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About the Role
As a Field Reimbursement Manager, you will serve as a strategic partner to the commercial team, providing expert guidance to overcome access barriers for patients. This high-impact, field-embedded role requires a proactive approach to solving complex reimbursement challenges, influencing stakeholders without authority, and driving commercial momentum in a fast-paced environment.
Responsibilities
- Operate as an embedded reimbursement expert within the commercial field team to enable sales success.
- Attend strategic customer calls to address complex coding, billing, and access concerns.
- Partner with the Field Sales Team to identify facilities needing reimbursement support and develop mitigation strategies.
- Educate the commercial team on coding updates, billing trends, and payer developments.
- Serve as the primary reimbursement support for providers and hospital administrative leadership.
- Conduct onsite and remote consultations to educate customers on billing scenarios, documentation, and payment components.
- Support the full reimbursement cycle from pre-service authorization through post-service claims and appeals.
- Partner with health system revenue cycle and finance teams to optimize chargemaster setup and charge capture.
- Conduct claim reviews to identify patterns and provide recommendations for resolution.
- Address patient coverage and access questions in coordination with internal stakeholders.
- Identify gaps in educational resources and communicate needs for content development.
- Monitor and communicate payer policy changes, CMS determinations, and market access trends.
- Surface systemic reimbursement opportunities and barriers to inform organizational strategy.
Requirements
- 5+ years of coding and billing experience managing governmental and commercial claims.
- Demonstrated experience in medical service coding and reimbursement with large health systems or hospitals.
- Proven experience operating alongside or embedded within a commercial sales organization.
- Must reside in the Southwest region (TX, CO, AZ, NM, WY, UT).
- Ability to travel approximately 30% within the territory.
Skills
- Strategic territory planning and prioritization.
- Cross-functional collaboration with quota-carrying sales teams.
- Executive presence for C-suite and health system leadership engagement.
- Operational agility in high-velocity, ambiguous environments.
- Expert knowledge of medical coding (CPT, ICD-10-CM/PCS).
- Proficiency in interpreting CMS Local and National Coverage Determinations.
- Advanced Microsoft Office Suite skills, particularly Excel.
- Consultative communication and objection handling.
Location
- Southwest Region (TX, CO, AZ, NM, WY, UT)
- Remote
Work Type
- Full-time
- Field-based
Experience Level
- 5+ years of experience
Education Level
- Bachelor's degree in Healthcare Administration, Business, or similar preferred
- CPC, COC, or CCS certification preferred
- RHIA or CHBME certification preferred
Salary/Compensations
- $90,000 - $120,000 per year plus bonus
About the Company
- Medical technology company advancing the diagnosis and management of coronary artery disease.
- Developer of AI-driven, non-invasive cardiac tests including Heartflow FFRCT Analysis.
- Publicly traded company (HTFL) with international recognition for healthcare innovation.
Equal Opportunity
- Heartflow is an Equal Opportunity Employer committed to a work environment that respects all individuals and prohibits discrimination based on 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 by law.