Role: Automation Engineer
Experience: 1 to 4 Years
Work Mode: WFO / Hybrid /Remote if applicable Immediate Joiners Preferred
Responsibilities:
· Develop and execute test plans, test cases, and test scripts for healthcare claims processing systems.
· Perform functional, integration, regression, and end-to-end testing of claims applications.
· Verify the accuracy of claims data, including patient demographics, medical codes (CPT, ICD-10), and payment information.
· Test claims adjudication logic, ensuring compliance with payer rules and regulations.
· Validate electronic data interchange (EDI) transactions related to claims processing (e.g., 837, 835).
· Identify, document, and track software defects using bug tracking systems.
· Collaborate with developers to resolve defects and ensure timely resolution.
· Perform root cause analysis of defects to prevent recurrence.
· Work closely with business analysts, developers, and project managers to ensure quality throughout the software development lifecycle.
· Participate in requirements review and design sessions.
Required Skills and Qualifications:
· Bachelor's degree in a related field (e.g., Computer Science, Healthcare Administration).
· Experience - 2 - 8 years of testing exp. 3-4 of relevant experience working in US Healthcare Claims projects
· Techincal skill - Ability to execute SQL queries for data verification fluent in excel formulas & macros
· Proven experience in quality assurance testing, preferably in the healthcare industry.
· Strong understanding of US healthcare payer systems and claims adjudication processes.
· Knowledge of medical coding (CPT, ICD-10) and healthcare terminology.
· Familiarity with EDI transactions (837, 835).
· Experience with test management and bug tracking tools (e.g., Jira, TestRail).
· Excellent analytical and problem-solving skills.
· Strong attention to detail and accuracy.
· Excellent communication and interpersonal skills.
· Preferred: AHIP AHM 250 certification.
Job Type: Full-time
Benefits:
- Flexible schedule
- Health insurance
Work Location: In person
