Denials & Appeals Supervisor – Revenue Cycle

TriHealth

Norwood (OH)

On-site

USD 70,000 - 95,000

Full time

11 days ago
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Benefits offered by this job

Medical, dental, vision
Paid time off
Retirement plans
Tuition reimbursement

Job summary

TriHealth Norwood is seeking a Supervisor Appeals/Denials to lead the Revenue Cycle front‑line staff and ensure staffing and performance align with business needs. The role combines hands‑on leadership with strategic oversight, focusing on recruitment, retention, and development, while upholding TriHealth values.

Preferred candidates have experience with payer contracts, denials, and medical policy; an LPN or RN license is preferred, along with knowledge of PAS, HIM, and PFS areas.

Qualifications

  • Associate’s degree or Diploma in Business, Healthcare, or 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.

Responsibilities

  • Supervise Daily Operations: staffing high performing team members, recruitment, hiring, training, mentoring, coaching, retaining, and performance management.
  • Financial Stewardship: assists budget prep, approves expenditures, steward of resources, monitor expenses.
  • Teamwork: educate team on policies, set goals, celebrate successes, coaching and counseling.
  • Risk Management: identify risks, mitigate, ensure regulatory compliance.

Skills

Leadership
Project management
Team management
Communication
Healthcare revenue cycle knowledge

Education

Associate’s degree or Diploma in Business, Healthcare, or related field
Certified Healthcare Access Manager
Certified Health Finance Manager or other healthcare certification
HFMA, AAHAM, NAHAM, MGMA

Tools

Microsoft Office
Epic

Job description

TriHealth Norwood is seeking a Supervisor Appeals/Denials to lead the Revenue Cycle front‑line staff and ensure staffing and performance align with business needs. The role combines hands‑on leadership with strategic oversight, focusing on recruitment, retention, and development, while upholding TriHealth values.

Preferred candidates have experience with payer contracts, denials, and medical policy; an LPN or RN license is preferred, along with knowledge of PAS, HIM, and PFS areas.

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