Top 24892 Resource specialist Jobs

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Reimbursement Resource Specialist (contract)
Sanofi —Remote
- Contract
- Remote
- Microsoft Excel
- Writing skills
- HIPAA
3d
HR Specialist/Executive Assistant
MCH Consulting Services LLC —Washington, DC
- Full-time
- Mid-level
- Office
Quick Apply
People Operations Associate
Whatnot —San Francisco, CA
- $95,000 - $105,000 a year
- Full-time
- Remote
- Google Workspace
- Mid-level
- 3 years
Benefit Support Specialist
Proliant —Remote
- Mid-level
- 2 years
Quick Apply
Personnel Specialist
Massachusetts Federal Public Defender —Boston, MA
- $69,905 - $131,790 a year
- Full-time
- Mid-level
Human Resource Specialist
Gnostech —Arlington, VA
- Full-time
- 5 years
- Bachelor of Science
- Mid-level
- Paid training
- Health savings account
Entry - Level Talent Acquisition Specialist
American Advanced Materials —New York, NY
- $31.32 - $37.92 an hour
- Part-time
- Hybrid work
- Bachelor's degree
- Business
- Communication skills
- Health insurance
- 401(k)
Quick Apply
10d
FMS Human Resource Specialist
Gnostech —Arlington, VA
- Full-time
- 5 years
- Bachelor of Science
- Writing skills
- Paid training
- Health savings account
Military Personnel Specialist
Hyperion Biotechnology —Fairbanks, AK
- From $16.95 an hour
- Full-time
- Writing skills
- English
- Mid-level
Quick Apply
Senior Compensation and Benefits Analyst
PIP Global Safety —Latham, NY
- $72,000 - $95,000 a year
- HIPAA
- Research
- Office
- Health insurance
- Dental insurance
Quick Apply
Staffing Coordinator (Temporary)
Condor Security of America Inc. —Salinas, CA
- $23 - $25 an hour
- Full-time
- Background check
- 18 years or older
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Field Biologist / Natural Resource Specialist (Texas)
Eco & Associates, Inc. —Eagle Pass, TX
- $25 - $32 an hour
- Full-time
- Construction site
- Bachelor of Science
- Mid-level
- Commuter assistance
- Health insurance
Quick Apply
Human Resources Specialist - Accounting Assistant
Carter Agri Systems/Carter Griffin —Lund, NV
- Full-time
- Mid-level
- Administrative experience
- Data entry
- Health insurance
- Dental insurance
Quick Apply
Senior Labor and Employee Relations Specialist
Kasselman Electric Co., Inc. —Menands, NY
- $95,000 - $105,000 a year
- Full-time
- Mid-level
- Office
- Master's degree
- Health savings account
- Health insurance
Quick Apply
2d
Cultural Resource Specialist (Review & Compliance Archaeologist)
GeoVision —Warm Springs, OR
- From $115,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Master's degree
- Health savings account
- Health insurance
Quick Apply
1d
Sr. Compensation Analyst
Vestis —Roswell, GA
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Office
Quick Apply
Director of Human Resources
Asolo Repertory Theatre —Sarasota, FL
- $75,000 - $80,000 a year
- Full-time
- Background check
- 5 years
- Research
- Health savings account
- Paid holidays
Quick Apply
Credentialed Special Ed Teachers - Resource Specialist (Mild to Mod) & Deaf and Hard of Hearing
VerbaCare Inc —Berkeley, CA
- $68 - $73 an hour
- Full-time
- School experience
- Experience working with individuals with disabilities
- Teaching Certification
- Continuing education credits
- Health insurance
Quick Apply
4d
Human Resources Generalist
Legendary Fruit —Manson, WA
- $35 - $37 an hour
- Full-time
- Spanish
- 5 years
- English
- Health insurance
- Dental insurance
Quick Apply
Training & Recruiting Coordinator
Camco Chemical —Florence, KY
- Spanish
- English
- Mid-level
5d

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Reimbursement Resource Specialist (contract)

Sanofi -
Remote

Apply Now

Job Details

Contract
3 days ago

Qualifications

Microsoft Excel
Documentation tools
Bachelor's degree
Productivity software
Technical Proficiency
Negotiation

Full Job Description

Sanofi's contingent workforce program, FLEXT Direct, is seeking a Reimbursement Resource Specialist for a 6-month contract, with the possibility of extension.

Work Schedule & Location

Employment Type: Contract Employee
Duration: 6 months (possible extension)
Location: Fully Remote
Work Hours: 9:00 AM – 5:00 PM EST
Training: Initial onsite training (1 week) required within 2–3 months after onboarding
Travel: Must be willing to travel for training; reimbursement will be provided

Position Details

Position Title: Reimbursement Resource Specialist
Department: Patient Support Services – PSS Case Management
Job Family: PSS Operations

Role Summary

The Reimbursement Support Specialist will support and work collaboratively with Case Managers in the Rare Blood Disorders and Onc business to support enrollment processing for our Rare Hematology and Onc portfolio, assist with the facilitation of the reimbursement process for our Rare Hematology product portfolio, which includes assisting with benefit investigations and being the first in line for inbound calls.

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 and/or healthcare insurance reimbursement experience.

Key Responsibilities

Assist with the verification of insurance coverage policies and benefit details through direct contact with medical insurance providers with prompt communication of accurate information to facilitate the initiation and ongoing continuation of treatment.
Research and identify insurance company prior authorization processes and provide necessary documents and requirements to Case Management team members.
Re-verify insurance benefits and coverage as needed to assist the Case Management Team with prompt service for Patients and Facilities.
Assist case management team in the resolution of co-pay claim issues related to Sanofi Co-Pay Assistance Program.
Maintain up-to-date knowledge of the reimbursement process, healthcare policy, insurance plans, payer trends, financial assistance programs, and related resources.
Complete daily documentation of all interactions and input accurate data, which includes inbound phone calls, prescription information, insurance and PBM information, coverage approvals and/or denials, prior authorization information and ongoing coverage requirements in the iCare Database while maintaining compliance with HIPAA and other applicable healthcare and privacy regulations.
Establish proficiency and full understanding of the Sanofi Rare Blood Disorders and Onc Patient Support Services Customer Relationship database, including understanding of data elements, case statuses and outcomes, and documentation requirements.
Receive and report all Adverse Events and Product Technical Complaints to Pharmacovigilance in accordance with Sanofi, Rare Blood Disorders and FDA rules and regulations.
Support Specialty Pharmacy referral process.
Support management of the Case Management shared email inbox.

Required Qualifications

Bachelor's degree required.
4–5 years of experience in health insurance reimbursement, medical billing, or equivalent applicable work experience.
Effective communication, problem-solving, and negotiation skills required.
Ability to think critically and problem solve to address customer needs.
Ability to work collaboratively and independently in a fast-paced environment.
Proficient with Microsoft Office, including Word, Excel, and PowerPoint.

Technical Skills

Proficiency in Microsoft Office Suite, particularly Excel and Word.
Familiarity with CRM systems and operational platforms.
Strong attention to detail and data entry accuracy.
Basic understanding of operational workflows and procedures.

Core Competencies

Excellent organizational and time management skills.
Strong communication and interpersonal abilities.
Ability to follow detailed instructions and procedures.
Commitment to accuracy and quality in operational execution.
Adaptability to changing operational requirements.

Core Competencies & Skills

Attention to Detail: Ensures accuracy in all operational tasks and documentation.
Organizational Skills: Effectively manages multiple tasks and priorities.
Communication: Clearly conveys information both verbally and in writing.
Teamwork: Collaborates effectively with cross-functional teams.
Adaptability: Adjusts to changing operational needs and processes.
Problem-Solving: Identifies and reports operational issues effectively.
Time Management: Efficiently manages workload and meets deadlines.
Compliance Orientation: Adheres to regulatory and company policies.

Success Metrics

Consistent adherence to standard operating procedures.
Accuracy and timeliness of operational task completion.
Quality of documentation and record-keeping.
Effective utilization of operational systems and tools.
Contribution to team operational goals and objectives.
Compliance with quality and regulatory standards.
Positive feedback from cross-functional team members.

Preferred Qualifications

Experience working in a high-volume patient services program preferred.
Experience with Salesforce CRM preferred.

Travel Requirements

Minimal travel expected, primarily for occasional team meetings or training sessions.

Reporting Structure

Reports to: Senior Director, Operations and Case Management

Apply Now

Refine Your Search

resource specialist jobs

Reimbursement Resource Specialist (contract)

HR Specialist/Executive Assistant

People Operations Associate

Benefit Support Specialist

Personnel Specialist

Human Resource Specialist

Entry - Level Talent Acquisition Specialist

FMS Human Resource Specialist

Military Personnel Specialist

Senior Compensation and Benefits Analyst

Staffing Coordinator (Temporary)

Field Biologist / Natural Resource Specialist (Texas)

Human Resources Specialist - Accounting Assistant

Senior Labor and Employee Relations Specialist

Cultural Resource Specialist (Review & Compliance Archaeologist)

Sr. Compensation Analyst

Director of Human Resources

Credentialed Special Ed Teachers - Resource Specialist (Mild to Mod) & Deaf and Hard of Hearing

Human Resources Generalist

Training & Recruiting Coordinator

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