US Healthcare | Benefits Verification Specialist

Cognizant Technology Solutions Corporation; Taguig; In loco; PHP 335.000 - 580.000; Tempo pieno

Descrizione del lavoro

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.

Competenze

• 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.

Mansioni

• 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.

Conoscenze

PAP experience

US Healthcare

Escalated support

English proficiency

Onsite Taguig

Graveyard shift

Formazione

Bachelor's degree

Allied Health/Healthcare related

Strumenti

Salesforce Health Cloud

CRM platforms

Five9

Descrizione del lavoro

Handle complex Patient Assistance Program (PAP) cases by evaluating applications, conducting benefits verification, determining eligibility, and supporting patients and healthcare providers throughout the enrollment process.

Key Responsibilities

• Handle escalated and complex PAP inquiries from patients and healthcare providers.


• Review and evaluate patient assistance applications against program eligibility guidelines.


• Conduct benefit investigations and verify insurance coverage details.


• Process approvals, denials, and application escalations accurately and efficiently.


• Communicate eligibility decisions, application status, renewal requirements, and prescription updates.


• Generate and send approval or denial communications to patients and healthcare providers.


• Perform outbound calls to complete application requirements and resolve missing information.


• Manage cases from intake to resolution while maintaining accuracy and compliance.


• Escalate unresolved issues to SMEs or client stakeholders as needed.

Qualifications

• Bachelor's degree required; Allied Health, Healthcare, Business, or related courses preferred.


• At least 2-3 years of experience in US Healthcare, Patient Access, Patient Assistance Programs (PAP), Benefits Verification, Reimbursement Support, or Healthcare BPO Operations.


• Minimum of 1 year experience handling escalated or advanced healthcare support functions.


• Strong verbal and written English communication skills.


• Excellent decision-making, problem-solving, and customer service skills.


• Ability to explain complex eligibility decisions and handle sensitive patient situations professionally.


• Willing to work onsite in Taguig City.


• Willing to work on a Graveyard Shift schedule with fixed weekends off.

Preferred Skills

• Experience in Benefits Verification, Prior Authorization, Insurance Verification, Reimbursement Support, Patient Access, or Specialty Pharmacy Programs.


• Knowledge of Patient Assistance Programs (PAP) and healthcare eligibility requirements.


• Experience using Salesforce Health Cloud, CRM platforms, Five9, or similar healthcare systems.


• Strong case management, document review, and healthcare claims processing experience.


• Background in Healthcare, Health Insurance, Specialty Pharmacy, Patient Support Services, or Provider Services is highly preferred.

Why Join Us:

At Cognizant, we don’t just offer jobs—we build careers that thrive in the digital era.

• Growth That Matters – Clear career paths, continuous learning, and opportunities to move into leadership or specialized roles. You’re not just filling a seat—you’re building a future.


• Support That Empowers – A collaborative culture where your voice is heard, your ideas matter, and your well-being is prioritized through strong benefits and work-life balance.


• Impact That Inspires – Work on global accounts that shape industries, influence millions of users, and give you a sense of purpose beyond the paycheck.

Your future starts here—grow, thrive, and make an impact with Cognizant.