Job Description :
Greetings from ECONOSOFT!!!
Hope you doing great.
This is Aman From Econosoft, we are the leading Staffing and a Recruitment Company based out in CA, Currently we are hiring with one of our client.

Job Role : QA Tester
Location : Ontario, CA
Duration : 6+ Months
Interview Mode : Telephonic, F2F
Skills: QA,Agile, Scrum, SQL, EDI
Experience:: 5+
Note:: Please check the JD clearly

Job Description::

Title - QA Tester
Need healthcare experience testing claims processing systems and claims adjudication NOT EDI FOCUSED
Focus on the core claims adjudication process: review, member, provider, was this a covered benefit plan member, authorization, Third Party liability, allocation amount vs co pay, # of edits occurring on claim, work flow for bringing in the claim and assigning it, medical review, paid claim workflow, utilization management, clinical requirements/aspects, nurse que, etc.
Ability to work concurrently on several projects, each with specific instructions that may differ from project to project
Work with others through coaching and mentoring to ensure tasks are completed on time
Work with project team to identify risks if quality assurance process is not followed
Coach, mentor and assist with testing as needed
Experience with release management tasks a plus
Analyze and dissect system requirements and technical specifications to create and execute test cases for medium complexity changes up to supporting large business initiatives
Assist business users in defining User Acceptance Testing, test cases and plans
Establish and maintain test cases and test data in TFS or other Quality systems
Work with business users, system analysts, designers and programmers to create and analyze various required project documents
Participate in production implementation verification
Plan, document, evaluate and track testing results to ensure system applications are free from defects
Communicate and interact with appropriate areas on problems, changes and enhancements that may impact data, workflow and /or functionality within Information Technology software
Comply with and ensure that quality processes are carried out through all phases of the Software Development Lifecycle
Participate in analysis and design walkthroughs, as well as project meetings
Estimate quality assurance effort on approved projects
Specific Knowledge, Skills, and Abilities:
3+ years experience reading, writing and running SQL queries
Experience reading and manipulating EDI files in 837, 835, and various HIS System interface formats is beneficial
2+ years with a solid background in manual testing,
•Experience with and participation in Agile/Scrum methodologies
Experience in Healthcare industry is a plus.