Benefits Verification Specialist Graveyard Shift (Taguig)

Cognizant Technology Solutions Corporation

Taguig

On-site

PHP 335,000 - 580,000

Full time

2 days ago

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Job summary

Cognizant is hiring for a Patient Access/Assistance role in Taguig, Philippines. The role handles complex PAP cases, conducts benefits verification, and ensures eligibility through the enrollment process for patients and providers.

The position requires 2–3 years in US healthcare or PAP and at least 1 year handling escalated healthcare support, with strong English communication. Onsite work in Taguig and graveyard shift with fixed weekends off are required.

Qualifications

Bachelor's degree required; allied health/healthcare or related fields preferred.
2–3 years US healthcare experience in PAP, benefits verification, or healthcare BPO operations.
Minimum 1 year handling escalated or advanced healthcare support.
Strong verbal and written English communication.
Willing to work onsite in Taguig City.
Willing to work graveyard shift with fixed weekends off.

Responsibilities

Handle escalated PAP inquiries from patients and providers.
Review and evaluate PAP applications against eligibility guidelines.
Conduct benefit investigations and verify coverage details.
Process approvals, denials, and escalations accurately and efficiently.
Communicate eligibility decisions, status, renewal requirements, and prescriptions updates.
Generate and send approval or denial communications to patients and providers.
Perform outbound calls to complete application requirements and resolve missing information.
Manage cases from intake to resolution with accuracy and compliance.
Escalate unresolved issues to SMEs or client stakeholders as needed.