Nicole Habros

Dedicated professional in healthcare reimbursement with a proven record of enhancing patient access through effective case management. Collaborates cross-functionally to navigate reimbursement challenges, educating providers on critical processes. Recognized for contributions to efficiency and innovation in specialty medication programs.

• Provide consultative services where issues arise and overcome obstacles to get patient on paid therapy, Communicates with internal/external field team to ensure case coordination, Educates providers about important product reimbursement information, Responsible for sales support, attainment and growth within assigned territory., Prioritize cases where missing information is an obstacle in moving the case forward, Assists offices with submitting prior authorizations and claims/appeals, Provides financial support to patients by enrolling them into Patient Assistance Programs, Prepares daily field report updates for the field reimbursement team. Conducted full medical and pharmacy benefit investigations to verify specialty medication coverage, Followed up on prior authorization/appeal submissions, Verified mandated buy and bill and/or specialty pharmacy requirements with payers, Coordinated with Case Managers to ensure case accuracy, Met daily and monthly goals set by leadership. Maintained a sales record of over 90% for entire tenure in position., Worked in a high-volume call center environment and in Sales Field, Trained new employees in a classroom setting.