Medical Claims Validation Specialist – Detroit, Michigan

Job Description

About the Company

Skill Gigs is a global IT and healthcare consulting firm that connects skilled professionals with leading organizations worldwide. This opportunity is with one of our U.S.-based healthcare partners, focused on ensuring accurate claims validation and efficient revenue cycle operations.

Job Title

Medical Claims Validation Specialist

Location

Detroit

Job Overview

We are seeking a detail-oriented and analytical Medical Claims Validation Specialist to support claims review and validation processes. In this role, you will ensure accuracy of claims data, verify insurance details, and help reduce claim denials.

Key Responsibilities

Review and validate medical claims for accuracy and completeness
Verify patient insurance information and eligibility
Identify discrepancies and resolve claim-related issues
Ensure compliance with billing regulations and payer requirements
Collaborate with billing and insurance teams
Maintain accurate documentation of validation processes
Assist in resolving denied or rejected claims
Support timely and accurate claims processing
Ensure confidentiality of patient and billing information
Monitor and improve claims validation workflows

Required Qualifications

Bachelor’s degree in Healthcare Administration, Finance, or related field
1–3 years of experience in medical claims, billing, or validation roles
Strong understanding of healthcare billing and claims processes
Knowledge of insurance verification procedures
Good analytical and problem-solving skills
Strong attention to detail and organizational abilities
Effective communication and teamwork skills

Preferred Qualifications

Experience with medical billing systems and EHR platforms
Knowledge of ICD and CPT coding standards
Familiarity with payer policies and claims adjudication
Understanding of healthcare compliance regulations
Certification in medical billing or coding (preferred)

Why Join Us?

Work with a leading U.S.-based healthcare organization
Gain hands-on experience in claims validation and revenue cycle management
Supportive and collaborative work environment
Competitive salary and benefits
Opportunities for career growth in healthcare administration

How to Apply

Submit an ATS-friendly resume highlighting your experience in medical claims validation, billing, and relevant healthcare systems.