Naylet Iglesias MSN, APRN, FNP-BC
Miami,USA
Summary
Strategic, Board-Certified Family Nurse Practitioner with over 10 years of advanced clinical experience seamlessly integrated with deep expertise as a specialty medication access and reimbursement champion. Expert at navigating the complex patient onboarding pipeline for self-injected and infused biologic therapies across gastroenterology and endocrinology landscapes. Master utilizing clinical acumen to resolve dense administrative barriers: driving end-to-end prior authorization and complex appeal management, troubleshooting coding/billing rejections, and securing alternative funding sources. Exceptional matrix field partner skilled at working alongside healthcare providers and pharmaceutical sales consultants to leverage patient support programs, accelerate time-to-therapy, and safeguard clinical continuity.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Family Nurse Practitioner (Telemedicine & Care Access)
OPEN LOOP HEALTH
Remote / Field
12.2025 - Current
- Utilize advanced clinical judgment to review complex patient profiles, directing personalized treatment plans while actively driving the prior authorization and multi-level appeals pipeline for specialized therapies.
- Analyze insurance formularies and clinical trial data to secure rapid treatment access, proactively mitigating administrative and financial roadblocks.
- Educate patients and caregivers on clinical expectations, medication compliance protocols, and the management of potential side effects to support therapy adherence.
Travel Concierge Care Coordinator & Clinical Navigator
JFP NURSING SERVICES
Miami, FL
01.2022 - Current
- Coordinate complex medical logistics and specialty care delivery across fragmented healthcare networks, managing interactions between premium clients, providers, pharmacies, and specialty insurance stakeholders.
Gastroenterology Advanced Practice Registered Nurse (APRN) — Biologics & Access Lead
GASTROMED
Miami, FL
10.2024 - 01.2026
- Served as clinical and patient access lead for complex gastroenterology populations, managing the initiation, clinical tracking, and monitoring of self-injected and infused biologic therapies.
- Leveraged advanced clinical documentation to clear intense reimbursement hurdles, managing end-to-end prior authorizations and building bulletproof appeal packages to overturn insurance denials.
- Resolved complex billing, medical coding, and coverage rejections through comprehensive audits of payer medical policies.
- Identified and secured alternative funding resources, including foundation grants, copay assistance, and manufacturer support programs, to bridge coverage gaps and prevent treatment delays.
- Cultivated compliant partnerships with pharmaceutical sales consultants to leverage medical expertise, HUB services, and dedicated manufacturer programs for streamlined patient access.
Family Medicine / Endocrinology APRN — Access Advocate
PRIVATE PRACTICE
Miami, FL
07.2023 - 10.2024
- Managed advanced clinical care for a high-volume daily caseload requiring specialized endocrine and metabolic therapies.
- Acted as the chief clinical advocate for patients traversing complex prior authorization pathways and specialty-tier coverage restrictions.
- Aligned clinical documentation with payer formulary requirements, substantially reducing initial coverage rejections and establishing high-trust relationships with patients and families.
Gastroenterology APRN — Infusion & Biologic Specialist
DIGESTIVE MEDICINE ASSOCIATES
Miami, FL
01.2017 - 03.2023
- Managed clinical consultations and ongoing treatment monitoring for diverse GI disease states, specializing in the onboarding and management of infusion and biologic therapies.
- Evaluated complex payer policy criteria and researched alternative formularies for non-covered specialty drugs to build successful, clinically sound appeals against therapy denials.
- Collaborated seamlessly with specialty pharmacies and interdisciplinary care teams to guarantee absolute clinical continuity and prevent critical treatment lapses.
- Assisted patients in locating and enrolling in copay cards, external foundation funding resources, and manufacturer free-drug programs.
Nurse Practitioner – Neurosurgery
BAPTIST HEALTH MEDICAL GROUP
01.2016 - 12.2016
Nurse Manager (Care Coordination Lead)
COMPREHENSIVE INTERVENTIONAL PAIN MEDICINE
05.2014 - 12.2015
Registered Nurse (RN)
DR. BUSTILLO FACIAL PLASTIC SURGERY / BAKER PLASTIC SURGERY
04.2007 - 05.2015
Education
Master of Science in Nursing (MSN) - Family Nurse Practitioner
University of Miami
Miami, FL01-2015
Bachelor of Science in Nursing (BSN) - undefined
Florida International University
Miami, FL01-2013
Skills
- Languages: Fully Bilingual (Fluent in written and verbal English & Spanish)
- Technology: CRM Platforms, AI tools, Microsoft Office Suite (Word, Excel, PowerPoint), and various EMR/EHR Systems (Epic, eClinicalWorks, Cerner)
Certification
- Autonomous Advanced Practice Registered Nurse (APRN) – Florida License
- Advanced Practice Registered Nurse (APRN) – Texas License
- Registered Nurse (RN) – Compact/Multi-State License
- Family Nurse Practitioner Board Certified (FNP-BC) – ANCC (Cert #2015011213)
- Advanced Cardiac Life Support (ACLS) & Basic Cardiac Life Support (BCLS) – American Heart Association
CORE PATIENT ACCESS COMPETENCIES
- Biologics & Infusions: Specialty Onboarding Pathways, Advanced Clinical Monitoring, Self-Injected Biologics, Infused Therapies, Specialty Pharmacy Coordination.
- Reimbursement & Appeals: Prior Authorizations, Multi-Level Appeals Management, Denied Claims Resolution, Payer Policy Criteria Analysis.
- Financial Navigation: Alternative Funding Resource Identification, Foundation Grants, Manufacturer Patient Assistance Programs (PAP).
- Cross-Functional Engagement: Provider & Key Opinion Leader (KOL) Liaison, Pharmaceutical Sales Consultant Partnership, Matrix Field Collaboration.
- Compliance & Administration: HIPAA Guidelines, OIG Compliance, FDA Regulatory Frameworks, High-Quality Clinical Documentation, CRM & EHR Systems.
Timeline
Family Nurse Practitioner (Telemedicine & Care Access)
OPEN LOOP HEALTH
12.2025 - Current
Gastroenterology Advanced Practice Registered Nurse (APRN) — Biologics & Access Lead
GASTROMED
10.2024 - 01.2026
Family Medicine / Endocrinology APRN — Access Advocate
PRIVATE PRACTICE
07.2023 - 10.2024
Travel Concierge Care Coordinator & Clinical Navigator
JFP NURSING SERVICES
01.2022 - Current
Gastroenterology APRN — Infusion & Biologic Specialist
DIGESTIVE MEDICINE ASSOCIATES
01.2017 - 03.2023
Nurse Practitioner – Neurosurgery
BAPTIST HEALTH MEDICAL GROUP
01.2016 - 12.2016
Nurse Manager (Care Coordination Lead)
COMPREHENSIVE INTERVENTIONAL PAIN MEDICINE
05.2014 - 12.2015
Registered Nurse (RN)
DR. BUSTILLO FACIAL PLASTIC SURGERY / BAKER PLASTIC SURGERY
04.2007 - 05.2015
Bachelor of Science in Nursing (BSN) - undefined
Florida International University
Master of Science in Nursing (MSN) - Family Nurse Practitioner
University of Miami