Heartflowinc
Field Reimbursement Manager - Northeast
New York City, New York; Boston, Massachusetts; Hartford, Connecticut; Portland, Maine; . Posted a month ago
The role
Field Reimbursement Managers act as strategic partners to the commercial team to resolve access barriers. They provide reimbursement expertise to providers and hospital leadership to ensure patient access.
What you will do
- Operate as the embedded reimbursement expert within the commercial field team
- Attend strategic customer calls to address coding, billing, and access concerns
- Partner with the Field Sales Team to identify facilities needing reimbursement support
- Educate the commercial team on coding updates, billing trends, and payer developments
- Serve as primary reimbursement support for providers and hospital leadership
- Conduct onsite visits and remote consultations to educate customers on billing and documentation
- Support customers across the full reimbursement cycle from authorization to appeals
- Partner with health system revenue cycle and finance teams to optimize chargemaster setup
- Conduct claim reviews to identify patterns and provide recommendations
- Monitor and communicate payer policy changes and market access trends
Required qualifications
- 5+ years of coding and billing experience managing both governmental and commercial claims
- Demonstrated customer-facing or education/training responsibilities
- Demonstrated experience in medical service coding and reimbursement
- Direct support of large health system or hospital billing optimization
- Proven experience operating alongside or embedded within a commercial sales organization
- Must live in NY, CT, MA, or ME
- Proficient in Microsoft Office Suite with advanced Excel skills
Nice to have
- Bachelor's degree in a related field (Healthcare Administration, Business, or similar)
- CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or CCS (Certified Coding Specialist) certification
- RHIA or CHBME certification
- Prior experience in a medical device, diagnostics, or specialty pharma field reimbursement role
- Familiarity with CMS NCD/LCD processes and commercial payer medical policy interpretation
- Experience with cardiac or advanced imaging reimbursement, including radiology benefit manager prior authorization
- Working knowledge of the Northeast payer landscape
About the company
Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease using AI-driven technology. The company is publicly traded and provides an integrated heart care solution across the CCTA pathway.