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Field Reimbursement Manager - Southwest

Heartflow· Market Access and Reimbursement
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Remote$90k - $120kFull-timePosted 1w ago

About the role

Heartflow is accepting applications for a Field Reimbursement Manager to support the Southwest region (TX, CO, AZ, NM, WY, UT). This is a field-based role embedded with the commercial team, focused on reimbursement strategy, payer policy navigation, and customer access to Heartflow’s diagnostic solutions.

Responsibilities

  • Operate as the embedded reimbursement expert within the commercial field team — a trusted partner who enables sales success, not an oversight function
  • Attend strategic customer calls to address complex coding, billing, and access concerns, positioning Heartflow as a consultative resource
  • Proactively partner with the Field Sales Team to identify facilities needing reimbursement support and develop strategies to address barriers
  • Educate the commercial team on coding updates, billing trends, and payer developments, ensuring the entire field organization is aligned and informed
  • Partner with field team members and customers to serve as the primary reimbursement support for providers and hospital billing and administrative leadership
  • Conduct onsite visits and remote consultations to educate customers on appropriate billing scenarios, documentation requirements, and payment components
  • Support customers across the full reimbursement cycle: from pre-service authorization through post-service claims and appeals
  • Partner with customers to optimize prior authorization workflows and claims appeals processes, maximizing reimbursement success and reducing administrative burden
  • Proactively partner with health system revenue cycle and finance teams to review and optimize chargemaster setup, ensuring the services included on the cCTA pathway are accurately reflected for appropriate charge capture and reimbursement
  • Conduct claim reviews to identify patterns, provide recommendations to resolve issues, and ensure appropriate materials aligned for reimbursement outcomes
  • Address and support customers in resolving patient coverage, access, and reimbursement questions in coordination with patient services and internal stakeholders
  • Proactively identify gaps in customer-facing and internal educational resources, communicating those needs internally to support timely content development
  • Monitor and communicate payer policy changes, CMS coverage determinations, and market access trends to keep Heartflow's reimbursement guidance current and competitive
  • Identify, anticipate, and surface systemic reimbursement opportunities and barriers — bringing market intelligence back to the organization to inform strategy and response
  • Maintain deep fluency in payer medical policies, prior authorization trends, and claims adjudication patterns across the Southwest, including Novitas Solutions (Jurisdiction H) and Noridian (Jurisdiction F), major regional commercial plans, and radiology benefit managers

Qualifications

  • 5+ years of coding and billing experience managing both governmental and commercial claims, with demonstrated customer-facing or education/training responsibilities
  • Demonstrated experience in medical service coding and reimbursement, including direct support of large health system or hospital billing optimization
  • Proven experience operating alongside or embedded within a commercial sales organization (medical device, diagnostics, or specialty pharma strongly preferred)
  • Must reside in TX, CO, AZ, NM, WY, or UT

Skills

Required:Strategic partnership and negotiationCoding and billing expertiseCMS policy interpretationMarket intelligence and payer trend analysisCommunication and presentation
Nice to have:Data analysis with Excel

Benefits

  • Remote, field based role with up to 30% travel
  • Base salary range $90,000 to $120,000 per year plus bonus
Last updated Oct 26, 2026. Interested? Apply on the company site.

About Heartflow

Decisive Coronary Care

Heartflow’s vision is to transform CAD from the leading cause of death into a disease that can be managed for life.

CCTA ResourcesRoadmap AnalysisFFRCT AnalysisPlaque AnalysisHeartflow OneHeartflow One PlatformMeasurable Impact
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