Hi


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Send resumes to [email protected]



*Position :  QA health care*

*Location:  Dallas TX*

*Duration:  6 months*



Senior Level – 5 yrs of testing experience with some automation and 2-3
projects  related to claims processing or adjudication .

Mid- Junior Level – 2-3 yrs of testing experience with some automation
testing and some claims processing experience .



These are business testers.  Please find testers who understand claims
adjudication, testers who have a claims background. They are not testing
systems but testing a process . Which is related to claims .



•               SQL for writing and running queries

•               Rational ClearQuest for logging defects( Nice to have)

•               Rational Quality Manager for entering test cases, executing
test cases and tracing test cases to requirements

•               Excellus is willing to train individuals in the Rational
Toolset.

•               Microsoft office products: word, excel



Top three skills



•               Claims processing or Claims adjudication

•               SQL writing/running queries

•               Test scripts and Test cases



Knowledge:

•               Experience in testing claims  processing, membership and
providers.  These people aren’t testing systems , they are testing a process

•               Ability to read business requirements, develop test scripts
and test cases

•               Run SQL queries and writing SQL queries is important aspect
of the job .

•               ability to write test cases and test scripts based on
requirements or test scenarios

•               detail oriented

•               ability to create defects

•               ability to analyze testing results

•               ability to trace test case to requirements within test plan

•               ability to report status daily and weekly

•               ability to create test data or request test data if
applicable

•               knowledge of referral/authorizations to claims matching

•               knowledge of ClaimsXten - rules based claims editing

•               ability to validate provider contracts

•               understanding of other party liability claims processing

•               understanding of Medicare

•               understanding of EDI formats: 270, 271, 276, 277, 278, 820,
277A, 834, 835, 837, 999, TA1

•               understanding of DRG groupers: MS-DRG, APR-DRG, APC-DRG,
APG-DRG, HCG-DRG

•               knowledge of NetworX pricer

•               knowledge of blue exchange

•               knowledge of HIPAA repository

•               knowledge of FEP











Thanks & Regards,

* *

*Raghuveer M.*

*It Recruiter.*

Technical Strategies Inc., (A Certified Small Minority Owned Business)

4229, Lafayette Centre Dr, Suite 1650

Chantilly, VA 20151

Office : 703-773-6219, Fax703-466-0585

email : [email protected]

url:      http://www.techstratinc.com



Equal Opportunity Employer.

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