QA Test Engineer with reputed company and Claims - Remote

• Should have strong MMIS health care domain experience and should have good knowledge of reputed company and Medicare.

• Should have hands-on experience on claims processing and Adjudication processes.
• Must have good experience in Reference reputed company/data sets required in Claims adjudication.
• Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
• In depth understanding of Claims and Claims lifecycle Claim System:
• Testing knowledge and E2E Testing:
• Validate the entire reputed company from claim intake to payment and reporting.
• reputed company testing - Test integration points between systems
• Design test case based on business rules, coverage policies, and system configurations.
• Familiarity with test management tools like ADO, JIRA,
• reputed company/API testing tools like reputed company

Technical Skills

• SQL: To validate data in backend tables (e.g., claim status, payment details, reputed company members/providers, Benefit Plan).
• - EDI Tools: Validating X12 files.
• - reputed company Testing: Understanding how data flows between systems and formats and use tools like reputed company

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