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Full-time Manual QA Tester with EDI HIPPA

at c2csaini in Maryland

Manual QA Tester

Location : Remote ( Rockville, MD)

Duration: 6-12 months


Strong Manual tester with Healthcare Payer Industry Knowledge, EDI
Transactions and CoreClaims processing. Automation testing is a good to have
but not mandatory.
Healthcare domain knowledge and expertise in Payer (Commercial,
Medicare/Medicaid, State Health Plan) and Third Party Administrator business
areas.
Experience in QE & Testing aspects relating to key areas like Claims
Processing (Claims Intake, Preprocessing, Adjudication, Payments/Remittance,
Recovery) and Membership Enrollment (Enrollment Intake , Preprocessing,
Fulfillment).
Hands on experience in Testing EDI HIPAA 5010 Transactions including
 837,834, 835, 270, 271, 276, 277. Thorough with the Transaction semantics,
structure and content at the Segment, loop and attribute level and must be
familiar with EDI Gateways and SNIP validations.
Must be able to create/build EDI test files like 837 and must be able to
validate the related data (Claims data) in the Core system post processing.
Must possess skills in  writing ANSI SQL queries to extract data in the
context of data analysis and validation. Knowledge of  RDBMS like Sybase/SQL
Server/ Oracle will be important.
Must have participated in Test Planning and Tracking aspects,  SQA
processes and methodology. 


Reference : Manual QA Tester with EDI HIPPA jobs


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Published at 09-12-2020
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