Healthcare Test Analyst
Required Skills- 5+ years QA software manual testing experience/testing methodology/practical application in a healthcare environment.- 3+ years healthcare claims processing- QNXT is required. Experience navigating QNXT tables and modules (Claims, Utilization Management, or Finance).-Excellent knowledge in ICD/CPT codes- Knowledge of Claims Adjudication is required- SQL Querying experience is required. Ability to write Joins, Subqueries, and Unions to pull data for validation.- Thorough understanding of all aspects of Healthcare claims processing system - including (but not limited to) claim adjudication, membership and enrollment, eligibility, configuration and benefits, authorizations and payment is required-This individual will have experience with transactional data including inbound and outbound HIPAA transactions, i.e. 834, 278, 837, 835 as well as proprietary files. Ability to read HIPAA transactions 278; 834; 835; 837I, P, D- Excellent verbal and written communication skills.PREFERRED:- Experience with the UltraEdit- Experience and proficiency with Claim Test Pro- Experience with automated test tools / EDI is a plus.- A.A. degree and professional industry certification preferred