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Magdalee Rivera

@magdaleerivera

I build healthcare authorization, appeals, and scheduling workflows that protect revenue and prevent treatment delays.

United States
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At Point32Health, I manage medical and pharmacy appeals for denied services, preparing case summaries and determinations under CMS Part C and Part D requirements.

Previously at Baystate Health, I created the Infusion Authorization Program and helped launch Baystate Noble Infusion Services, building scheduling infrastructure, authorization workflows, and referring-office education. I supported more than 40 physician offices, led team operations and training, and resolved multimillion-dollar denials across infusion, oncology, and genetic-testing services.

Across provider and payer settings, I bring 15+ years of experience in patient access, prior authorization, denials, revenue protection, HIPAA compliance, and commercial and government insurance. I'm bilingual in English and Spanish.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

Holyoke Community College logoHC

Holyoke Community College

Associate of Science, Accounting

2026 -

Activities and societies: Phi Theta Kappa

Pursuing accounting studies at Holyoke Community College. Recognized on the Dean's List in Fall 2016.

Tech stack

Software and tools used professionally

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