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Manual QA-US Healthcare Claim and EDI (Immediate Joiner) Kezan Consulting

4.0 - 9.0 years

5 - 10 Lacs

gurugram, bengaluru, delhi / ncr

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Job Titile-Manual QA - US Healthcare Claim and EDI Exp-4+ years Budget-10 LPA Location-Gurugram & Bangalore Role Summary Responsible for validating US healthcare claims processing and EDI transactions to ensure compliance with HIPAA, CMS, and payer-specific rules. Focus on functional, data, and integration testing across claims lifecycle. Key Responsibilities Analyze business requirements for claims, eligibility, benefits, and EDI workflows. Perform manual functional testing on professional (837P), institutional (837I), and dental (837D) claims. Validate EDI transactions: 270/271, 276/277, 278, 834, 835. Test claim adjudication rules: edits, pricing, bundling, COB, capitation, DRG/APC. Verif...

Posted 1 week ago

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