Field Reimbursement Manager - Mid-Atlantic

<div class="content-intro"><p>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 FFR<sub>CT </sub>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<sub>CT </sub>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.</p> <p>Heartflow is a publicly traded company (HTFL) 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 500,000 patients worldwide.  </p></div><p class="p1">This is a high-impact, visible role where your expertise directly translates into patient access.  You'll be instrumental in shaping our market presence and ensuring the successful adoption of a technology that is changing the standard of cardiovascular care.  Join us and make a difference! </p> <p class="p1">This role serves as the <strong>primary, expert consultant</strong> on all matters of coding, billing, and access for HeartFlow FFRct Analysis and other services. You will leverage your deep reimbursement experience to ensure our hospital and clinic partners succeed financially, while <strong>strategically aligning</strong> with our internal Sales Team.</p> <p class="p2">This position will be a remote position with up to 30% travel throughout the US <span class="s1">required. #LI-IB1 </span></p> <p class="p2"><strong><span class="s6">Responsibilities You Will Own</span><span class="s1">:</span></strong></p> <h3><span style="font-size: 10pt;">Strategic Field Alignment & Consultation</span></h3> <ul> <li><span style="font-size: 10pt;"><strong>Act as the expert reimbursement partner</strong> 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.</span></li> <li><span style="font-size: 10pt;"><strong>Collaborate with the Field Sales Team</strong> to proactively identify facilities and practices needing reimbursement education and support regarding Heartflow products.</span></li> <li><span style="font-size: 10pt;"><strong>Educate the Sales Team</strong> on key coding updates, billing concerns, and reimbursement trends, ensuring the entire commercial team is strategically aligned and informed.</span></li> <li><span style="font-size: 10pt;"><strong>Collaborate with the field facing "One Team"</strong> to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for patient access.</span></li> </ul> <h3><span style="font-size: 10pt;">Customer Access & Billing Optimization</span></h3> <ul> <li><span style="font-size: 10pt;"><strong>Serve as the primary consultant</strong> 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.</span></li> <li><span style="font-size: 10pt;"><strong>Provide comprehensive support</strong> throughout the full reimbursement cycle, from pre-service authorization to post-service collection.</span></li> <li><span style="font-size: 10pt;"><strong>Support customers in optimizing their prior authorization workflow and claims appeals processes</strong> to maximize reimbursement success and minimize administrative burden.</span></li> <li><span style="font-size: 10pt;"><strong>Conduct frequent claim reviews</strong> with practices to ensure appropriate reimbursement.</span></li> <li><span style="font-size: 10pt;"><strong>Address and resolve patient coverage, access, and reimbursement questions</strong> from accounts, coordinating with patient services as directed by policy and procedure.</span></li> </ul> <h3 style="text-align: left;"><span style="font-size: 10pt;">Content Strategy & Compliance</span></h3> <ul> <li><span style="font-size: 10pt;"><strong>Partner with Marketing</strong> to develop strategic educational materials (e.g., guides, presentations, FAQs) on coding, billing, and compliance for both customer and internal field team use.</span></li> <li><span style="font-size: 10pt;"><strong>Identify, anticipate, and address</strong> patient and practice reimbursement issues by partnering with internal and external stakeholders.</span></li> <li><span style="font-size: 10pt;"><strong>Maintain a deep understanding of Heartflow policies</strong> and industry trends to perform the role in a compliant manner consistent with company guidance.</span></li> </ul> <p class="p11"><strong><span style="font-size: 10pt;"><span class="s5">Skills</span> <span class="s6">Needed:</span></span></strong></p> <ul> <li><span style="font-size: 10pt;"><strong>Deep Understanding of the Revenue Cycle:</strong> Expert knowledge of medical coding (CPT, ICD-10), payer policies, prior authorization workflows, and claims appeals processes.</span></li> <li><span style="font-size: 10pt;"><strong>Policy Interpretation:</strong> 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.</span></li> <li><span style="font-size: 10pt;"><strong>Data Proficiency:</strong> Proficient in using the Microsoft Office Suite (Excel, Word, and PowerPoint), with advanced spreadsheet development skills for analysis and reporting.</span></li> <li><span style="font-size: 10pt;"><strong>Cross-Functional Alignment:</strong> 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.</span></li> <li><span style="font-size: 10pt;"><strong>Exceptional Communication:</strong> Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers.</span></li> <li><span style="font-size: 10pt;"><strong>Ethical Practice:</strong> Unwavering commitment to ethical business practices and maintaining the highest level of compliance in all professional activities.</span></li> </ul> <p class="p11"><span style="font-size: 10pt;"><strong><span class="s5">Educational</span> <span class="s5">Requirements</span> <span class="s5">&</span> <span class="s5">Work</span> <span class="s6">Experience:</span></strong></span></p> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Greater than 5 years of demonstrated work experience in coding and billing managing both governmental and commercial claims reimbursement processes.</span></li> <li class="li14" style="font-size: 10pt;"><span style="font-size: 10pt;">Demonstrated medical service coding and reimbursement experience.</span></li> <li class="li14" style="font-size: 10pt;"><span style="font-size: 10pt;">Associates Degree in related field of study required.</span></li> <li class="li8" style="font-size: 10pt;"><span style="font-size: 10pt;">CPC preferred, COC preferred, cardiology experience a <span class="s1">plus.</span></span></li> <li class="li15" style="font-size: 10pt;"><span style="font-size: 10pt;">Bachelor’s degree <span class="s1">preferred.</span></span></li> </ul> <p><span style="font-size: 10pt;">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.</span></p> <p><span class="s1" style="font-size: 10pt;"><span style="font-weight: 400;"><em data-stringify-type="italic">A reasonable estimate of the base salary compensation range is $90<span style="font-family: arial, helvetica, sans-serif; color: rgb(0, 0, 0);"><span style="font-family: arial, helvetica, sans-serif; color: black;">,000 to $120,000 per year and b</span></span>onus.</em></span></span></p><div class="content-conclusion"><div>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.</div> <div> </div> <div>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.</div> <div> </div> <div>Heartflow has become aware of a fraud where unknown entities are posing as Heartflow recruiters in an attempt to obtain personal information from individuals as part of our application or job offer process. Before providing any personal information to outside parties, please verify the following: A) all legitimate Heartflow recruiter email addresses end with “@heartflow.com” and B) the position described is found on our careers site at <a href="https://www.heartflow.com/about/careers/">www.heartflow.com/about/careers/</a>. </div></div>