Reimbursement & Insurance Verification Specialist (contract)

Title: Reimbursement & Insurance Verification Specialist Location: Fully Remote – No Travel Required Pay range-$30.00-$39.00 Work Schedule: 1st shift hours Mon-Fri 9 am to 5 pm Contract Duration: 6 Months, with Potential for Extension Sanofi's contingent workforce program, FLEXT Direct, is seeking a Reimbursement & Insurance Verification Specialist for a 6-month contract opportunity with potential for extension. This position is fully remote, with no travel required. About The Job Sanofi's Rare Blood patient support program assists individuals living with rare blood disorders by providing financial assistance, education, and support navigating access to prescribed therapies. The Reimbursement & Insurance Verification Specialist will work collaboratively with Case Managers to facilitate reimbursement processes, verify insurance coverage, and support patient access to treatment. This role requires strong organizational skills, attention to detail, and effective communication. The position involves high-volume outreach to insurance providers, accurate documentation, and adherence to standardized workflows. This is an administrative support role and is not patient-facing. Job Responsibilities Verify insurance coverage, benefits, and eligibility by contacting medical insurance providers to obtain accurate and timely information. Conduct high-volume payer outreach to research insurance policies, benefit details, and reimbursement requirements. Research prior authorization requirements and provide necessary documentation and information to Case Management team members. Follow up with insurance providers regarding prior authorization statuses, pending claims, and coverage determinations. Re-verify insurance benefits as needed to support continued treatment. Research denied or incomplete claims and assist with resolving reimbursement barriers. Track pending claims and denials through resolution while providing timely updates to internal teams. Assist with copay claim issues related to Sanofi's Copay Assistance Program. Process new patient enrollment forms and supporting documentation. Provide professional customer service through inbound calls and communication with insurance providers. Coordinate with team members to manage shared work queues and prioritize tasks. Maintain knowledge of healthcare reimbursement processes, medical billing and coding guidelines, insurance policies, and patient assistance programs. Perform accurate data entry and maintain detailed case documentation in Salesforce CRM/CMS and other applicable systems. Maintain patient confidentiality and ensure compliance with HIPAA, Sanofi policies, and regulatory requirements. Minimum Requirements Associate degree required; Bachelor's degree preferred. Experience with Salesforce CRM/CMS or applicable case management systems. Strong proficiency in Microsoft Office 365, including Excel, Word, Outlook, and PowerPoint. Strong data entry skills with excellent accuracy and attention to detail. Ability to perform high-volume outreach to insurance providers and obtain accurate benefit and coverage information. Strong written and verbal communication, customer service, and problem-solving skills. Ability to manage multiple priorities and meet deadlines in a fast-paced, high-volume environment. Ability to handle sensitive patient information (PII/PHI) with confidentiality and discretion. Preferred Qualifications 1–3 years of experience in healthcare reimbursement, pharmaceutical reimbursement, insurance verification, or comparable healthcare experience. Experience with prior authorizations, claims processing, and medical billing. Familiarity with patient assistance programs, copay assistance, and enrollment processing. Experience processing enrollment forms, fax documentation, and other healthcare administrative tasks. Previous experience supporting high-volume patient services or healthcare reimbursement programs. #J-18808-Ljbffr Sanofi