Careers

Job location - Kochi (Work from office)
Shift timing - 8am IST to 5pm IST

Are you a creative thinker with a passion for design?

Join our team as a UI/UX Senior Designer and bring your expertise in visual storytelling to craft engaging user experiences!

Key Responsibilities:

✅ Design intuitive user interfaces for web and mobile applications

✅ Create compelling posters, brochures, and marketing materials

✅ Develop vector illustrations and custom graphics

✅ Design sleek and modern websites

✅ Animate GIFs to enhance visual storytelling (added advantage)

Requirements:

✔️ Proficiency in Figma, Adobe XD, Photoshop, and Illustrator

✔️ Strong knowledge of typography, color theory, and branding

✔️ Hands-on experience in poster making, brochure design & web design

✔️ Ability to create vector-based illustrations

✔️ Understanding of UI/UX principles and usability best practices

✔️ Knowledge of motion graphics and GIF creation is a plus

Why Join Us?

✨ Work on diverse creative projects

✨ Collaborative and innovative work environment

✨ Competitive salary & benefits

Interested? Send your portfolio and resume to incareers@cliniqon.com

Job Summary

We are seeking a skilled and detail-oriented ABA Medical Biller to join our revenue cycle team. This role is responsible for ensuring accurate and timely billing for Applied Behavior Analysis (ABA) services, including claim submission, denial resolution, and payment posting. The ideal candidate will have a strong understanding of ABA billing guidelines and be proficient in using various billing platforms and payer portals.
 

Responsibilities

• Submit accurate and compliant claims for ABA therapy services using correct CPT, ICD-10, and HCPCS codes.
• Verify insurance benefits, authorizations, and eligibility for ABA treatment.
• Track, review, and follow up on unpaid or denied claims to ensure prompt reimbursement.
• Manage denial resolution, including identifying reasons for denials and taking appropriate corrective actions.
• Post payments from insurance payers and patients accurately and reconcile patient accounts.
• Communicate with insurance companies to resolve claim discrepancies or authorization issues.
• Collaborate with clinical and administrative staff to ensure accurate documentation and billing information.
• Maintain up-to-date knowledge of ABA billing regulations and payer-specific requirements.
• Generate reports related to accounts receivable, denials, and billing activity as needed.
• Uphold confidentiality and compliance with HIPAA and other regulatory standards.

Requirements

• High school diploma or equivalent; Associate’s degree or higher preferred.
• Minimum of 1–2 years of medical billing experience, with a focus on ABA or behavioral health services.
• Strong understanding of ABA therapy billing requirements, coding, and insurance processes.
• Proficiency in billing software and platforms such as CentralReach, Office Ally, Kareo, Availity, or similar systems.
• Experience with electronic claim submissions and working with payer portals.
• Knowledge of CPT, ICD-10, and HCPCS coding for ABA services.
• Ability to manage multiple tasks with attention to detail and accuracy.
• Strong organizational, communication, and problem-solving skills.
• Ability to work independently and meet deadlines in a remote or office setting.

Preferred Qualifications

• Experience with Medicaid and commercial insurance billing for ABA services.
• Familiarity with denial management processes and A/R follow-up strategies.
• Bilingual (Spanish or other languages) is a plus.
• Experience generating and interpreting billing and revenue reports.
• Certification in medical billing or coding (e.g., CPC, CMRS) is a plus.

CLINICAL INTAKE COORDINATORS
Philippine-based employee only

Job Summary:

The Clinical Intake Coordinator is responsible for managing patient referrals and coordinating intake processes for home health and hospice care. This role involves assessing referrals, verifying insurance coverage, obtaining necessary clinical documentation, and ensuring a smooth admission process while maintaining effective communication with clinicians, facility staff, and the agency's onshore team.

Qualifications:

• Registered Nurse (RN)
• Experience with MatrixCare
• In-depth knowledge of:
  • Private and government-funded insurance plans
  • Home health and hospice eligibility
  • Benefits verification (coinsurance, copay, deductible)
• Ability to read and interpret patient charts (H&P/HPI, diagnosis, medications)

System and Portal Experience:

• Referral Portals: Epic Yale, Epic Hartford, Epic UConn, Epic Middlesex, Navi, CarePort
• Other Systems: PCC, BambooHealth
• Insurance Portals: NGSConnex, CT DSS, Availity, UHC

Key Responsibilities:

• Assess home health and hospice referrals according to agency guidelines
• Determine palliative or hospice appropriateness
• Verify insurance coverage and benefits
• Obtain necessary clinical information prior to admission
• Create patient charts in the EMR and attach relevant clinical documentation
• Monitor patient discharge status and verify discharge paperwork
• Provide updates to the agency’s hospitalization and scheduling departments on patient status
• Handle inbound and outbound calls with patients, families, and healthcare providers
• Respond to emails and manage referrals received through portals

Communication and Collaboration:

• Build and maintain strong relationships with onshore agency staff, clinicians, and facility staff
• Effectively communicate with multidisciplinary teams to ensure smooth patient transitions

Skills:

• Strong verbal and written communication skills
• Ability to manage multiple tasks and prioritize effectively
• Attention to detail and problem-solving abilities

Position: Registered Nurse- Hospice Care
Philippine-based employee only

Position Overview:

We are seeking a compassionate and experienced Registered Nurse (RN) to join our dedicated hospice care team. The ideal candidate will have a background in managing medical record requests, performing Functional Capability Assessment Reports (FCAR), and conducting Quality Assurance and Performance Improvement (QAPI) activities on a monthly and quarterly basis.

Key Responsibilities:

• Medical Record Request Management:
  • Review, check, and approve medical record requests in compliance with HIPAA regulations.
  • Ensure all necessary medical documentation is properly completed and submitted on time.
• Functional Capability Assessment Report (FCAR):
  • Conduct and document FCARs to assess patients' functional capabilities and care needs.
  • Collaborate with interdisciplinary teams to develop and adjust care plans based on FCAR findings.
• Quality Assurance and Performance Improvement (QAPI):
  • Assist in the monthly and quarterly QAPI process, ensuring continuous quality improvement in patient care and operational processes.
  • Collect and analyze data to identify trends, and areas for improvement, and implement corrective actions as needed.

Qualifications:

• License/Certification:
  • Current, valid Registered Nurse (RN) license.
• Experience:
  • Minimum of 2 years of clinical nursing experience, with at least 1 year in hospice or palliative care preferred.
  • Experience with medical record management and approval processes.
  • Familiarity with completing FCARs and engaging in QAPI activities.
• Skills:
  • Strong knowledge of hospice regulations and standards of care.
  • Excellent communication and interpersonal skills.
  • Ability to manage multiple tasks, prioritize effectively, and work independently.
  • Proficiency with electronic health records (EHR) systems.

Job Title: Assistant Manager – RCM

Location: Kochi (Work from office only)
Job Type: Full-time (6:30p – 3:30a IST)

Job Summary:

The Assistant Manager – Medical Billing Department is responsible for supporting the Medical Billing Manager in overseeing daily billing operations, ensuring accurate claim submissions, managing denials, and optimizing revenue cycle processes. This role requires strong leadership, problem-solving skills, and a deep understanding of medical billing, coding, and insurance regulations. Additionally, the role includes overseeing the Accounts Receivables (AR) department and team to ensure timely collections and resolution of outstanding balances.

Key Responsibilities:

1. Billing Operations Oversight:
   • Assist in managing the daily operations of the medical billing team to ensure efficiency and compliance.
   • Ensure accurate and timely claim submissions to payers, including Medicare, Medicaid, and commercial insurance.
   • Monitor the billing workflow to identify and resolve bottlenecks.
   • Supervise the reconciliation of daily billing transactions and ensure proper documentation.
   • Oversee the verification and correction of patient billing data before submission.
2. Denial and Rejection Management:
   • Review and analyze claim denials and rejections, ensuring timely resolution.
   • Work with payers to identify trends in denials and implement corrective actions.
   • Assist in developing strategies to improve first-pass claim acceptance rates.
   • Coordinate with coding specialists to rectify coding errors causing denials.
   • Ensure proper follow-ups on resubmitted claims and track resolution timelines.
3. Compliance and Regulatory Adherence:
   • Ensure compliance with HIPAA, payer regulations, and industry standards.
   • Stay updated on coding changes, payer policies, and government regulations affecting medical billing.
   • Conduct regular audits to maintain billing integrity and prevent fraud.
   • Train staff on compliance updates and regulatory changes.
   • Implement internal controls to prevent billing errors and fraudulent activities.
4. Revenue Cycle Optimization and Accounts Receivables Oversight:
   • Collaborate with the RCM team to improve collections and reduce outstanding accounts receivable.
   • Monitor key performance indicators (KPIs) and implement improvements for financial efficiency.
   • Assist in developing and maintaining billing policies and procedures.
   • Oversee the management of payment posting and refund processing.
   • Ensure proper coordination between billing and collections teams to maximize revenue.
   • Oversee the Accounts Receivables (AR) department and team, ensuring timely follow-ups on outstanding claims and patient balances.
   • Implement strategies to reduce days in accounts receivable and improve cash flow.
   • Conduct regular AR aging reports review and take corrective actions as needed.
   • Track and report monthly KPIs, including claim acceptance rates, denial rates, collection efficiency, and AR aging trends.
5. Team Leadership and Training:
   • Support hiring, training, and mentoring of billing staff.
   • Conduct performance evaluations and provide feedback to enhance team productivity.
   • Address staff concerns and facilitate a positive work environment.
   • Develop training programs to enhance billing staff expertise.
   • Monitor and assess team workload to ensure balanced distribution of tasks.
6. Client and Provider Relations:
   • Act as a liaison between the billing department, healthcare providers, and payers to resolve billing issues.
   • Ensure excellent customer service when handling inquiries from providers and patients.
   • Assist in contract negotiations with payers when necessary.
   • Address and resolve provider complaints related to billing and reimbursements.
   • Maintain detailed records of payer communication and contractual agreements.
     7. Non-Clinical  Team Management
   • Develop and uphold intake procedures to enhance workflow efficiency and service delivery.
   • Manage scheduling modifications, including adjustments, cancellations, and rescheduling requests.
   • Ensure timely submission and follow-up on authorization requests.
   • Uphold compliance with payer requirements and regulatory standards.
   • Monitor and report authorization statuses to prevent service disruptions.
   • Oversee order workflows and implement process improvements for greater efficiency.

Qualifications & Skills:

• Minimum 3–5 years of experience in medical billing, coding, and revenue cycle management.
• Strong knowledge of CPT, HCPCS, ICD-10 coding, and payer reimbursement policies.
• Experience with electronic health record (EHR) and billing software.
• Excellent leadership, communication, and problem-solving skills.
• Ability to analyze data and make data-driven decisions.
• Familiarity with HIPAA regulations and compliance requirements.

Job Title: Report Analysts

Location: Kochi 
Department: Business Intelligence 

Job Overview: 

We are seeking a highly motivated and detail-oriented Report Analyst to join our team. In this role, you will be responsible for analyzing business processes, identifying areas for improvement, and recommending solutions to drive operational efficiency and effectiveness. You will collaborate closely with stakeholders, including management, operations, and IT teams, to gather requirements, define business needs, and ensure successful implementation of solutions. 

Key Responsibilities: 

• Data Analysis and Reporting: Collect, analyze, and interpret large datasets from various sources to identify trends, patterns, and business opportunities. 
• Dashboard Development: Design, develop, and maintain interactive dashboards and reports using BI tools (e.g., Power BI, Excel, VBA, etc.). 
• Data Integration: Integrate data from multiple sources, ensuring consistency, accuracy, and timeliness for reporting and analysis. 
• Business Insights: Provide actionable insights and recommendations based on data analysis to support decision-making processes across departments. 
• Data Quality Management: Monitor and ensure data integrity, cleanliness, and consistency across various systems and reports. 
• Trend Analysis: Identify and track key business metrics, industry trends, and competitor benchmarks to support strategic initiatives. 
• Performance Tracking: Track and report on business performance against set KPIs, providing detailed analysis to leadership. 
• Tool and Process Improvement: Continuously assess and recommend improvements to BI tools, systems, and processes to enhance efficiency and effectiveness. 

Skills & Qualifications: 

• Bachelor’s degree or in a related field (or equivalent experience). 
• 1-3 years of experience in MIS, business intelligence, data analysis, or a similar role. 
• Proficiency in BI tools (Excel, Power BI, VBA Macro, etc.). 
• Experience with Excel, including advanced functions and pivot tables. 
• Analytical Skills: Strong analytical skills with the ability to interpret complex data and generate actionable insights. 
• Communication: Excellent verbal and written communication skills, with the ability to present data findings to non-technical stakeholders. 
• Problem-Solving: Strong problem-solving skills with the ability to address complex business challenges through data-driven solutions. 
• Attention to Detail: High attention to detail, with the ability to ensure the accuracy and reliability of data reports. 
• Project Management: Ability to handle multiple projects simultaneously and work under tight deadlines. 

Working Conditions: 

• Full-time position and Only Work from Office 
• Should be from BPO / Healthcare Industry 

Shift timing - 6.30pm to 3.30am (US shift) Monday to Friday

Job location - Kochi

Job Summary:
We are seeking a skilled Healthcare Accounts Receivables Denial Analyst with a minimum of 2 years of experience to join our team. This role involves managing and analyzing healthcare claims, with a primary focus on identifying, analyzing, and resolving claim denials. The ideal candidate will have a strong understanding of healthcare billing practices, denial management processes, and payer requirements to optimize reimbursement for healthcare services. Experience in Home Health and Hospice is preferred.

Key Responsibilities:

• Review and analyze denied claims to identify root causes and trends in claim rejections.
• Collaborate with internal teams to develop and implement effective denial resolution strategies.
• Ensure claims are reworked, appealed, and resubmitted per payer guidelines.
• Perform root cause analysis to reduce future denials and educate the team on best practices.
• Maintain knowledge of CPT, HCPCS, ICD-10 codes, payer policies, and medical terminology.
• Track and report on denial rates, trends, and resolution status to support continuous improvement.
• Maintain compliance with healthcare regulations, including HIPAA and payer-specific rules.

Qualifications:

• Minimum of 2 years of experience in healthcare accounts receivable or denial management.
• Strong understanding of healthcare billing, coding, and payer reimbursement methodologies.
• Proficiency with electronic health record (EHR) and accounts receivable management software.
• Excellent analytical skills and attention to detail.
• Strong communication skills and ability to work in a collaborative team environment.
• Knowledge of denial management best practices and revenue cycle optimization is a plus.
• Preferred: Experience with Home Health and Hospice billing practices.

Preferred:

• Certification in Medical Billing or Coding (CPC, CCS, or equivalent) is preferred but not required.
• Experience working with multiple payer systems, including government and commercial payers.

This is for Philippine-based & India-based applicants only.

Job location – Remote/ Permanent WFH

Qualifications:

• 3+ years’ experience in Home Health Coding
• Should have thorough knowledge of Coding, OASIS and POC
• Experienced in using various EMR systems.
• Skilled in maintaining high-quality standards.
• Strong time management and communication skills.
• Certification Required: CPC 

Key Responsibilities:

Quality Review and Assurance:

• Conduct regular audits to verify the accuracy and compliance with CMS standards
• Ensure alignment with regulatory requirements, including Medicare/Medicaid and other payer guidelines.
• Identify and resolve discrepancies or inaccuracies in coding and documentation.

Compliance Monitoring:

• Stay updated on changes to coding guidelines, home health regulations, and payer-specific requirements.
• Assist in implementing new regulatory and compliance standards as needed.

Performance Reporting:

• Share audit findings and actionable recommendations with the coding team and management.
• Make sampling recommendations based on each employee’s performance

Training and Support:

• Provide feedback, guidance, and training to coders to improve documentation and coding practices.
• Coordinate with Training department for training requirement

Process Improvement:

• Identify opportunities to streamline workflows and improve coding accuracy and efficiency.
• Collaborate with cross-functional teams to enhance overall operational quality.

This is for Philippine-based applicants only.

Job location – Remote/ Permanent WFH
Shift timing – Night Shift 

JOB DESCRIPTION:

In this role, you will be required to:

• Review the quick assessment form from ground nurses and transcribing into EMR
• Performs RCD and ADR review for Home Health and Hospice
• Review all discipline notes and make recommendation, correction and approve
• Entering the Fax copies from Referral sources to EMR on a daily basis
• Work closely with Clinical team and Insurance verification team on each payer wise referrals on a daily basis
• Updating all the referral forms on a daily basis and report to the supervisor
• Contribute high level of involvement in patient intake process
• Assist the supervisors with other task based on the operational need

QUALIFICATIONS:

• Must be a Registered Nurse
• Preferably with Hospice ADR experience
• Experience in evaluating quick assessment forms from ground nurses and transcribing into the EMR
• Experience in conducting RCD and ADR reviews
• Previous experience in Home Health required
• Skilled in performing Chart Audits
• Exhibits outstanding resource allocation skills
• Willing to work flexible hours, including night shifts
• Available for an immediate start

Experience - 1 to 4 years
Job location – Onsite / Kochi office
Shift timing – 8am to 5pm IST

Job Description
• Minimum 18 months of hands-on coding in any medical speciality
• Experience in Homehealth or related fields os highly desirable, but not mandatory
• Candidates should possess a strong understanding of ICD-10, CPT and HCPCS coding systems and medical terminology
• Active CPC certification or an equivalent coding credential
• Specialty certifications in home health coding will be considered and advantage
• Must be available to commence employment on 6th January 2025
• Open to working from Kochi office.

Qualifications:
• Must have B2B experience
• Proficient in making sales calls
• Fluency in communication skills both oral and written
• Ability to build and maintain relationship with clients
• Strong negotiation and persuasion skills
• Knowledge of market trends and industry insights
• Proven track record of successful business development
• Business development expertise
Job Descriptions:
• Build Connections: Develop and nurture professional relationships with key stakeholders.
• Innovate and Strategize: Collaborate on business strategies to expand our reach and strengthen our position.
• Communicate with Confidence: Use your excellent verbal skills to effectively present ideas, products, and solutions.
• Be a Trailblazer: Represent our organization at events, meetings, and networking opportunities.

Qualifications:
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar medical coding certification like HCS-D or HCS-O is required
• Expertise in ICD-10, OASIS, and CMS guidelines
• Minimum of 3-5 years of experience in medical coding, with at least 1-2 years in a leadership or supervisory role
• Proficiency in using medical coding software, EHR systems, and Microsoft Office Suite (Excel, Word, PowerPoint)
• Fluent in English, both written and spoken.
• Strong understanding of HIPAA compliance and confidentiality standards.
• Ability to work under pressure and handle sensitive situations with professionalism.
• Flexibility in working hours, including availability for overtime or weekend work as needed
Job Descriptions:
• Team Management & Leadership
• Quality Control & Reporting
• Client & Internal Communication
• Performance Monitoring & Issue Resolution
• Daily: Check team attendance, monitor work allocation, update trackers, and handle CREs and priority tasks.
• Weekly: Conduct team huddles, plot coaching sessions, monitor KPIs, attend relevant meetings, and report on team performance.
• Monthly: Submit MTD (Month-to-Date) performance reports, review and track team KPIs, and ensure all coding activities are logged and documented.

Home health chart auditing experience must.

This position is only applicable to Philippines-based candidates.

Hospice chart auditing experience must.

This position is only applicable to Philippines-based candidates.

Qualifications:
• Candidate must have at least 2 years of experience in Home Health Coding/POC/OASIS Review
• Must be CPC certified and active. HCS-O and HCS-D certifications are a plus
• Knowledgeable in ICD-10 CM, CPT, and HCPCS systems
• Bachelor’s Degree in Nursing or any related field
Job Descriptions:
• Analyze patients’ charts carefully
• Utilize specialized medical classification software to assign diagnosis codes
• Assign codes to diagnoses using ICD-10-CM codes following the PDGM guidelines by CMS
• Enter coding information in an online program
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Follow up with the provider on any documentation that is insufficient or unclear
• Communicate with other clinical staff regarding documentation
• Search for information in cases where the coding is complex or unusual
• Be updated about new coding rules as codes change from time to time
• Manage detailed, specifically coded information
• Maintain patient confidentiality and information security
• Ensure that all codes are current and active