Field Reimbursement Manager - Mid-Atlantic

Field Reimbursement Manager - North Central

Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease. The flagship product—an AI‑driven, non‑invasive cardiac test—provides a color‑coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart.

The Field Reimbursement Manager will serve as the heart of Heartflow’s customer billing and administration support. The role collaborates with Marketing to create educational materials and educates the Sales team on coding and billing concerns, including attending sales calls at customer sites. The position is remote with up to 30% travel throughout the U.S.

• 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 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.

• Outstanding knowledge of coding and billing in the U.S. 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 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 U.S. hospital managing both governmental and commercial claims reimbursement processes.
• Demonstrated medical service coding and reimbursement experience.
• Associate’s Degree in a related field required.
• CPC preferred, COC preferred, cardiology experience a plus.
• Bachelor’s degree preferred.

Remote work is required; the candidate must be located in a U.S. state that meets Heartflow’s remote eligibility criteria and must be able to travel up to 30% throughout the U.S.

Base salary compensation range is $90,000 to $120,000 per year plus bonus.

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.