Careers

Cliniqon is an organization that promotes a safe, inclusive work environment and prioritizes employees' well-being while creating a haven for clients and customers and their much-deserved experiences.

Join Our Growing and Winning Team!

Cliniqon is hiring RN HOME HEALTH ADMINISTRATIVE SUPPORTS

Key Responsibilities:

• Review and process daily caregiver care logs and documentation, creating accurate care summaries for patients
• Monitor and manage incoming online faxes, ensuring timely distribution to appropriate staff
• Communicate with caregivers regarding schedules, documentation, and follow-ups via phone, text, and other channels
• Perform general administrative tasks, including filing, data entry, and record-keeping
• Provide support for timely care coordination and overall agency operations

Qualifications:

• Registered Nurse (RN) with home health background preferred
• Strong multi-tasking abilities in a fast-paced environment
• Excellent communication and interpersonal skills
• Highly organized with strong attention to detail
• Amenable to work ASAP and Night Shift
• Permanent Work from Home

For interested applicants, you may send your CV/resume to: phcareers@cliniqon.com

DENTAL CLAIM PROCESSING & PAYMENT POSTING SPECIALIST

Skills & Qualifications:

• Knowledge of dental billing procedures, CDT coding, and insurance guidelines.
• Experience with dental practice management software (e.g., Dentrix,).
• Strong attention to detail and organizational skills.
• Excellent communication and problem-solving abilities.
• Familiarity with HIPAA and dental compliance standards.

Key Responsibilities:

• Review and submit dental insurance claims with accurate CDT codes and documentation.
• Post payments from insurance carriers and patients, including EOBs, EFTs, and checks.
• Identify and resolve discrepancies such as denials, underpayments, and coordination of benefits.
• Communicate with dental insurance companies to follow up on unpaid or rejected claims.
• Maintain detailed records of claims status, payment activity, and account adjustments.
• Collaborate with front office, billing, and clinical teams to ensure proper documentation and coding.
• Generate reports on claims aging, payment trends, and outstanding balances.

Job Title: Subject Matter Expert-Home Health Coding

Key Responsibilities

• Serve as the organization expert in home health coding, OASIS and POC
• Review charts and claims to ensure documentation accuracy, coding compliance, and revenue optimization
• Provide hands-on training and mentorship to coders on home health-specific documentation and coding standards.
• Stay current with coding standards, regulations, and reimbursement methodologies
• Develop and maintain coding guidelines, SOPs and training materials to reflect evolving home health coding practices

Required Qualifications

• Certification:
  • CPC (Certified Professional Coder) is mandatory.
  • HCS-D or HCS-O certifications are desirable and considered an added advantage.
• Experience: At least 2 years of experience in home health coding.

WE'RE HIRING: Team Lead - Intake & Authorization
Permanent Work-from-Home | Healthcare Industry | PH-Based

Cliniqon is looking for an experienced, driven, and compassionate healthcare professional to lead our Intake & Authorization team!

Position Summary

The Intake & Authorization Team Lead supervises a small team that handles all incoming referrals, insurance verification, and prior‑authorization work for a home‑health agency. The role balances hands‑on processing with people leadership—driving daily workflow, ensuring regulatory compliance, and coaching staff so that every qualified patient is admitted quickly and cleanly. 

Key Responsibilities

Qualifications

• Education – Associate’s or Bachelor’s in Nursing, Health‑Information Management, or related field (or equivalent experience).
• Experience –
  • Minimum 2 years in home‑health or hospice intake/authorization;
  • 1 year in a lead or supervisory capacity preferred. 
• Licensure/Certification – Active RN  credential a plus; working knowledge of Medicare Conditions of Participation.
• Technical Skills – Proficiency with EMR (e.g., Homecare Homebase), payer portals, Microsoft 365, and data dashboards.
• Soft Skills – Excellent coaching, conflict‑resolution, and time‑management abilities; calm telephone demeanor and strong documentation habits. 

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.

WE OFFER:

• Permanent work from home
• Fixed weekends off
• Annual Merit Increase
• Retention Bonus
• Company-provided assets
• Day 1 HMO for principal plus 1 dependent
• Guaranteed competitive compensation package
• Many more benefits

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

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

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

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.

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 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

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:
• 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