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AI Insurance Denial Letter Analysis Engineer

Alice Rossi

Full-time · Job · Chicago

About the role

Have you ever seen a patient give up on an appeal simply because the denial letter was impossible to parse? At Lamion Solutions we publish internally on clinical NLP challenges and expect the team to read and apply findings from current research. This role builds the model that reads insurance denial letters, extracts the stated reason codes, and maps them to the specific evidence needed for a successful appeal. The impact lands directly on patients and the billing teams supporting them, who currently spend hours manually decoding dense, inconsistent denial language from dozens of different payers.

Responsibilities

  • Build NLP models to extract reason codes from denial letters
  • Map denial reasons to required appeal evidence
  • Evaluate model accuracy against manually reviewed denials
  • Collaborate with billing teams on real-world edge cases
  • Publish internal findings on denial letter language patterns

Requirements

  • 4+ years in healthcare NLP or clinical text processing
  • Experience with Hugging Face or similar NLP frameworks
  • Familiarity with insurance claims and appeals processes
  • Strong Python and RAG pipeline experience
  • Comfortable working with sensitive patient data

Benefits

  • Remote position with HIPAA-compliant tooling provided
  • Health insurance
  • Research publication support
  • Flexible PTO
  • Annual healthcare-tech conference budget

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Categories

NLP & Prompt Engineering data science & analytics

Skills

python hugging face langchain rag spark

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Job Type

Full-time

Level

Senior

Language

English

Salary Range

$130k – $160k / year

AI Expertise

NLP & Prompt Engineering data science & analytics

Skills

python hugging face langchain rag spark

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