonus, and stock options.

HeartFlow, Inc. 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.