Supervisor Appeals/Denials

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.

Location:

• TriHealth Norwood

Work Schedule:

• Full-Time (80 hours bi-weekly)

• Day Shift

• No Weekend, Holiday or On Call Commitment

Benefits:

TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits

Job 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

Job Overview:
Summary: This position will supervise front line staff within a specific area of the larger Revenue Cycle team, as well as be a working supervisor when needed, to ensure the department is properly staffed to meet business obligations. The candidate will work to provide excellent customer experience and successful team outputs, as measured by key performance indicator results. This will be accomplished through recruitment and retention of high performers and performance management efforts when necessary and ensuring a safe environment for team members and customers, fostering teamwork and team development and being a good steward of TriHealth resources. 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 and a current license as an LPN or RN is preferred. Knowledge and/or experience in other areas of revenue cycle (PAS, HIM, PFS) is preferred.

Job Responsibilities:

• Supervise Daily Operations: (a) 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: (a) Assists in the budget preparation process as necessary; (b) Approves expenditures within delegated authority; (c) Act as a steward of TriHealth resources; (d) Monitor department expenses compared to budget.

• Teamwork: (a) Responsible for educating team members to ensure compliance with policies and procedures; (b) setting team member level goals and accountability; (c) celebrating individual and/or team successes; (d) coaching, mentoring and/or performance counseling.

• Risk Management: (a) Identify and evaluate risks to the organizations people, property, finances, goodwill and image and implement measures to mitigate risk and escalates as necessary; (b) Ensures compliance with all local, state and federal regulations.

Other Job-Related Information:
Direct Report FTEs = 20-29
Work Environment: Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.
Requires lifting papers or boxes up to 25 pounds occasionally.
Work is performed in an office environment.
Contact may involve dealing with angry or upset people.
Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.

Able to effectively manage exposure to potentially infectious material per OSHA guidelines.
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Frequently
Hearing: Conversation - Consistently
Interpersonal Communication - Consistently
Kneeling - Occasionally
Lifting <10 Lbs - Frequently
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Occasionally
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Frequently
Stooping - Rarely
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Frequently
Walking - Frequently
Leadership Performance Standards
TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results:
Achievement of Annual Pillar Goals:
1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance
Leadership Competencies:
TriHealth Way of Leading
TriHealth Way of Serving
Transformation Change
Drive for Results
Build Organizational Talent
Leadership Tactics:
Conduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.
Regularly Round on Team Members, using questions from the rounding log.
- 25 or fewer team members = monthly
- 26-50 team members = every other month
- 51+ (and optional team members) = quarterly
Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.
Model, coach and validate team members’ use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).
Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS...
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS...
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community