Remote Field Reimbursement Strategist

HeartFlow, Inc.; Northern (KY); Remote; USD 90,000 - 120,000; Full time

Job summary

HeartFlow, Inc. is seeking a Remote Field Reimbursement Manager to support the Southwest region (TX, CO, AZ, NM, WY) with frontline reimbursement expertise.

You will partner with field sales to address coding, billing, and access barriers, enabling faster patient access to HeartFlow’s AI-driven cardiac analysis solutions. You will own strategic advisory on payer policies, educate teams on updates, and drive optimization of prior authorizations and claims across a high-velocity environment.

Qualifications

• 5+ years of coding and billing experience with governmental and commercial claims
• Experience in medical service coding and reimbursement
• Experience operating alongside or embedded within a commercial sales organization
• Must be in or able to relocate to states

Responsibilities

• Operate as the embedded reimbursement expert within the commercial field team — a trusted partner who enables sales success, not an oversight function
• Attend strategic customer calls to address complex coding, billing, and access concerns, positioning HeartFlow as a consultative resource
• Proactively partner with the Field Sales Team to identify facilities needing reimbursement support and develop strategies to address barriers
• Educate the commercial team on coding updates, billing trends, and payer developments, ensuring the entire field organization is aligned and informed
• Partner with customers to optimize prior authorization workflows and claims appeals processes, maximizing reimbursement success and reducing administrative burden
• Proactively partner with health system revenue cycle and finance teams to review and optimize chargemaster setup, ensuring the services included on the cCTA pathway are accurately reflected for appropriate charge capture and reimbursement
• Conduct claim reviews to identify patterns, provide recommendations to resolve issues, and ensure appropriate materials aligned for reimbursement outcomes
• Address and support customers in resolving patient coverage, access, and reimbursement questions in coordination with patient services and internal stakeholders
• Proactively identify gaps in customer-facing and internal educational resources, communicating those needs internally to support timely content development
• Monitor and communicate payer policy changes, CMS coverage determinations, and market access trends to keep HeartFlow's reimbursement guidance current and competitive
• Identify, anticipate, and surface systemic reimbursement opportunities and barriers — bringing market intelligence back to the organization to inform strategy and response
• Maintain deep fluency in payer medical policies, prior authorization trends, and claims adjudication patterns across the Northeast, including NGS (Jurisdiction K), major regional commercial plans, and radiology benefit managers

Job description

HeartFlow, Inc. is seeking a Remote Field Reimbursement Manager to support the Southwest region (TX, CO, AZ, NM, WY) with frontline reimbursement expertise.

You will partner with field sales to address coding, billing, and access barriers, enabling faster patient access to HeartFlow’s AI-driven cardiac analysis solutions. You will own strategic advisory on payer policies, educate teams on updates, and drive optimization of prior authorizations and claims across a high-velocity environment.