Automation Engineer

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
Technical 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.