3 + Years of Experience in Software testing in Health insurance domain
Strong understanding of health insurance process like claims & enrolment
Strong knowledge on Customer facing applications
Develop test cases/scenarios for Facets and EDI- X12 transactions (837, 834 &835)
X12 segment and Looping structure validations against the Healthcare standards including, HIPPA and SNIP level validations to be verified
Perform Detailed testing on EDI transactions including enrolment, claims eligibility and provider data
Validate Facets benefit plans, claims processing and pre/post adjudication rules.
Work closely with Business analysts and developers to understand business requirements/user stories
Proficiency in SQL for data validation
Good to have Defect Management tools like JIRA/ Rally/ADO
Strong Analytical and problem solving
Excellent Verbal and written communication skills
Health care Certifications are added advantage.Keyskills: Software Testing data validation test cases EDI Rally JIRA SQL