Reimbursement & Insurance Verification Specialist (contract)

Sanofi; Cambridge (MA); Remote; USD 41,000 - 54,000; Full time

Job summary

Sanofi is seeking a Reimbursement & Insurance Verification Specialist for a 6-month contract. This fully remote role supports Rare Blood patient services, focusing on reimbursement, insurance verification, and collaboration with Case Managers to streamline access to therapies.

The ideal candidate has frontline healthcare admin experience, proficiency with Salesforce or similar systems, and strong data accuracy with HIPAA compliance.

Qualifications

• Associate degree required; Bachelor's preferred.
• Experience with Salesforce CRM/CMS or applicable case management systems.
• Proficiency in Microsoft Office 365 (Excel, Word, Outlook, PowerPoint).
• Strong data entry skills with high accuracy.
• Ability to perform high-volume outreach to insurance providers for benefit information.
• Clear written and verbal communication and problem-solving abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Maintain confidentiality of sensitive patient information (PII/PHI).

Responsibilities

• Verify insurance coverage, benefits, and eligibility by contacting insurance providers.
• Conduct high-volume payer outreach to gather policy details and reimbursement requirements.
• Research prior authorization requirements and provide documentation to Case Management.
• Follow up on prior authorizations, pending claims and coverage determinations.
• Re-verify benefits to support ongoing treatment.
• Research denied or incomplete claims and help resolve barriers.
• Track pending claims and denials through resolution with updates to internal teams.
• Assist with copay claim issues related to Copay Assistance Program.
• Process new patient enrollment forms and documentation.
• Provide professional customer service via inbound calls and insurer communications.
• Coordinate with team to manage shared work queues and priorities.
• Maintain knowledge of reimbursement processes, billing guidelines, and patient assistance programs.
• Perform accurate data entry and maintain case documentation in Salesforce and other systems.
• Maintain patient confidentiality and HIPAA compliance.

Skills

Data entry accuracy

Communication skills

Problem solving

Time management

Education

Associate degree

Bachelor's degree

Tools

Salesforce CRM

Office 365

Job description

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.