Behavioral Healthcare Representative - Taguig City
Cognizant is a global organization serving clients across multiple industries with a deep set of offerings provided by our practice areas and supported by corporate and enabling functions. Employing roughly 270,000 talented associates worldwide, Cognizant is dedicated to anticipating and solving clients’ toughest problems and enabling them to thrive in the digital era. Join us and Be Cognizant!
About the role
As a Behavioural Healthcare Representative at Cognizant Technology Solutions Philippines Inc., you will play a crucial role in providing high-quality care and support to individuals with mental health and behavioural challenges. This full-time position is based in Taguig City Metro Manila, allowing you to make a meaningful impact within the local community.
What you'll be doing
- Conducting comprehensive assessments to understand the unique needs of each client
- Successfully conduct pre-authorizations and utilization reviews of behavioral health, substance abuse and mental health cases.
- Advocate with and for our client’s patients with health insurers to obtain optimal authorization for treatment. Interfaces with clients to obtain necessary clinical documentation for reviews, outcomes and discharge planning
- Communicates with insurance and managed care companies to inform them of diagnoses and health status of clients.
- Represent multiple facilities in utilization reviews, peer-to-peer reviews, etc. in a professional manner.
- Effectively train and influence facility treatment centers on best practices for recording medical records, increasing authorizations, etc.
- Demonstrate and value adherence to policies pertaining to patient privacy, following all HIPAA requirements.
What we're looking for
- College graduate of any Behavioural or related course
- At least 2-3 years of utilization review and/or clinical experience; emphasis in dual diagnosis with mental health and substance abuse preferred.
- DSM V Experience
- ASAM criteria comprehension
- Experience with pre-authorization and utilization reviews
- Excellent problem-solving and critical thinking skills to navigate complex client situations
- Proficiency with Best Notes, Kipu, Availity, and Change Healthcare preferred.
- Demonstrates understanding of billing revenue codes CPT/HCPCS, diagnosis codes/lCD - 10
What we offer
At Cognizant Technology Solutions Philippines Inc., we are committed to providing our employees with a supportive and rewarding work environment. Some of the key benefits you can expect include:
- Competitive salary and performance-based bonuses
Comprehensive health and wellness benefits, including medical, dental, life insurance and educational assistance
- Generous paid time off, including holidays, vacation days, and sick leave
- Opportunities for professional development and career advancement
- Collaborative and inclusive company culture that values work-life balance
Company profile
About Cognizant
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Our associates—connected by our global delivery network—are committed to using their strategic insight, technology expertise and deep industry and business process experience to help clients harness the forces shaping the future of work.
As one of the fastest growing companies in the Philippines, our clients continually benefit from our award-winning client-first culture. We deliver a distinctly superior experience to our clients by nurturing strong relationships, continuing our investments in industry-leading processes and building strong local teams and capabilities.
We deliver on our commitments by embodying our six Cultural Values namely Customer Focus, Passion, Collaboration, Integrity, Transparency, and Empowerment.
We are gratified that our passion for building stronger businesses is consistently recognized by independent sources and customers. Recent accolades include:
Ranked #185 on the Fortune 500 (July 2021)Ranked #524 in Forbes Global 2000 (May 2019)Named in the list of Financial Times Leading Management Consultant (Jan 2019)Ranked #461 in Forbes America's Best Employers (April 2019)Named among World’s Most Admired Companies by Fortune (Jan 2019)Ranked #483 in Forbes the Best Employers for Diversity (Jan 2019)Ranked #87 in Forbes Top 100 Digital Companies (Sept 2018)ICT Awards Best Company of the Year (2018)ICT Awards Best Company for Health Innformation Management Services (2018)ICT Awards Best C-Suite Team of the Year (2018)
Recruitment Sites:
2nd Floor Science Hub Tower 4 No. 110 Campus Avenue, McKinley Hill Fort Bonifacio, Taguig City 11th Floor Vector 3 Bldg. Northgate CyberzonE Alabang, Muntinlupa City 11th Floor Skyrise 4 Bldg. Block 2 Lot 4 Cebu IT Park Lahug, Cebu City Ground Floor Giga Tower Bridgetowne, Libis Quezon City
Telephone number:
World Headquarters
500 Frank W. Burr Blvd.
Teaneck, NJ 07666
USA Phone: +1 201 801 0233
Fax: +1 201 801 0243
Toll Free: +1 888 937 3277
European Headquarters
1 Kingdom Street
Paddington Central
London W2 6BD
Phone: +44 (0) 20 7297 7600
Fax: +44 (0) 20 7121 0102
Report this job advert
- Role descriptions
- Salary insights
- Tools to help you prepare for jobs