Careers

We're Hiring: ADR/RCD Reviewers at Cliniqon!

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
• Gather, reviewer, and compile all necessary clinical documentation required for Pre-Claim Review (PCR)
• Ensure all submitted documentation is legible, contains valid signatures, and meets Medicare and Palmetto GBA Guidelines
• Accurately submit review requests through the Palmetto GBA eServices provider portal in a timely manner
• Diligently monitor the status of all submitted requests
• Analyze and interpret reasons for non-affirmed or returned decisions from Palmetto GBA
• Collaborate with clinical staff to obtain corrected or additional documentation needed to resolve deficiencies
• Stay current with all updates and changes to the Medicare Review Choice Demonstration (RCD) program and Palmetto GBA policies

QUALIFICATIONS:

• Must be a Registered Nurse
• At least 1+ year hands-on experience preparing and submitting pre-claim reviews directly to Palmetto GBA
• In-depth, practical knowledge of the Medicare Review Choice Demonstration (RCD) program and its specific requirements
• Strong understanding of Medicare Home Health and/or DME documentation, including Face-to-face encounters, Plans of Care (485s), and criteria for skilled needed
• Experience working with Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems
• Experience working with ADRs and Medicare Administrative Contracts (MACs) like CGS or NGS
• Willing to work flexible hours, including night shifts
• Available for an immediate start

Ready to take the next step in your career? Apply now: jjavinal@cliniqon.com or phcareers@cliniqon.com

Lead our team. Coordinate quality care. Make a difference in patients’ lives.

Are you a healthcare professional with a strong clinical background and proven experience in case management? Do you have the leadership skills to oversee clinical intake, case management, and scheduling in a home health setting?

We are looking for a proactive, detail-oriented, and results-driven Team Leader – Case Management, Clinical Intake & Scheduling to oversee our home health operations and ensure efficient coordination of patient referrals, clinical assessments, care services, and home visit schedules.

The ideal candidate has hands-on experience in home health or a similar healthcare setting, with a strong understanding of clinical workflows and experience managing or supervising Case Managers. You will play a key role in supporting your team, resolving operational challenges, improving turnaround times, and ensuring patients receive timely, well-coordinated care in the comfort of their homes.

If you are a clinical professional who thrives in a leadership role and is passionate about improving healthcare delivery, we want you on our team!

Responsibilities:

• Lead and supervise the team: Manage, coach, and support Case Managers, Clinical Intake staff, and Scheduling personnel to ensure productivity, accountability, and quality service delivery
• Oversee patient intake and referrals: Ensure timely processing of new patient referrals, verification of required information, and coordination of clinical intake activities
• Manage case coordination: Oversee case assignments, patient care coordination, follow-ups, and case turnaround to support efficient home health service delivery
• Coordinate home health scheduling: Ensure timely and appropriate scheduling of home visits, coordinating with nurses, therapists, physicians, and other healthcare professionals as needed
• Monitor operational performance: Track team productivity, referral processing times, scheduling efficiency, pending cases, and service quality
• Provide guidance and escalation support: Address complex cases, scheduling conflicts, referral concerns, and workflow issues with sound clinical and operational judgment.
• Ensure documentation and compliance: Promote accurate, complete, and timely clinical documentation in accordance with company policies and applicable healthcare requirements
• Collaborate across teams: Maintain effective communication between clinical staff, physicians, patients, families, and internal departments to support continuity of care
• Drive continuous improvement: Identify operational bottlenecks, improve workflows, and implement strategies that enhance efficiency and the patient experience

Requirements:

• Clinical or healthcare background is required
• Registered Nurse (RN) is a strong advantage
• Previous experience in Case Management and/or supervising Case Managers is required
• Experience in home health, home care, or a related healthcare setting is highly desirable
• Strong understanding of home health referral intake, patient coordination, clinical documentation, and visit scheduling workflows
• Demonstrated leadership skills with the ability to coach, motivate, and manage a team effectively
• Excellent communication, organizational, problem-solving, and decision-making skills
• Ability to manage multiple priorities, meet deadlines, and resolve operational challenges in a fast-paced healthcare environment
• Familiarity with EMR/EHR platforms and home health management or scheduling systems is preferred

Why build your career with Cliniqon?

• Permanent Work-from-Home
• Retention Bonus
• Yearly Performance Appraisal
• Immense Growth Opportunities
• CPC Renewal
• Company-Provided Assets
• HMO Coverage
• And many more exciting benefits!

Ready to Make an Impact?

We are looking for a leader who understands that successful home health operations depend on strong clinical knowledge, effective case management, and seamless coordination.

If you have the experience, initiative, and leadership skills to help our team deliver efficient, patient-centered home health services, we encourage you to apply!

Ready to make your next career move? Send your resume to phcareers@cliniqon.com

We're Hiring: Home Health CDA (Clinical Documentation Auditor)

Join Our Growing Team!

Are you a highly knowledgeable healthcare professional with strong expertise in home health clinical documentation? We are looking for an experienced Home Health Clinical Documentation Auditor (CDA) to ensure the accuracy, completeness, and compliance of clinical visit notes across all disciplines.

If you have a keen eye for detail, a strong clinical background, and the ability to assess documentation quality, we want you on our team!

Responsibilities:

• Review home health clinical documentation across all disciplines, including daily visit notes, treatment notes, initial evaluations, and re-evaluations, ensuring accuracy, completeness, and consistency with the established plan of care
• Audit initial therapy evaluations and re-evaluations for appropriate clinical justification, measurable goals, skilled need, functional outcomes, and regulatory compliance
• Ensure documentation adheres to CMS, Medicare, Medicaid, commercial payer requirements, agency policies, and applicable professional standards
• Identify documentation gaps, inconsistencies, missing elements, and compliance risks, including insufficient skilled justification, inaccurate coding, and inadequate medical necessity support
• Validate that clinical documentation supports medical necessity, frequency, duration, and the continuation of skilled services, particularly during re-evaluations and recertification periods
• Review documentation for consistency with the patient's condition, treatment provided, progress toward goals, and prescribed plan of care
• Complete and review pre-admission notes and clinical directives to ensure appropriate clinical information and documentation requirements are met
• Provide constructive feedback and recommendations to improve documentation accuracy, completeness, and compliance
• Train and guide clinical team members on proper completion of therapy documents, visit notes, evaluations, and other required clinical records
• Monitor recurring documentation issues and trends, report findings to management, and contribute to quality assurance and continuous improvement initiatives
• Maintain accurate audit records and complete documentation reviews within established deadlines while managing multiple cases concurrently
• Collaborate with clinical managers, QA staff, and therapy teams to promote accurate, compliant, and defensible documentation practices
• Stay updated on home health regulations, payer updates, and evolving clinical documentation standards affecting home health services

Requirements:

• Must be a Registered Nurse (RN) or Physical Therapist (PT)
• At least 4 years of experience reviewing or auditing home health clinical visit notes across all disciplines
• Strong knowledge of home health clinical documentation standards, requirements, and compliance guidelines
• Excellent understanding of clinical assessments, skilled interventions, patient progress, and medical necessity documentation
• Strong analytical skills and exceptional attention to detail
• Excellent written and verbal communication skills
• Ability to work independently, meet deadlines, and handle documentation audits with minimal supervision
• Must be available to start ASAP
• Must be amenable to a permanent night shift schedule of 8:00 PM to 5:00 AM

Why Join Us?

• Permanent work-from-home arrangement
• Retention and performance bonuses
• Competitive salary package
• Opportunities for career growth and professional development
• Company-provided equipment
• HMO coverage
• Government benefits + 13th month pay
• Overtime pay
• Night Differential Pay
• More benefits

If you meet the qualifications and are ready to take on this opportunity, submit your updated resume today!

Send your updated resume to: phcareers@cliniqon.com

Position Title: Finance & Accounting Manager (WFH Setup)

1. Primary Objective

To lead and manage the end-to-end financial operations, regulatory compliance, and fiscal strategies of the Philippine entity (BPO/KPO). Ensure 100% adherence to Philippine tax, corporate, and local government regulations while optimizing remote financial workflows, internal controls, and data security in a WFH environment.

2. Key Roles & Responsibilities (R&R)

A. BIR Compliance & End-to-End Tax Management

• Tax Planning & Compliance: Oversee the end-to-end preparation, review, and timely filing of all Bureau of Internal Revenue (BIR) tax returns, ensuring alignment with Philippine Tax Code and PEZA/BOI regulations (if applicable to the BPO/KPO).
• Monthly Reporting:
• Withholding taxes (Expanded, Compensation, Final - Forms 1601EQ, 1601C, 0619E, etc.).
• Value-Added Tax (VAT) declarations (Monthly/Quarterly - Forms 2550M/2550Q).
• Quarterly & Annual Reporting:
• Quarterly Income Tax Returns (Form 1702Q).
• Annual Income Tax Return (ITR - Form 1702RT/EX) and Audited Financial Statements (AFS) submission.
• Annual Information Returns (e.g., Alphalist of Employees/CPAs, Form 1604C/E).
• Statutory Benefits Alignment: Oversee accurate tax computations related to the 13th-month pay reporting and other taxable/non-taxable employee benefits.
• BIR Audits & Tax Assessments: Act as the primary point of contact for BIR tax audits, Letter of Authority (LOA) responses, tax mapping, and resolution of tax discrepancies.

B. SEC Compliance & Corporate Governance

• Corporate Filings: Ensure compliance with the Securities and Exchange Commission (SEC) regulations for domestic corporations or foreign-owned branch/subsidiary structures common in BPOs/KPOs.
• Mandatory Reports: Timely filing of the General Information Sheet (GIS), Audited Financial Statements (AFS), and other corporate disclosures via EASIER/ONLINE submission portals.
• Corporate Secretarial Support: Maintain corporate books, records, board resolutions, and documentation for capitalization updates, foreign equity structures, or amendment of articles of incorporation/by-laws as required.

C. BPLO (Business Permits and Licensing Office) & LGU Compliance

• Local Government Units (LGU) Licensing: Manage annual Business Permit / Mayor’s Permit renewals with the local government unit (e.g., Pasig, Mandaluyong, Taguig, etc.) where the legal entity or registered office address is situated.
• Local Tax Compliance: Ensure proper settlement of local business taxes, sanitary inspection fees, garbage fees, and fire safety inspection certificates (FSIC).
• WFH / PEZA / LGU Coordination: Handle compliance reporting if the BPO operates under specific LGU tax incentives or hybrid/remote work locational clearances.

D. Financial Operations & Reporting (BPO/KPO Specific)

• Financial Statements & Management Reporting: Prepare accurate monthly, quarterly, and annual Profit & Loss (P&L) statements, Balance Sheets, and Cash Flow statements in accordance with PFRS (Philippine Financial Reporting Standards).
• Payroll & Vendor Finance Oversight: Oversee local payroll processing, statutory contributions (SSS, PhilHealth, Pag-IBIG), accounts payable, and accounts receivable in coordination with shared service or offshore teams.
• Internal Controls & WFH Security: Enforce robust financial internal controls, segregation of duties, and secure digital approval workflows to safeguard company assets in a decentralized/WFH setting.
• Audit Management: Coordinate seamlessly with external auditors for the annual financial audit and statutory sign-offs in both PH and US jurisdictions.

E. US Taxation, Payroll & Invoicing (Offshore Scope)

US Tax Knowledge & Compliance Support:

• Maintain working knowledge of US federal, state, and local tax requirements relevant to offshore BPO operations (e.g., Form W-8BEN / W-8BEN-E execution for foreign vendors/entities).
• Assist US corporate headquarters or external US CPAs in gathering financial data for US tax filings (Form 1120/1120-S, Form 1099/1042-S, state tax returns).
• Understand US-PH Double Taxation Agreements (DTA) and transfer pricing documentation between the US parent entity and PH subsidiary.

US Payroll Oversight & Coordination:

• Manage or oversee US payroll workflows using platforms such as Gusto, ADP, Paychex, or Rippling for US-based staff, US contractors, or offshore talent mapped to US payroll cycles.
• Ensure proper tracking and compliance regarding US tax withholdings, state tax registrations, W-2s, and 1099-MISC/1099-NEC processing.

US Client Invoicing & Receivables Management:

• Oversee the generation and distribution of accurate, timely client invoices (USD currency) based on service contracts, billable hours, seat-lease rates, or SLA milestones.
• Manage Accounts Receivable (AR) collections, track aging reports, and reconcile incoming cross-border wire transfers or payment processor deposits (e.g., Stripe, Wise, Payoneer).
• Ensure proper revenue recognition in compliance with US GAAP and PFRS standards.

3. Key Performance Indicators (KPIs)

• Zero Penalties: 100% compliance and zero late-filing penalties or compromise penalties from BIR, SEC, and LGU/BPLO.
• Accuracy: High precision in financial reports, tax computations, and AFS generation.
• Timeliness: Adherence to strict statutory deadlines (e.g., monthly tax deadlines, April 15 AFS/ITR deadlines, January-March business permit renewals).
• Audit Readiness: Clean audit opinions and prompt resolution of regulatory notices.

Qualifications & Requirements

1. Education & Professional Credentials

• Education: Bachelor’s degree in Accountancy, Finance, Business Administration, or a related field.
• Certification: Certified Public Accountant (CPA) is preferred but not required (given the heavy statutory filing (BIR/SEC/AFS) responsibilities).

2. Relevant Experience

• Industry Experience: Minimum of 5 to 8+ years of progressive accounting/finance experience, with at least 3 to 5 years in a managerial or lead role within a BPO/KPO, IT-BPM, or Shared Services setup.
• WFH / Remote Experience: Proven track record of managing finance operations, team members, and external audit processes effectively in a remote/work-from-home environment.

3. Technical Expertise & Regulatory Knowledge

• BIR Compliance Mastery: Deep hands-on experience with end-to-end BIR tax filings (monthly, quarterly, annual ITR, AFS submissions, and Alphalists via eFPS/eBIRForms), tax mapping, and handling BIR audits/LOAs.
• SEC & Corporate Compliance: Thorough knowledge of SEC reporting requirements (GIS, AFS via SEC eFAST/online portals) and corporate governance rules for domestic or foreign-owned BPO entities.
• BPLO & Local Taxes: Practical experience handling annual Mayor’s Permit/Business Permit renewals, local business taxes, and coordination with local government units (LGUs).
• Statutory & Payroll Alignment: In-depth familiarity with Philippine Labor Code provisions regarding 13th-month pay computations, non-taxable allowances/de minimis benefits, and statutory contributions (SSS, PhilHealth, Pag-IBIG).
• Accounting Standards: Strong knowledge of Philippine Financial Reporting Standards (PFRS/PERS) and general financial accounting principles.

· US Tax & Regulatory Knowledge: Exposure to US federal and state tax principles, transfer pricing rules between US-PH entities, and tax form requirements (W-8BEN-E, 1099s, 1042-S).

· US Payroll & Invoicing Platforms: Hands-on experience operating US payroll systems (e.g., ADP, Gusto, Paychex) and automated invoicing/billing software.

· US GAAP & Multi-Currency Accounting: Solid understanding of US GAAP vs. PFRS principles, multi-currency transactions (USD/PHP conversion), and cross-border payment reconciliations.

4. Software & Tools Proficiency

• ERP & Accounting Software: Hands-on experience with cloud-based ERP and accounting software (e.g., NetSuite, QuickBooks Online, Xero, or SAP).
• Tax Portals: Proficiency with BIR eFPS, eBIRForms, eSubmission, SEC eFAST, and online banking platforms.
• Productivity & Communication: High capability in MS Excel (advanced functions), Google Workspace, and team collaboration tools (Slack, Teams, Zoom).

5. Core Soft Skills & Capabilities

• High Integrity & Discretion: Exceptional moral standards when handling confidential financial and payroll data remotely.
• Strong Leadership & Ownership: Ability to drive compliance and meet tight statutory deadlines independently without direct on-site supervision.
• Analytical & Detail-Oriented: Sharp eye for numerical accuracy, internal controls, and fraud prevention in a decentralized environment.
• Excellent Communication Skills: Strong written and verbal English communication skills for collaborating with C-level executives, foreign directors, external auditors, and local government agencies.

Location: Kochi
Reports To: CEO
Job Type: Full-time

We are seeking an experienced and strategic Manager – Corporate Finance to lead our financial operations and support business growth. The ideal candidate will have strong expertise in U.S. accounting, financial management, and compliance, along with the ability to partner with leadership on key business decisions.

RESPONSIBILITIES

• Lead global finance strategy, budgeting & forecasting
• Oversee accounting, compliance & audits across regions
• Manage cash flow, costs & overall P&L performance
• Strengthen financial controls & governance
• Partner with leadership for strategic decisions
• Drive growth, profitability & value creation

REQUIREMENTS:

• Bachelor’s degree in Accounting, Finance or related field; CA preferred
• 5+ years of hands-on U.S. accounting experience, including month-end close and financial statement preparation
• Proven track record managing accounts receivable for U.S.-based businesses
• Expert-level proficiency in QuickBooks and advanced Excel/Google Sheets
• Deep understanding of U.S. GAAP, IRS regulations and tax-reporting requirements

Location: Kochi
Reports To: Digital Marketing Manager
Job Type: Full-time

We are looking for a proactive and creative Digital Marketing Executive to join our Kakkanad, Kochi Office. The ideal candidate should be a quick learner with a strong aptitude for emerging technologies like AI and IoT, and a passion for digital marketing. This role involves managing social media, creating engaging content, and implementing SEO strategies to enhance brand visibility.

Responsibilities

• Create engaging, high-quality content and narratives
• Manage and grow the company’s LinkedIn presence, including profiles of key personnel
• Plan and execute social media strategies to improve reach and engagement
• Implement SEO strategies based on a solid understanding of search engine optimization
• Use SEO tools to generate and optimize content for better search rankings
• Monitor website performance and apply SEO best practices across different sections
• Run and manage campaigns on platforms like Google Ads
• Prepare and present performance reports using predefined templates
• Conduct outreach and build visibility through LinkedIn and other channels

Requirements

• Bachelor’s degree in any discipline
• 2–3 years of experience in digital marketing
• Agency experience is preferred
• Hands-on experience with SEO and tools like Google Ads
• Familiarity with LinkedIn marketing and personal branding strategies
• Basic understanding of AI tools and their application in marketing
• AI certifications will be an added advantage
• Strong communication and content creation skills
• Ability to learn quickly and adapt in a fast-paced environment

Location: Kochi
Reports To: Team Lead - RCM
Job Type: Full-time (5:30 p.m. – 2:30 a.m. IST) 

Job Description: We are seeking an experienced Home Health Medical Biller to join our team. The ideal candidate should have at least two (2) years of experience in home health billing and be proficient in billing platforms such as Kinnser/WellSky, KanTime, AlayaCare, Careficient, and/or Alora Plus (required). The candidate must have a strong understanding of insurance claims processing, Medicare/Medicaid billing, private insurance, and compliance regulations.

Responsibilities:

• Accurately process and submit claims for home health services through Kinnser/WellSky, KanTime, AlayaCare, Careficient, and/or Alora Plus.
• Verify patient insurance coverage and eligibility before claim submission.
• Follow up on outstanding claims and resolve denials or rejections in a timely manner.
• Work closely with insurance companies, Medicare, Medicaid, and other payers to ensure proper reimbursement.
• Post payments, reconcile accounts, and generate billing reports.
• Ensure compliance with HIPAA regulations and billing guidelines.
• Collaborate with internal teams, including clinical and administrative staff, to resolve billing discrepancies.

Requirements:

• Minimum 2 years of experience in home health medical billing.
• Proficiency in Kinnser/WellSky, KanTime, AlayaCare, Careficient, and/or Alora Care billing platforms.
• Strong knowledge of Medicare, Medicaid, and private insurance billing for home health services.
• Experience handling claim denials, appeals, and payment reconciliations.
• Familiarity with medical coding (HCPCS, ICD-10, CPT) and compliance regulations.
• Excellent communication and problem-solving skills.
• Ability to work independently and manage multiple tasks efficiently.

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

Position: Home Health Medical Coders
Location: Philippines- Remote
Shift: Morning shift

Qualifications:

• Minimum of 2 years experience in Home Health coding
• Experience with Plan of Care (POC) and OASIS Review
• Certified Professional Coder (CPC) certification required
• HCS-O or HCS-D certification is a plus
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Excellent communication and collaboration skills
• Ability to work independently and within a team
• Must be available to start ASAP

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