Field Billing Specialist (Remote) - job 2 of 2

HeartFlow is a VC-backed, pre-IPO, digital health company that has received international recognition for exceptional strides in healthcare innovation. We combine clinical expertise with cutting-edge technology to revolutionize the diagnosis and treatment of coronary artery disease.

The Field Billing Specialist 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 50% travel throughout the US required. #LI-JX1 #LI-Remote

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.

Skills Needed:

• Outstanding knowledge of coding and billing in US healthcare system, including Medicare and commercial payers.
• Excellent communication skills and customer support attitude.
• Strong understanding of hospital billing and coding infrastructure, including EMR, billing system, and personnel involved.
• Ability to interpret policies and medical necessity language to identify appropriate ICD-10 codes and medical records to submit claims.

Educational Requirements & Work Experience:

• Greater than 5 years of demonstrated work experience in coding and billing at a US hospital managing both Medicare and commercial claims
• CPC required, COC preferred, cardiology experience a plus.
• Bachelor's degree preferred.