Boston Medical Center
The RN Appeal Administrator manages the pre-denial, denial, and appeal processes while overseeing Utilization Review to ensure appropriate patient placement and care. The role involves using medical necessity tools like InterQual or MCG to review clinical services, secure payer authorizations, and advocate for reimbursement. This position combines clinical, business, and regulatory expertise to reduce financial risk and improve denial trends through collaboration with clinical teams and payers.
Headquarters
Boston, Massachusetts, United States
Company Size
5001-10000 employees
Boston Medical Center (BMC) is a nonprofit academic medical center and safety-net hospital in Boston that provides award‑winning clinical care to patients across the region. Affiliated with Boston University’s medical school, BMC offers a full range of inpatient, outpatient, specialty, and emergency services—including trauma care, maternal‑child health, primary care, and behavioral health. Guided by a mission to provide exceptional care for all, the hospital emphasizes health equity, serves diverse and underserved communities, and advances research, education, and community health programs.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Boston Medical Center.
Right around the average for this role
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