Careers

Position: Triage Nurse (After Hours Call Support Representative (Non-Clinical)
EMR: HCHB (Extensive Experience- REQUIRED)
Schedule: Evenings, nights, weekends, and holidays (after-hours coverage) 
Work Location: Philippines- Remote 

Position Summary

The After-hours Call Support Representative provides nonclinical call intake and customer support for home health patients, caregivers, and referral sources outside of normal business hours. This role ensures timely call answering, accurate message capture, emergency safety prompting, and proper escalation to licensed clinical staff when needed.

This position does not perform clinical assessment, triage, or medical advice and functions strictly within an administrative and customer service scope.

Key Responsibilities

Call Answering & Customer Support

• Answer incoming afterhours calls promptly and professionally in accordance with servicelevel standards
• Verify caller identity using approved identifiers and confirm callback information
• Provide general agency information (hours, visit windows, contact details)
• Support nonclinical inquiries such as scheduling requests, visit confirmations, supply delivery status, billing questions, and administrative messages

Safety Screening & Escalation

• Use approved emergency safety scripts to direct callers to 911 for life-threatening situations
• Recognize clinical keywords or change-in-condition statements and immediately initiate a warm transfer or urgent escalation to the on-call RN
• Follow the established escalation tree when on-call staff are unavailable

Message Capture & Documentation

• Accurately document caller information and concerns in the caller’s own words
• Enter nonclinical call notes into the approved system (EMR non-visit communication module, CRM, or intake log)
• Route messages securely to the appropriate department or on-call clinician
• Track call outcomes (transfer completed, callback requested, message sent)

Compliance & Boundaries

• Maintain strict boundaries between nonclinical intake and clinical triage
• Refrain from providing medical advice, symptom assessment, or care recommendations
• Protect patient privacy and confidentiality in accordance with HIPAA and agency policies
• Use only agency-approved systems, devices, and scripts

Required Qualifications

• Philippine Registered Nurse, medical allied health background
• Minimum 1-2 years of experience in U.S. Home health
• Strong verbal communication and active listening skills
• Ability to follow scripts, workflows, and escalation protocols exactly
• Basic computer proficiency (data entry, multisystem navigation)
• Ability to remain calm and professional in stressful or emotional situations

What This Role Does Not Do

• Does not assess symptoms or determine urgency
• Does not provide nursing, medical, or medication advice
• Does not make care decisions or determine the level of care
• Does not modify plans of care or clinical documentation

Job Title: Spanish Bilingual Personal Injury Paralegal
Location: Philippines- Remote
Shift: Night Shift

Job Description:

We are urgently seeking a highly motivated and experienced Spanish Bilingual Personal Injury Paralegal to join our team. The ideal candidate will be fluent in both English and Spanish, possess strong organizational skills, and have extensive knowledge of personal injury law.

Key Responsibilities:

• Assist attorneys in all aspects of personal injury case preparation, including drafting and filing legal documents, pleadings, and correspondence.
• Communicate with clients, insurance companies, medical providers, and opposing counsel in both English and Spanish.
• Manage case files, ensuring all documentation is up-to-date and deadlines are met.
• Gather and analyze medical records, police reports, and other evidence to support personal injury claims.
• Coordinate with medical providers for bills, records, and lien reductions.
• Maintain a detailed case management system, tracking deadlines, hearings, and trial dates.
• Translate documents and interpret for Spanish-speaking clients as needed.
• Prepare discovery responses and assist with trial preparation, including exhibits, witness lists, and court filings.
• Conduct legal research as needed to support case strategies.

Qualifications:

• Education: Associate’s or Bachelor’s degree in Paralegal Studies or equivalent experience.
• Experience: Minimum of 2 years of experience as a Personal Injury Paralegal.
• Language: Full fluency in Spanish and English (verbal and written).
• Strong knowledge of personal injury law and legal procedures.
• Excellent organizational skills with the ability to prioritize and multitask in a fast-paced environment.
• Proficient in legal software, Microsoft Office Suite, and case management systems. (Filevine, Nextiva)
• Strong interpersonal and communication skills with a client-centered approach.
• Ability to work independently and collaboratively as part of a team.

Role: Dental Eligibility & Benefits Verification Specialist
Location: Philippines- Remote
Shift: Night Shift

What you'll do?

• Verify patient eligibility and active dental coverage before appointments
• Review benefits including deductibles, annual maximums, and frequency limits
• Confirm PPO/network status and navigate complex plan details
• Document verification accurately in PMS (Dentrix, Eaglesoft, Open Dental, etc.)
• Communicate insights to dental office and billing teams
• Use insurance portals and connect directly with payers

What We’re Looking For?

• 2+ years of experience in U.S. dental insurance verification
• Strong knowledge of PPOs, waiting periods, and annual maximums
• Familiarity with CDT codes and dental PMS software
• Experience with major insurers like Delta Dental, Cigna, Aetna, and MetLife
• Excellent documentation skills and strong HIPAA compliance knowledge
• Willing to work night shifts (U.S. business hours)
• Must be able to start immediately

Extra Points For

• Experience reducing claim denials
• Understanding of Coordination of Benefits (COB) and claims processes

Role: Dental Scheduling Coordinators
Location: Philippines- Remote
Shift: Night Shift 

What You’ll Do?

As a key member of our support team, you will:

• Efficiently schedule, confirm, and reschedule patient appointments
• Professionally manage inbound and outbound patient calls
• Maintain and optimize provider calendars to maximize productivity
• Coordinate cancellations and manage active waitlists to reduce downtime
• Verify patient information with accuracy and attention to detail
• Uphold strict HIPAA compliance and protect patient confidentiality at all times

You won’t just be booking appointments — you’ll be helping create smooth patient journeys and positive first impressions.

What You Bring?

• 1–3 years of dental or medical scheduling experience (U.S. healthcare preferred)
• Strong knowledge of dental terminology
• Hands-on experience with Practice Management Software (Dentrix, Eaglesoft, Open Dental, or similar)
• Solid understanding of HIPAA standards
• Clear, professional English communication skills
• Strong organization, time management, and multitasking abilities
• Willing to work night shifts (U.S. business hours)
• Must be able to start immediately

Bonus Points If You Have

• Experience supporting U.S. dental offices
• Insurance-based scheduling knowledge
• A customer-service mindset that puts patients at ease
• Reliable high-speed internet and availability during U.S. business hours

Why You’ll Love This Role

• Work remotely while supporting respected U.S. dental practices
• Be part of a collaborative, growing healthcare support team
• Play a meaningful role in improving patient experiences
• Enjoy a structured, professional, and fast-moving work environment

Role: Dental Utilization Management (UM) Specialist
Location: Philippines- Remote
Shift: Night Shift

What You’ll Do?

As a key member of our dental operations team, you will:

• Review and evaluate treatment plans according to U.S. insurance guidelines
• Verify medical necessity and ensure documentation supports clinical decisions
• Submit, track, and follow up on pre-authorizations
• Ensure accurate CDT coding before claim submission
• Collaborate with providers to correct documentation gaps
• Manage appeals and reduce preventable denials
• Maintain HIPAA compliance and uphold U.S. dental regulatory standards

Your work directly improves approval rates, speeds up reimbursements, and strengthens overall revenue cycle performance.

What Makes You a Great Fit?

You bring both technical expertise and sharp attention to detail:

• 2–4 years of U.S. dental billing, claims, or utilization management experience
• Strong knowledge of CDT coding and common dental procedures
• Experience handling pre-authorizations, appeals, and insurance portals
• Familiarity with U.S. dental compliance and Practice Management Systems (PMS)
• Strong documentation review and analytical skills
• Solid understanding of HIPAA standards
• Willing to work night shifts (U.S. business hours)
• Must be able to start immediately

Even Better If You Have

• Clinical dental background (RDA, Dental Assistant, or Hygienist)
• Direct experience working with U.S. dental insurance carriers
• Proven ability to identify and prevent documentation-related denials

Position: Home Health Intake Coordinators
Location: Philippines- Remote
Shift: Night Shift

 

Job Description:

Intake Coordinator for home health services for managing the process of admitting new patients into home health care. The role requires excellent organizational and communication skills, attention to detail, and a strong understanding of healthcare procedures and regulations.

• Review and evaluate patient referrals to determine eligibility for home health services.
• Schedule initial assessments and coordinate with healthcare professionals to plan patient care.
• Collect and verify patient information, insurance details, and medical records, ensuring all documentation is complete and accurate.
• Act as a liaison between patients, families, healthcare providers, and insurance companies, providing information and addressing any questions or concerns.
• Ensure that all intake procedures comply with regulatory requirements and organizational policies.
• Address any issues that arise during the intake process, such as insurance approvals or scheduling conflicts.
• Knows about obtaining Authorization for HH visits

Qualifications:

• Must have a home health background
• 2-3 years of experience in Home Health Intake and Scheduling
• Experience in Patient Intake in a Home Health Environment is a must
• Conversance with Home Health EMR
• Able to work during the night

Position: Clinical Care Coordinators
Location: Philippines- Remote
Shift: Night Shift
 

Clinical Care Coordinator in Home Health, support clinical team by ensuring that physician orders, evaluations, and documentation are accurately processed and compliant with regulatory standards, reviewing and managing patient records. 

Responsibilities:

• Transcribe physician orders accurately into the EMR system (Kinnser/WellSky).
• Review and verify patient evaluations for completeness and compliance.
• Approve or pend physician orders as needed.
• Approve or pend frequency orders to ensure they match the plan of care.
• Communicate with clinicians and physicians if clarification or corrections are needed.
• Ensure documentation is completed promptly to avoid delays in patient care.
• Maintain organized and accurate patient records in the system.
• Review payroll utilization for field clinicians.
• Verify visit notes and productivity before payroll processing.
• Monitor visit frequencies to ensure they align with approved care plans.

Qualifications: 

• Licensed Nurse 
• Experience in Home Health setting is required.
• Proficient in Kinnser/WellSky EMR system.
• Strong knowledge of Medicare guidelines and home health regulations.
• Excellent attention to detail and organizational skills.
• Strong communication and coordination abilities.

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The Python Developer is responsible for designing, developing, and maintaining Python-based applications and services. This role involves building and consuming RESTful APIs, writing clean and well-documented code, and collaborating with product, QA, and DevOps teams to deliver high-quality solutions. The developer troubleshoots and optimizes application performance, participates in code reviews following best practices, and provides production support by resolving issues and implementing necessary fixes.

Key Responsibilities:

• Design, develop, and maintain Python-based applications and services.
• Build and consume RESTful APIs.
• Write clean, efficient, and well-documented code.
• Collaborate with product, QA, and DevOps teams to deliver high-quality solutions.
• Debug, troubleshoot, and optimize application performance.
• Participate in code reviews and follow best practices.
• Support production issues and implement fixes as needed.

Qualifications and Skills:

• Bachelor’s degree in Computer Science or a related field.
• 3–4 years of experience in Python development.
• Strong proficiency in Python frameworks (Django, Flask, FastAPI).
• Experience with REST APIs and microservices architecture.
• Solid understanding of databases (SQL, PostgreSQL, MySQL is a plus).
• Familiarity with Git and version control practices.
• Experience working in MS and Linux environments.

Preferred Experience:

• Exposure to cloud platforms (AWS, Azure, GCP).
• Basic knowledge of Docker and CI/CD pipelines.
• Experience with message queues (Kafka, RabbitMQ).
• Domain experience in healthcare or enterprise applications

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The ML Engineer is responsible for designing, developing, and deploying AI/ML models to support healthcare data processing and automation. This role focuses on building NLP-based solutions for clinical text analysis, coding validation, and documentation quality improvement, while enhancing medical coding accuracy, compliance, and productivity. The engineer integrates AI models with EMR/EHR systems and internal applications, collaborates with QA, coding, and compliance teams to translate business requirements into AI logic, and implements model monitoring, retraining, and performance evaluation processes.

Key Responsibilities:

• Design, develop, and deploy AI/ML models for healthcare data processing and automation.
• Build NLP-based solutions for clinical text analysis, coding validation, and documentation quality checks.
• Develop AI models to assist with medical coding accuracy, compliance, and productivity.
• Integrate AI models with EMR/EHR systems and internal healthcare applications.
• Collaborate with QA, coding, and compliance teams to translate business rules into AI logic.
• Implement model monitoring, retraining, and performance evaluation processes.
• Ensure solutions comply with HIPAA and healthcare data security standards.
• Support continuous improvement by refining models based on real-world feedback.

Qualifications & Skills:

• Bachelor’s or Master’s degree in Computer Science, AI, Data Science, or a related field.
• 3–6 years of experience in AI/ML development.
• Strong hands-on experience with Python and ML frameworks
• Experience with NLP techniques (transformers, LLMs, text classification, entity extraction, prompting).
• Solid understanding of data preprocessing, feature engineering, and model evaluation.
• Experience deploying models in cloud environments (Azure or AWS).
• Familiarity with MLOps tools (CI/CD, model versioning, monitoring).

Preferred Experience:

• Experience in healthcare coding (ICD-10, CPT, HCPCS).
• Exposure to OASIS, PDGM, home health, or clinical documentation workflows.
• Experience working with EMR/EHR systems.
• Understanding of healthcare compliance and audit processes (ADR, QA, medical necessity).
• Experience with rule engines + AI hybrid solutions.
• Nice to Have
• Experience with LLMs (OpenAI, open-source models, prompt engineering).
• Knowledge of FHIR/HL7 healthcare standards.
• Experience in building AI-powered dashboards or decision-support tools.
• Prior experience in healthcare product development.

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The .NET Developer is responsible for designing, developing, and maintaining scalable web applications using .NET technologies such as C#, ASP.NET, MVC, and .NET Core. This role involves writing clean and efficient code, managing and optimizing SQL Server databases, and ensuring high code quality through reviews, testing, and best practices. The developer collaborates with cross-functional teams including QA, DevOps, and UI/UX, participates in Agile/Scrum processes, and takes ownership of modules from design through production deployment. Additionally, the position includes maintaining technical documentation, providing post-deployment support, and troubleshooting Azure-related environment issues to ensure application reliability and performance.

Key Responsibilities:

Software Development:

• Design, develop, and maintain web applications using .NET technologies (C#, ASP.NET, MVC, .NET Core, etc.).
• Write clean, scalable, and efficient code following best practices.
• Collaborate with the team to develop new features, troubleshoot issues, and optimize performance.

Database Management:

• Work with SQL Server or other databases to design, create, and optimize database structures.
• Write and optimize complex queries, stored procedures, and triggers.
• Code Review and Quality Assurance:
• Conduct peer code reviews to ensure adherence to development standards.
• Test software components to identify bugs and improve performance.
• Implement unit tests, integration tests, and automate testing where applicable.
• Collaboration and Communication:
• Collaborate with cross-functional teams (QA, DevOps, UI/UX) to ensure successful project deliveries.
• Communicate effectively with stakeholders and project managers to provide regular status updates.

Project and Process Management:

• Participate in Agile/Scrum development processes, including sprint planning, daily stand-ups, and retrospectives.
• Ensure project timelines are met and escalate issues where necessary.
• Take ownership of assigned modules/components from design to production deployment.

Documentation and Technical Support:

• Create and maintain documentation for code, design, and architecture.
• Provide post-deployment technical support and resolve production issues.
• Troubleshoot Azure-related environment issues causing production outages.

Qualifications & Skills:

• Bachelor’s degree in Computer Science, Information Technology, or a related field
  (or equivalent practical experience)
• 3+ years of hands-on experience in software development
• Proven experience in developing and maintaining .NET-based web applications
• Experience working in Agile development environments
• Strong proficiency in C#, ASP.NET, MVC, and .NET Core
• Experience with SQL Server, database design, and performance optimization
• Knowledge of RESTful APIs and web services
• Experience with Git or other version control systems
• Understanding of Agile/Scrum methodologies
• Good problem-solving and debugging skills
• Strong communication and teamwork abilities

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The PHP Developer is responsible for developing, maintaining, and enhancing web applications using Laravel while creating responsive and user-friendly interfaces with modern frontend technologies. This role includes converting Figma designs into pixel-perfect HTML/CSS layouts, working with MySQL databases, integrating RESTful APIs, and ensuring clean, secure, and maintainable code following best practices. The developer utilizes Git for version control, supports application deployment (preferably on Azure), and troubleshoots issues to optimize application performance and reliability.

Key Responsibilities:

• Develop, maintain, and enhance web applications using Laravel; 

• Strong expertise in Laravel is required. 

• Build responsive UI components using HTML, CSS, JavaScript, and jQuery. 

• Convert Figma designs into pixel-perfect, responsive HTML/CSS layouts. 

• Convert Figma designs into reusable React components, ensuring design consistency and performance. 

• Design and manage MySQL databases, including schema design and query optimization. 

• Solid knowledge of MySQL is required. 

• Integrate backend services with frontend frameworks; knowledge of React is an added advantage. 

• Work with RESTful APIs and third-party integrations. 

• Deploy and maintain applications on Azure (preferred). 

• Experience Git and follow version control workflows. 

• Write clean, maintainable code following Laravel best practices. 

• Implement unit testing is preferable. 

• Troubleshoot bugs, optimize application performance, and enhance application security 

Qualifications & Skills:

• Bachelor’s degree in Computer Science, IT, or a related field (preferred).
• 3–4 years of experience as a PHP Developer.
• Strong proficiency in PHP and Laravel framework.
• Solid knowledge of MySQL database design, queries, and optimization.
• Experience with HTML, CSS, JavaScript, and jQuery for building responsive UI.
• Ability to convert Figma designs into pixel-perfect, responsive layouts.
• Understanding of RESTful APIs and third-party integrations.
• Familiarity with React is an added advantage.

Location: Kochi (Work from office only)
Reports To: Team Lead – Non-Clinical
Job Type: Full-time (6:30 p.m. – 3:30 a.m. IST)

Job Summary:

The Pre-Authorizations Specialist is responsible for managing referral intake and securing timely insurance authorizations for home health and hospice services. This role ensures accurate patient chart creation, verifies eligibility, and confirms patient qualification for services. The specialist coordinates with case managers, physicians, and patients to obtain required documentation, discharge information, and records necessary for authorization. Additionally, the position maintains detailed referral records, conducts welcome calls to validate patient information, and ensures all documentation is properly recorded to support smooth processes.

Key Responsibilities:

Referral Management:

• Monitor and maintain the Excel file containing referral information for home health and hospice patients.

Patient Chart Creation:

• Create and update patient charts in MatrixCare promptly and accurately.

Case Manager Follow-Up:

• Contact case managers to obtain discharge dates missing from referrals or orders.

Eligibility Verification:

• Check patient eligibility for home health and hospice services via insurance portals.
• Ensure that insurance coverage is in-network with the service provider and verify that the patient’s address is in Connecticut. If the address is not in Connecticut, consult with the patient regarding the possibility of changing it with their insurance provider and inform them of the 24-48 hour processing time.

Insurance Communication:

• Communicate any out-of-pocket costs to patients if their insurance meets eligibility criteria.
• Print and attach insurance eligibility and benefits documentation in the patient’s chart in the MatrixCare.

Physician Coordination:

• Call the primary care physician listed in the referral/order.
• If the physician declines to sign home health orders, inquire whether the patient has another physician who can authorize the orders.
• For cancer patients, confirm if the oncologist is willing to sign all necessary documents for the entire episode of care.

Welcome Call Duties:

• Confirm the patient’s address and phone number for scheduling the SOC (Start of Care) visit.
• Verify if the patient can sign documents independently.
• Assess the patient’s homebound status; if the patient is not homebound and has commercial or Medicare insurance, inform them that intake can only proceed if they have Medicaid coverage.
• For patients who can drive and perform daily activities, confirm that they do not meet homebound criteria and advise them to contact the private duty nursing department.
• If the patient cannot be accepted, notify the sales representative and the referral source.
• Document all information in MatrixCare after the welcome call.

Qualifications & Skills:

• Minimum of 1–3 years of experience in U.S. healthcare administration, intake, and authorizations (U.S. healthcare experience is mandatory)
• Experience in home health and/or hospice settings strongly preferred
• Prior experience working with insurance eligibility verification and authorizations within the U.S. healthcare system
• Familiarity with electronic medical records (EMR) systems used in U.S. healthcare settings
• Excellent verbal and written communication skills

Location: Kochi (Work from office only)
Reports To: Team Lead - RCM
Job Type: Full-time (6:30 p.m. – 3:30 a.m. IST)

Job Summary:

The AR & Denial Analyst is responsible for managing accounts receivable and analyzing denied claims to identify root causes, trends, and opportunities to improve overall revenue cycle performance. This role ensures timely follow-up on receivables and denied claims, and submits appeals and resubmissions in accordance with payer guidelines.

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 by 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 & Skills:

• 1–2 years of experience in Accounts Receivable (AR) within the US healthcare domain
• Strong communication, analytical, and problem-solving skills
• Hands-on experience with AR follow-up tools and medical billing software

Location: Kochi (Work from office only)
Reports To: Team Lead - CDA
Job Type: Full-time (6:30 p.m. – 3:30 a.m. IST)

Job Summary:

The Clinical Documentation QA Specialist – Home Health is responsible for reviewing and auditing clinical documentation, including medication records, visit notes, and OASIS assessments, to ensure accuracy, completeness, and regulatory compliance. This role works closely with clinical staff to clarify documentation, correct deficiencies, and promote best practices aligned with home health regulations. Additionally, the position supports quality improvement initiatives, provides training on proper documentation standards, maintains detailed QA records and reports, and ensures timely completion of documentation to facilitate accurate billing and reimbursement processes.

Key Responsibilities:

• Review and transcribe Medication, Visit Notes, and OASIS documentation.  

• Conduct thorough audits of clinical documentation to identify and correct errors or omissions.  

• Collaborate with clinical staff to clarify documentation and ensure comprehensive and accurate records.  

• Maintain up-to-date knowledge of OASIS, face-to-face requirements, NOMNC requirements, and other relevant home health regulations.  

• Provide training and support to clinical staff on proper documentation practices and regulatory requirements.  

• Assist in the development and implementation of quality improvement initiatives related to clinical documentation.  

• Ensure timely and accurate completion of documentation to support billing and reimbursement processes.  

• Prepare and maintain detailed records and reports of QA activities and findings.  

• Participate in regular meetings with the QA team and other departments to discuss findings and improvement strategies.  

• Stay informed about changes in regulations and industry standards affecting home health documentation.  

Qualifications & Skills:

• Completion of a Nursing degree (B.Sc Nursing) or Bachelor of Physiotherapy is mandatory.
• Prior experience in medical transcription or clinical documentation review is required.
• A minimum of 1-3 years of experience in clinical documentation, chart review, medical scribing, auditing, or a related role within a clinical or BPO environment.

We’re Hiring: Operations Manager- Clinical Documentation Auditing Department

Join our dynamic team at Cliniqon, where we’re committed to delivering Guaranteed Quality, Ensured Compliance, and Unparalleled Outcomes.

Qualifications:

• BS in Nursing or any healthcare-related course
• PHRN or PTRP license is an advantage
• 5+ years of experience in a leadership role, managing audit, QA, or clinical documentation teams
• At least 3–5 years of experience in clinical documentation auditing, preferably in Home Health
• Strong knowledge of regulatory requirements, compliance standards, and documentation guidelines
• Experience in quality assurance, audit processes, and performance metrics
• Ability to analyze data, identify trends, and implement process improvements
• Excellent communication, presentation, and stakeholder management skills
• Experience collaborating with the clients, clinical operations, and other departments
• Willingness and ability to work night shifts

JOB DESCRIPTION:

As the Operations Manager for CDA, you will play a pivotal role in ensuring the accuracy, compliance, and quality of clinical documentation. Your leadership will contribute to optimizing patient care, regulatory adherence, and overall operational efficiency within the Home Health setting. You will be responsible for overseeing a team of audit professionals, guiding their work, and collaborating closely with various stakeholders to achieve organizational goals.

Responsibilities:

Leadership and Team Management

• Provide strong leadership to the Clinical Documentation Audit team, fostering a collaborative and motivated work environment
• Set clear performance expectations, provide regular feedback, and support the professional

development of team members

• Assign tasks, monitor workload, and ensure timely completion of audits and documentation reviews
• Conduct regular team meetings to discuss performance, challenges, and opportunities

for improvement

• Generate regular reports on audit findings, trends, and performance metrics for departmental

and organizational review

• Conduct and lead client meetings to ensure alignment on project goals and expectations
• Manage and streamline workflows to maintain efficiency and meet deadlines
• Monitor and evaluate team performance to drive productivity and continuous improvement

Clinical Documentation Auditing

• Lead and perform comprehensive audits of clinical documentation, focusing on accuracy, completeness, and compliance with regulatory guidelines
• Identify gaps, discrepancies, and opportunities for improvement in documentation practices
• Collaborate with clinicians, coders, and other relevant stakeholders to resolve documentation-related issues

Quality Assurance and Compliance

• Ensure that clinical documentation meets the standards set by regulatory bodies, accreditation agencies, and internal policies
• Develop and implement audit processes to monitor compliance and quality metrics
• Keep abreast of industry regulations and changes in documentation requirements, and communicate updates to the team

Reporting and Analysis

• Analyze data to identify patterns and areas for improvement in clinical documentation practices
• Present findings to leadership and collaborate on action plans to enhance documentation accuracy and compliance

Cross-Functional Collaboration

• Collaborate closely with the Clinical, Coding, and Compliance departments to address documentation-related challenges and implement improvements
• Work with IT and software teams to leverage technology tools for enhanced documentation accuracy and efficiency

Training and Education

• Develop and deliver training programs for the team to enhance their understanding of proper documentation practices, regulatory requirements, and audit processes

If you’re ready to take your nursing career to the next level, apply now!

Send your resume to phcareers@cliniqon.com or jjavinal@cliniqon.com

Join our dynamic team and be part of something extraordinary.

CLINIQON IS LOOKING FOR HOME HEALTH CASE MANAGEMENT NURSES!

Key Responsibilities:

• Conduct timely and thorough SOC and ROC assessments in compliance with Medicare/Medicaid agency guidelines.
• Complete OASIS documentation accurately and withing required timeframes.
• Develop individualized patient care plans based on assessment findings, in collaboration with physicians and interdisciplinary team members.
• Coordinate and oversee the implementation of care plans, ensuring appropriate services are initiated.
• Communicate regularly with Physicians, and other healthcare professionals.
• Evaluate patient progress, revise care plans as necessary, and ensure continuity of care.
• Maintain detailed and timely clinical documentation in the EMR system.

Qualifications:

• Current active RN license.
• Minimum of 1-2 years experience as CM in Home Health.
• Strong understanding of OASIS documentation and CMS Regulations.
• Proven experience in conducting SOC and ROC assessments.
• Ability to work independently and manage time effectively.
• Strong communications and interpersonal skills.

LOCATION: PHILIPPINES (REMOTE)

About the Role:
We are seeking a highly experienced Paralegal with a strong background as a Litigation Secretary in Personal Injury Law, and proficiency in Filevine case management software. The ideal candidate will be detail-oriented, organized, and capable of managing a high-volume caseload with minimal supervision. Spanish fluency is strongly preferred, as many of our clients are Spanish-speaking.

Key Responsibilities:

• Support attorneys throughout all phases of litigation, particularly in personal injury cases
• Draft and manage legal documents including pleadings, discovery, medical summaries, and correspondence
• Communicate effectively with clients, medical providers, insurance adjusters, and court personnel
• Manage case files using Filevine – including task tracking, document management, and calendaring
• Assist with trial preparation, depositions, and hearings
• Conduct legal research and summarize findings when necessary
• Ensure deadlines are met and cases are progressed in a timely and efficient manner

Qualifications:

• Minimum 5 years of experience as a Litigation Secretary or Paralegal in Personal Injury Law
• Proficiency in Filevine (required)
• Fluent in Spanish and English (spoken and written)
• Strong understanding of litigation procedures, calendaring deadlines, and document drafting
• Excellent organizational, multitasking, and time management skills
• Ability to work independently and collaboratively in a fast-paced environment
• Paralegal certification preferred but not required

Monday-Friday, 12 AM PHT - 9 AM PHT 

Intake Coordinator for home health services for managing the process of admitting new patients into a home health care. The role requires excellent organizational and communication skills, attention to detail, and a strong understanding of healthcare procedures and regulations.

• Review and evaluate patient referrals to determine eligibility for home health services.
• Schedule initial assessments and coordinate with healthcare professionals to plan patient care.
• Collect and verify patient information, insurance details, and medical records, ensuring all documentation is complete and accurate.
• Ensure that all intake procedures comply with regulatory requirements and organizational policies.
• Address any issues that arise during the intake process, such as insurance approvals or scheduling conflicts.

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, Axxess, Kinnser, Home Health EMRs
• 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

Location: Philippines- Work From Home
Reports To: Business Development Manager & CEO
Job Type: Full-time- Night Shift

Qualifications:
• Must have B2B experience
• Proficient in making sales calls
• Fluency in communication skills, both oral and written
• Ability to build and maintain relationships 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.