Reimbursement Support Specialist

Job Title: Reimbursement Support Specialist

Location: Remote

About the Job

The Reimbursement Support Specialist (RSS) will support and work collaboratively with Case Managers to facilitate the reimbursement process for our product portfolio. This role is an essential part of the case management process that requires a high level of organization and strong communication skills. The Reimbursement Support Specialist follows standardized workflows as defined by management. This is a skilled position that requires customer service, medical billing and/or healthcare insurance reimbursement experience.  The RSS role is a support services function within a patient program and is not a patient-facing role.

We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood disorders, cancers, and neurological disorders. From R&D to sales, our talented teams work together, revolutionizing treatment, continually improving products, understanding unmet needs, and connecting communities. We chase the miracles of science every single day, pursuing progress to make a real impact on millions of patients around the world.

Main Responsibilities:

• Verify current insurance coverage policies and benefit details through direct contact with medical insurance providers and ensure prompt return of accurate information to facilitate the initiation and ongoing continuity of treatment

• Research and identify insurance company prior authorization processes and provide necessary documents and requirements to Case Management team members

• Follow up with payers to determine status of prior authorizations for enrolled patients

• Re-verify insurance benefits as needed for the patients

• Research denied and improperly processed claims to address potential barriers impacting access to continued treatment

• Track and follow up on in-process claims and denials to the point of resolution providing ongoing cross functional updates

• Assist Patient Support Services team in the resolution of copay claim issues related to Sanofi Copay Assistance Program

• Process new enrollment forms

• Provide quality phone customer service to inbound callers

• Coordinate within the functional Reimbursement Support Specialist team to ensure efficient assignment and distribution of tasks from the shared work queue

• Maintain up-to-date knowledge of the reimbursement process, billing/coding guidelines, dose calculations, healthcare policy, insurance plans, payer trends, financial assistance programs, and related resources

• Complete daily documentation of all interactions and input accurate data on each individual cases, their insurance, coverage approvals and ongoing coverage requirements in CRM Database while maintaining compliance with HIPAA and other regulating bodies as required

• Establish proficiency and full understanding of Sanofi Patient Support Services Customer Relationship database including undertaking of data elements, case statuses and outcomes, and documentation requirements

About You

Minimum Requirements:

• Bachelors Degree preferred

• 1-3 years’ experience in health insurance reimbursement or equivalent applicable work experience preferred

• Effective communication, problem-solving and negotiation skills

• Ability to think critically and problem solve to address customer needs

• Ability to work in a fast-paced environment

• Experience working in a high-volume patient services program preferred

• Experience with Salesforce CRM preferred

• Proficient with MS Word, MS Excel, and MS PowerPoint.

Why Choose Us?

• Bring the miracles of science to life alongside a supportive, future-focused team.​​

• Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally.​​

• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.​

• ​Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave.​

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

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All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs, and additional benefits information can be found here.