Field Reimbursement Manager

Summary

Join HeartFlow, a medical technology company revolutionizing precision heart care, as a Field Billing Manager. This remote position, with up to 50% US travel, focuses on supporting customers with billing and reimbursement for FFRct claims. You will collaborate with marketing to create educational materials, educate the sales team, and work directly with customers to ensure compliant coding and timely payments. The role requires strong coding and billing expertise in the US healthcare system, along with excellent communication skills. HeartFlow offers a competitive salary, cash bonus, and stock options.

Requirements

• 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
• 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

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

Preferred Qualifications

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

Benefits

• A reasonable estimate of the base salary compensation range is $ 84,500 to $110,000 per year , cash bonus, and stock options
• This position is remote, however, you must be located in one of the following states as listed or be able to relocate