Careers

We’re Hiring: TEAM LEAD- PRE-CLAIM REVIEWER (PCR/ADR)

Join a growing, forward-thinking team at Cliniqon — a Great Place to Work–Certified company!

Job Qualifications:

• Preferably seeking candidates with extensive experience in PCR and ADR reviews, particularly for Texas and Florida jurisdictions.
• Strong and up-to-date knowledge of Palmetto GBA guidelines and CMS regulatory requirements.
• Proven track record of achieving high claim affirmation rates and maintaining compliance standards.
• Demonstrated leadership experience with the ability to supervise, train, and mentor a team of reviewers.
• Excellent analytical, documentation, and decision-making skills, with the ability to handle complex or escalated cases.
• Strong communication skills and the ability to collaborate with cross-functional teams.
• Ability to manage deadlines, prioritize tasks, and ensure accuracy in all submissions.

Responsibilities:

• Process Management: Lead and optimize PCR/ADR workflows, ensuring efficiency, accuracy, and SLA adherence; implement process improvements to reduce errors and enhance productivity.
• Client Communication: Act as primary liaison for clients; conduct meetings, provide updates, gather feedback, and ensure services meet client expectations.
• Team Leadership & Supervision: Guide, mentor, and coach the PCR/ADR team and the CDAs assigned; monitor performance, resolve operational issues, and drive continuous improvement initiatives.
• Quality Assurance: Establish and maintain quality control measures; conduct audits and reviews to ensure accurate, compliant processing of claims and documentation.
• Compliance & Regulatory Oversight: Ensure all operations comply with HIPAA, payer-specific guidelines, and other healthcare regulations.
• Problem Solving & Cross-Functional Collaboration: Identify operational challenges, collaborate with other teams, and implement solutions to enhance service delivery and client satisfaction.
• Performance Monitoring & Reporting: Track team metrics, streamline workflows, evaluate performance, and implement corrective actions to achieve operational goals.
• Continuous Improvement: Lead or support initiatives to enhance operational effectiveness, reduce errors, and optimize resource allocation.
• Emergency Preparedness: Support the development of contingency plans and protocols to minimize operational disruptions.
• Leadership & Culture Building: Foster a positive, collaborative work environment; support the Operations Manager in achieving strategic objectives

Job Title: Marketing Coordinator
Location: Philippines – Remote
Company: Cliniqon

Job Summary:

Cliniqon is seeking a proactive and detail-oriented Marketing Coordinator to lead and support our LinkedIn and social media marketing initiatives. The ideal candidate has hands-on experience with LinkedIn outreach, HubSpot, and other digital marketing platforms to drive lead generation, strengthen brand awareness, and support overall marketing operations. This role requires someone who is organized, creative, and comfortable working in a fast-paced, remote environment.

Key Responsibilities:

• Manage and execute targeted LinkedIn outreach campaigns, including sending connection requests, follow-ups, and InMails to identified prospects.
• Research and build lists of potential leads and decision-makers using LinkedIn tools and market insights.
• Support the development of LinkedIn engagement strategies to drive high-quality connections and conversions.
• Develop, schedule, and monitor social media content across platforms to enhance engagement and brand visibility.
• Collaborate with other departments to create and implement marketing and sales content for Cliniqon.
• Assist in designing promotional materials and campaign assets for posts, events, and initiatives.
• Utilize HubSpot to manage campaigns, track leads, and generate performance reports.
• Maintain CRM data integrity and support lead nurturing workflows.
• Monitor and analyze metrics to optimize campaigns and recommend strategic improvements.
• Assist in planning and executing marketing activities for product launches, webinars, events, and promotional campaigns.
• Conduct market or competitor research to support campaign strategies.
• Coordinate marketing-related documentation, tracking sheets, and follow-ups as needed.

QualifIcations: 

• Proven experience in social media marketing, with strong knowledge of LinkedIn marketing tools and outreach strategies.
• Hands-on experience with HubSpot, marketing automation tools, and CRM systems.
• Excellent written and verbal communication skills.
• Strong organizational skills with high attention to detail.
• Ability to work both independently and collaboratively within a remote team.
• Bachelor’s degree in Marketing, Communications, or a related field (preferred but not required).
• Experience creating digital content for social media and professional platforms.
• An analytical mindset with the ability to interpret data and adjust campaigns based on performance insights.
• Able to work night shift and can start immediately.

CLINIQON IS HIRING FOR RCM TEAM LEAD!

The Team Lead – Home Health & Hospice Billing is responsible for overseeing the day-to-day billing operations, ensuring accurate and timely submission of claims, and guiding the billing team to meet productivity, quality, and compliance targets. This role requires strong knowledge of Home Health & Hospice billing regulations, NOA/NOE processes, payer-specific guidelines, and end-to-end RCM workflows. The Team Lead serves as the first level of escalation, ensures process adherence, and collaborates with QA, AR, Coding, and Clinical teams to resolve billing issues.

KEY RESPONSIBILITIES

• Assign daily tasks and monitor workload.
• Conduct team huddles and performance reviews.
• Oversee NOA/NOE, Final, and Hospice billing.
• Review claims for accuracy and completeness.
• Ensure proper use of EMR systems and clearinghouses.
• Ensure all billing follows payer and Medicare/Medicaid guidelines.
• Maintain SOPs and perform regular quality checks.
• Identify and address process issues.
• Handle escalations for claim errors and rejections.
• Coordinate with AR, Coding, Intake, and Clinical teams.
• Track submissions, rejections, timely filing and unbilled claims and report them immediately.
• Prepare and share performance reports.

REQUIRED SKILLS & QUALIFICATIONS

• Minimum 1–2 years of Home Health & Hospice billing experience (mandatory).
• Deep knowledge of:
• CMS regulations
• NOA/NOE processes
• Timely filing guidelines
• Proficiency in EMR platforms (e.g., Axxess, WellSky, Kinnser) and clearinghouses.
• Strong communication, team management, and problem-solving skills.
• Ability to analyze trends and generate operational insights.
• High attention to detail and process-oriented mindset.
• Ability to manage a high performing team of 15+ agents who work remotely in different time zones and geography.

Interested applicants may send their resume to:phcareers@cliniqon.com or jjavinal@cliniqon.com

CLINIQON IS HIRING!!!

The Clinical Leadership Support role provides essential administrative assistance to the Clinical Manager team, ensuring smooth operations and accurate documentation in patient care processes. This position plays a key role in maintaining compliance and supporting clinical workflows. The candidate must be a Registered Nurse (RN).

Key Responsibilities

Order Management:

• Assist in faxing physician orders to healthcare facilities promptly.
• Review and verify orders for accuracy and completeness before submission.

Administrative Support:

• Provide general administrative assistance to the nursing Clinical Manager team.
• Organize and maintain patient records and documentation related to care plans.
• Support scheduling and coordination of patient-related tasks as needed.

Compliance & Quality Assurance:

• Ensure all documentation meets regulatory and organizational standards.
• Communicate effectively with facilities and internal teams to resolve discrepancies.

Qualifications:

• Strong attention to detail and organizational skills.
• Ability to manage multiple tasks in a fast-paced environment.
• Familiarity with healthcare documentation and patient care processes (preferred).
• Proficient in faxing systems, electronic health records (EHR), and Microsoft Office tools.

For interested applicants, you may send your resume to jjavinal@cliniqon.com

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.

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

Are you a clinical documentation Rockstar with a passion for excellence in hospice care? Do you thrive on leading teams, ensuring compliance, and making a meaningful difference every day?

This is your opportunity to lead with purpose.

We believe that hospice care is sacred, and accurate, compassionate clinical documentation is at the heart of that mission. We’re looking for an inspiring, driven, and detail-savvy Team Lead to oversee our Clinical Documentation Audit efforts and guide a talented team toward excellence and integrity.

What You’ll Do:

• Lead and supervise the clinical documentation team, providing guidance, support, and performance feedback
• Coordinate team activities to ensure efficient workflow and timely completion of documentation tasks
• Foster a collaborative and positive work environment, encouraging professional development and continuous learning
• Review clinical documentation for accuracy, completeness, and compliance with regulatory standards and organizational policies
• Identify and address documentation deficiencies, providing feedback and education to clinical staff
• Ensure timely and accurate entry of patient data into electronic medical records (EMR) systems
• Stay current with hospice care regulations, standards, and best practices related to clinical documentation
• Conduct regular audits of clinical records to ensure compliance with regulatory requirements and internal policies
• Develop and implement quality improvement initiatives to enhance documentation practices and patient care
• Provide training and education to clinical staff on documentation requirements, EMR systems, and best practices
• Serve as a liaison between clinical staff and administration, facilitating communication and resolving documentation-related issues
• Participate in meetings and committees related to clinical documentation, quality improvement, and regulatory compliance

Who You Are:

• Must hold an active Registered Nurse (RN) license
• At least 3 years of hospice experience, with proven skill in keeping accurate clinical records
• Background in auditing or quality assurance is strongly preferred
• Leadership or supervisory experience is required
• Comprehensive knowledge of CMS hospice regulations and documentation standards
• Strong skills in analysis, organization, and clear communication
• Proficient in EMR systems
• Immediate start is preferred

Why Join Us?

Because here, your work matters. Every audit, every insight, every leadership moment helps ensure our patients receive the care , and recognition they deserve. Plus:

• 100% Permanent Work-from-Home
• Fixed Weekends Off – Enjoy your time!
• Annual Merit Increase & Retention Bonus
• Day 1 HMO Coverage for you + 1 dependent
• Company-Provided Equipment
• Competitive Compensation Package
• And many more employee-first benefits designed for your well-being!

Ready to Lead with Heart and Precision?

Apply now and be part of something deeply meaningful.

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

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

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