Hello!

 I am currently hiring a Blue Cross Claims Tester  for a 6 month contract
in Jacksonville, FL (PLEASE SEE REQUIRED EXPERIENCE BELOW)

*Candidates Must be on your W2.

REQUIRED SKILLS
                ** COB
                **837 Claims Adjudication/Pricing
SQL (Oracle and DB2
Mainframe/CICS/DB2
Experience with hands-on testing of OPL, COB, Healthcare Claim Pricing,
Healthcare Claim Benefits, End to End Claims Processing
Knowledge of Health Claims Systems - Professional, Institutional, RX,
ICD-9, CPT4, PX/DX Relationships, and Medical Terminology
System Testing
DB2
SQL
Blue Cross Claims - User
Blue Shield Claims - User
HP Quality Center
Health Insurance
Claims Processing

•         Create test deliverables and perform testing for internally
developed or external purchased products
•         Perform static, functional, technical integration, end-to-end and
User Acceptance Testing
•         Execute job streams for creating test beds, assigning test
scenarios, writing test scripts and tracking defects to certify that
applications meet technical and business requirements
•         Analyze and make specific recommendations on improvements that
can be integrated into business processes
•         Participate in reviews throughout the development life cycle
•         Facilitate User Acceptance Testing by providing the necessary
support to the business users
•         Knowledge of workflows and business and technical requirements
•         Experience with user acceptance testing, functional and
regression testing techniques
•         Ability to extract data utilizing SQL (Oracle and DB2)
•         Ability to analyze and evaluate xml data including x12 format
•         Experience with use cases and use case realizations to develop
test plans and scripts
•         Knowledge of Software Development Life Cycle processes and
procedures
•         Knowledge of HP Quality Center
•         Knowledge of Health Claims Systems - Professional, Institutional,
RX, ICD-9, CPT4, PX/DX Relationships, and Medical Terminology
•         Experience with hands-on testing of OPL, COB, Healthcare Claim
Pricing, Healthcare Claim Benefits, End to End Claims Processing
•         Knowledge of defect management processes
•         Knowledge of Mainframe/CICS/DB2
•         Knowledge of Client Server applications
•         Candidate must have the hands-on experience with Healthcare
Claims Processing end to end.  This includes submission, processing,
pricing, benefits, accumulators, finalization, remittance, adjustments.



Thanks and Regards,

Nagesh.Reddy
Dexter Systems Inc.
12801, Worldgate Drive, ST500
Heredon, VA , 20170,  USA
P:703.763.4322| F: 703. 348. 8500
www.dextersys.com | nages...@dextersys.com
Gtalk: srinagesh.re...@gmail.com
Yahoo msn ID: srinagesh.re...@ymail.com

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