Field Reimbursement Manager
New
H
HeartflowMedical technology
This position is open for the Southwest Region, TX, CO, AZ, NM, WY, UTFull-TimeManager
SalaryBase salary compensation range is $90,000 to $120,000 per year and bonus
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Job Details
- Experience
- 5+ years of coding and billing experience
- Required Skills
- Microsoft Office
Requirements
- Have 5+ years of coding and billing experience managing governmental and commercial claims.
- Have customer-facing or education and training responsibilities.
- Demonstrate experience in medical service coding and reimbursement.
- Have directly supported billing optimization for a large health system or hospital.
- Have experience operating alongside or embedded within a commercial sales organization.
- Be able to manage multiple concurrent, time-sensitive priorities in a high-velocity environment.
- Bring expert knowledge of CPT and ICD-10-CM/PCS coding, payer policies, prior authorization workflows, and claims appeals.
- Be proficient in Microsoft Office, with advanced Excel skills.
- Live in one of the listed states: TX, CO, AZ, NM, WY, or UT.
- Be available for approximately 30% travel within the territory.
- A bachelor's degree in a related field is preferred; equivalent education and experience are considered.
- CPC, COC, CCS, RHIA, or CHBME certification is preferred.
Responsibilities
- Partner with the commercial field team to identify facilities needing reimbursement support and develop strategies to address barriers.
- Attend strategic customer calls to address complex coding, billing, and access concerns.
- Educate customers on billing scenarios, documentation requirements, and payment components through onsite visits and remote consultations.
- Support customers across the reimbursement cycle, from pre-service authorization through post-service claims and appeals.
- Help customers optimize prior authorization workflows, claims appeals, and chargemaster setup.
- Review claims to identify patterns and recommend resolutions.
- Address patient coverage, access, and reimbursement questions with internal stakeholders.
- Monitor payer policy changes, CMS coverage determinations, and market access trends.
- Communicate reimbursement insights and educational resource needs to internal teams.
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