Clinical Supervisor

Clinical Supervisor

Location: Mihan, Nagpur

Work Mode: Work from Office

Shift: Night Shift (5 days working)

We are looking for a certified nursing professional to join our US healthcare BPO team. The role involves reviewing clinical cases, supporting escalations, ensuring compliance with US healthcare standards, and collaborating with operations and QA teams. This is a night-shift, work-from-office position based in Mihan, Nagpur.

Requirements:

• Good communication skills to coordinate with the operations, QA teams, and US based clients or providers.
• Excellent medical judgment and clinical knowledge to support case reviews, escalations, and documentation validations.

Preferred Requirements:

• 1-2 years of experience in a supervisory or quality role in a US healthcare BPO/KPO process (e.g., Claims, RCM, Utilization Review)
• Strong understanding of US healthcare workflows such as claims adjudication, prior authorization, clinical documentation, or medical coding.
• Experience in process audits, compliance checks and training new hires on clinical guidelines.
• Familiarity with HIPAA regulations, EMR/EHR systems, and US insurance terminologies and ICD/CPT codes Mandatory Qualification: Certified nursing professional GNM / B.Sc Nursing / MBBS / BAMS / BHMS
• Must hold a valid Indian medical or nursing degree

Interview Time and Venue

Altius Customer Service Pvt. Ltd & South Central Facility Building, Mihan SEZ, Nagpur

Mon-Sat : 11.00 AM PM