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The VP of Third Party Reimbursements develops and implements strategic plans to optimize revenue cycle management, including claims submission, denial resolution, and payment collection processes. Plans and oversees claim reimbursement activities to facilitate accurate, timely, and compliant operations. Being a VP of Third Party Reimbursements evaluates and improves processes and controls to verify policy details, validate charges and coding, and ensure claim accuracy and completeness. Collaborates with senior leadership of finance, compliance, and clinical teams to align reimbursement strategies with organizational goals. In addition, VP of Third Party Reimbursements analyzes reimbursement trends, financial data, and key performance indicators to identify areas for improvement and drive data-informed decision-making. Establishes and maintains relations with third-party payers to negotiate payer policies, resolve conflicts, and ensure timely repayments. Requires a bachelor's degree. Typically reports to top management. The VP of Third Party Reimbursements manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. Working as a VP of Third Party Reimbursements typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function.
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