Supervisor Appeals/Denials

TriHealth•Norwood, OH

2d•Onsite

About The Position

Join TriHealth as a Supervisor Appeals/Denials! TriHealth offers a mission-driven environment where leaders in Revenue Cycle can make a meaningful impact on operational excellence, financial stewardship, and the patient experience. As a Supervisor within our Revenue Cycle team, you’ll guide a high-performing group of front-line staff, ensuring the department is properly staffed, supported, and equipped to meet business needs. This role blends hands-on leadership with strategic oversight - driving performance through recruitment and retention of strong team members, fostering teamwork and development, and maintaining a safe, collaborative environment rooted in TriHealth’s values. In this position, you’ll play a key role in advancing TriHealth’s commitment to quality, compliance, and service. You’ll oversee daily operations, monitor key performance indicators, steward organizational resources, and mitigate risk while ensuring adherence to payer rules, regulations, and medical policy. Candidates with experience in denials, clinical terminology, payer contracts, and medical policy will thrive here, and a current LPN or RN license is preferred. This is an opportunity to lead with purpose, elevate team performance, and contribute to TriHealth’s reputation for excellence in patient-centered care. Apply today and grow your career with a team that truly values you.

Requirements

Associate’s degree or Diploma in Business, Healthcare, or other related field
Equivalent experience accepted in lieu of degree
Certified Healthcare Access Manager
Certified Health Finance Manager or other healthcare certification
Experience with payer contracts and denials and appeals processes
Computer proficiency with Microsoft Office, Epic, etc.
Knowledge of healthcare rules/regulations for government and commercial payment
Project management
HFMA, AAHAM, NAHAM, MGMA
3-4 years’ experience Professional Healthcare Revenue Cycle
Healthcare provider finance operations or similar service environments required
5-7 years’ experience Management Healthcare
Candidates should be positive, energetic, self-motivated and possess excellent organizational and communication skills.
Experience in denials, clinical terminology, payer contracts and medical policy is required.

Nice To Haves

a current LPN or RN license is preferred
Knowledge and/or experience in other areas of revenue cycle (PAS, HIM, PFS) is preferred.

Responsibilities

Supervise Daily Operations: All activities associated with staffing high performing team members to meet business needs and guard the TriHealth culture, including recruitment, hiring, training, mentoring, coaching, retaining, performance management.
Financial Stewardship: Assists in the budget preparation process as necessary; Approves expenditures within delegated authority; Act as a steward of TriHealth resources; Monitor department expenses compared to budget.
Teamwork: Responsible for educating team members to ensure compliance with policies and procedures; setting team member level goals and accountability; celebrating individual and/or team successes; coaching, mentoring and/or performance counseling.
Risk Management: Identify and evaluate risks to the organizations people, property, finances, goodwill and image and implement measures to mitigate risk and escalates as necessary; Ensures compliance with all local, state and federal regulations.