Field Reimbursement Manager - North Central

Field Reimbursement Manager - North Central

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 productan AI-driven, non-invasive cardiac test supported by the ACC / AHA Chest Pain Guidelines called the Heartflow FFR

CT

Analysisprovides 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 (RoadMapAnalysis), assess coronary blood flow (FFR

CT

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.

The Field Reimbursement Manager will be the face of Heartflow in supporting our customer's administration and billing professionals to ensure they can successfully bill and collect reimbursement on FFRct claims. He / she will collaborate with Heartflow's Marketing team to create relevant educational material and educate and support our Sales team on coding and billing concerns, including attending sales calls at customer sites. He / she will work directly with the customer to ensure compliant coding of FFRct, educate them on components of the code and associated charges and payment, and provide support on prior authorization workflow and claims appeals.

This position will be a remote position with up to 30% travel throughout the US required.

Job 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.

Skills Needed :

Educational Requirements & Work Experience :

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 relocation.

A reasonable estimate of the base salary compensation range is $90,000 to $120,000 per year and bonus.