{"id":1528647,"url":"https://alion.io/job/trihealth-supervisor-appealsdenials","title":"Supervisor Appeals/Denials","company":{"id":1970563,"name":"TriHealth","domain":"trihealth.com","url":"https://alion.io/company/trihealth","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Oracle","truth_index":{"grade":"B","score":82,"open_postings":12,"ghost_share":0,"stale_share":0.917,"repost_share":0,"time_to_fill_p50_days":20,"computed_at":"2026-10-20T05:45:00Z"}},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"senior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Norwood, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":82000,"max_usd":154000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":5966},"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-09-24T16:32:04Z","employer_posted_date":"2026-09-24","last_verified_at":"2026-10-21T04:36:39Z","board_verified":true,"closed_at":null,"days_open":26,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":26},"description":"Join TriHealth as a Supervisor Appeals/Denials!\nTriHealth 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.\nIn 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.\nApply today and grow your career with a team that truly values you.\nLocation:\nTriHealth Norwood\n\nWork Schedule:\nFull-Time (80 hours bi-weekly)\n\nDay Shift\n\nNo Weekend, Holiday or On Call Commitment\n\nBenefits:\nTriHealth 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\nJob Requirements:\nAssociate’s degree or Diploma in Business, Healthcare, or other related field\n\nEquivalent experience accepted in lieu of degree\n\nCertified Healthcare Access Manager\n\nCertified Health Finance Manager or other healthcare certification\n\nExperience with payer contracts and denials and appeals processes\n\nComputer proficiency with Microsoft Office, Epic, etc.\n\nKnowledge of healthcare rules/regulations for government and commercial payment\n\nProject management\n\nHFMA, AAHAM, NAHAM, MGMA\n\n3-4 years’ experience Professional Healthcare Revenue Cycle\n\nHealthcare provider finance operations or similar service environments required\n\n5-7 years’ experience Management Healthcare\n\nJob Overview:\nSummary: 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.\nJob Responsibilities:\nSupervise 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.\n\nFinancial 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.\n\nTeamwork: (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.\n\nRisk 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.\n\nOther Job-Related Information:\nDirect Report FTEs = 20-29\nWork Environment: Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.\nRequires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.\nRequires lifting papers or boxes up to 25 pounds occasionally.\nWork is performed in an office environment.\nContact may involve dealing with angry or upset people.\nStaff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.\nAble to effectively manage exposure to potentially infectious material per OSHA guidelines.\nWorking Conditions:\nClimbing - Rarely\nConcentrating - Consistently\nContinuous Learning - Frequently\nHearing: Conversation - Consistently\nInterpersonal Communication - Consistently\nKneeling - Occasionally\nLifting \nLifting 50+ Lbs - Rarely\nLifting 11-50 Lbs - Occasionally\nPulling - Rarely\nPushing - Rarely\nReaching - Rarely\nReading - Consistently\nSitting - Frequently\nStanding - Frequently\nStooping - Rarely\nThinking/Reasoning - Consistently\nUse of Hands - Consistently\nColor Vision - Frequently\nWalking - Frequently\nLeadership Performance Standards\nTriHealth 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:\nAchievement of Annual Pillar Goals:\n1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance\nLeadership Competencies:\nTriHealth Way of Leading\nTriHealth Way of Serving\nTransformation Change\nDrive for Results\nBuild Organizational Talent\nLeadership Tactics:\nConduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.\nRegularly Round on Team Members, using questions from the rounding log.\n- 25 or fewer team members = monthly\n- 26-50 team members = every other month\n- 51+ (and optional team members) = quarterly\nLead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.\nModel, coach and validate team members’ use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).\nRecognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.\nTriHealth SERVE Standards and ALWAYS Behaviors\nAt 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:\nServe: ALWAYS...\nWelcome everyone by making eye contact, greeting with a smile, and saying \"hello\"\nAcknowledge when patients/guests are lost and escort them to their destination or find someone who can assist\nRefrain from using cell phones for personal reasons in public spaces or patient care areas\nExcel: ALWAYS...\nRecognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met\nOffer patients and guests priority when waiting (lines, elevators)\nWork on improving quality, safety, and service\nRespect: ALWAYS...\nRespect cultural and spiritual differences and honor individual preferences.\nRespect everyone's opinion and contribution, regardless of title/role.\nSpeak positively about my team members and other departments in front of patients and guests.\nValue: ALWAYS...\nValue the time of others by striving to be on time, prepared and actively participating.\nPick up trash, ensuring the physical environment is clean and safe.\nBe a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.\nEngage: ALWAYS...\nAcknowledge wins and frequently thank team members and others for contributions.\nShow courtesy and compassion with customers, team members and the community","description_format":"text","description_chars":8596,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"associate","optional":false},"security_clearance":false,"languages":[]},"benefits":["Continuous learning","Retirement plans"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Professional Services","Sports"],"lifecycle":[{"event":"open","at":"2026-09-30T15:06:44Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 3","filings_12m":3,"filings_prev_12m":5,"green_card_filings_12m":0,"median_offered_wage_usd":72500,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":26,"band":"fade","label":"Fading","p_open":1,"p_active":0.478,"p_room":0.55,"age_days":25,"expected_fill_days":20,"reasons":["conf:1","stale_co","win:tail","comp:brand"],"computed_at":"2026-10-20T05:45:00Z"},"pay":null,"html_url":"https://alion.io/job/trihealth-supervisor-appealsdenials","json_url":"https://alion.io/job/trihealth-supervisor-appealsdenials.json","meta":{"generated_at":"2026-10-21T05:37:15Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":8248,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-22T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1970563},"rest":"https://alion.io/mcp/rest/get_company?id=1970563"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Ftrihealth-supervisor-appealsdenials"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Ftrihealth-supervisor-appealsdenials"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Ftrihealth-supervisor-appealsdenials"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/trihealth-supervisor-appealsdenials\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Ftrihealth-supervisor-appealsdenials"}]}