Functional Tester with FACETS & Healthcare

Perform functional integration and regression testing across healthcare applications Design and execute test scenarios test cases and test data based on business requirements Validate Facets modules including Claims Membership Provider Billing and Benefits Conduct EDI testing for HIPAA transactions such as 834 Enrollment 837 Claims 835 Payments 270271 Eligibility Verify EDI file structures mappings and data transformations across systems Execute end-to-end testing of claims lifecycle submission adjudication payment Identify log track and manage defects using tools like JIRAALM Perform backend validation using SQL to ensure data integrity Collaborate with business analysts developers and stakeholders for requirement validation and defect resolution Support UAT cycles and production validation activities Maintain test artefacts such as test plans RTM execution reports and defect logs

811 years of experience in Functional Testing QA Strong experience in US Healthcare domain Payer Provider Hands-on experience with Facets application testing Claims Enrollment Billing Provider modules Solid experience in EDI testing X12 HIPAA transactions such as 834 837 835 270271 Strong understanding of Claims processing adjudication workflows Member enrollment eligibility Provider and billing processes injoobleorg Good knowledge of SQL for backend validation Experience with test management defect tracking tools JIRA ALM Azure DevOps Familiarity with SDLC STLC AgileScrum methodologies Strong analytical problemsolving and communication skills Good to Have Skills Exposure to APIWeb services testing SOAPREST Experience in automation tools Selenium Tosca Knowledge of EDI tools translators Sterling BizTalk etc Understanding of HIPAA compliance and healthcare regulations Typical Functional Areas Tested Claims Adjudication Pricing Member Enrollment Eligibility Provider Management Billing Payments 835 remittance EDI Interfaces Batch Processing Integration with up stream down stream systems