US Healthcare​/Insurance Professionals

Location: Borivli

Company Description  DeepLLMData specializes in powering advanced AI and frontier models with expert human-generated data. The company works with domain-specific professionals, including STEM and PhD-level experts, to support specialized tasks such as supervised fine-tuning (SFT) and reinforcement learning from human feedback (RLHF). DeepLLMData also collaborates with skilled image and video annotators to ensure high-quality visual data labeling and provisioning. By combining technical expertise and precise data annotation, DeepLLMData enables clients to build more accurate, reliable, and domain-aware AI systems.
Type of Role :
Remote  and Freelancing.

Role Description    US Healthcare/Insurance Professionals who will contribute their domain expertise to improve healthcare-related AI models and data quality.
Expertise needed :
A. Health Insurance / Utilization Management Expert  Payer Benefit Determination, Prior Auth Review, Prior Auth & Appeals PrepUS payer operations, benefits/eligibility, deductibles/copays/coinsurance, formularies, medical necessity, prior authorization, CMS NCD/LCD, commercial payer policies.
B. Physician / Advanced Clinical Practitioner :  Prior Auth Review, Prior Auth & Appeals, Medical Record Synthesis, Discharge Summary, Triage, In-Basket, Pre-Visit Prep, Referral TriageMD/DO preferred; alternatively experienced NP/PA depending on task. Strong chart review, clinical reasoning, medical necessity, triage and care pathways. Ideally US clinical experience
C. Registered Nurse / Clinical Documentation Expert  Medical Record Synthesis, Discharge Summary, Shift Handoff, Triage, In-Basket, Pre-Visit Prep, Referral Triage RN with inpatient/outpatient experience, chart review, medication reconciliation, I-PASS/handoff, discharge workflows, triage and EHR documentation
D. Clinical Pharmacist / Medication Safety Expert  Medication Safety Review; supports Payer Benefits & Appeals

PharmD/RPh; drug-drug interactions, contraindications, allergies, formulary tiers, generic alternatives, Beers Criteria, FDA warnings/recalls, Rx Norm
E. Certified Medical Coder / Revenue Cycle Expert CPT/HCPCS & E/M Coding, Claims Denial Appeal PrepCPC/CCS/CCS-P or equivalent; CPT, HCPCS, ICD-10-CM, E/M guidelines, claim denials, CARC/RARC, EDI 835, medical necessity and payer rules
F. Health Informatics / EHR Data Expert Medical Record Synthesis and technically structured datasets across most skillsFHIR, C-CDA, HL7, EHR data structures, terminology standards such as SNOMED CT, LOINC, RxNorm, ICD-10; ability to interpret structured clinical records
Qualifications
US Healthcare and Medicine background :
Candidates should possess knowledge in US medicine and general healthcare practices, with experience in clinical or insurance-related environments
Alternatively strong experience with US Based Health Insurance company will be needed.
Communication and Training:
Strong communication skills and experience in training or educating others on healthcare processes, documentation, or insurance procedures.
Relevant Experience and

Education:

Prior work in US healthcare, medical billing, insurance claims, or utilization review; coursework or degrees in health sciences, nursing, public health, or related fields are advantageous.
Technical and Analytical

Skills:

Ability to work with digital tools, follow detailed annotation guidelines, and maintain high accuracy and attention to detail.
Work Style:
Comfortable working independently in a remote setting, managing part-time hours, and handling sensitive healthcare information in compliance with privacy standards.