Posted:1 week ago|
Platform:
Work from Office
Full Time
Job Title: Manual QA Tester EDI & US Healthcare Claims - Immediate Joiner
Role Summary:
Responsible for testing healthcare EDI transactions, ensuring accuracy and compliance with HIPAA standards, and validating claim processing workflows across payer and provider systems.
Key Responsibilities:
Perform manual testing of healthcare EDI transactions including 837 (claims), 835 (remittance), 270/271 (eligibility), 276/277 (claim status), 999/TA1 (acknowledgments).
Validate EDI file structure, syntax, and compliance with HIPAA 5010 standards.
Verify data mapping between EDI files and internal application or database tables.
Conduct end-to-end testing of claim life cycle — from submission to adjudication and payment.
Execute functional, integration, and regression tests for healthcare applications.
Identify, log, and track defects using JIRA, ALM, or Azure DevOps.
Work with developers, EDI analysts, and business teams to resolve transaction and mapping issues.
Validate payer responses, error reports, and rejection reasons.
Support UAT and assist in production verification testing.
Required Skills:
4–6 years of manual QA testing with focus on EDI and US healthcare claims. Budget 11 LPA
Bangalore and Gurugram
Deep understanding of HIPAA EDI transaction sets (837, 835, 270/271, 276/277).
Experience with EDI translators or mapping tools (e.g., Sterling Integrator, BizTalk, Seeburger).
Good knowledge of claim processing, member eligibility, and remittance workflows.
Proficiency in SQL for backend data validation.
Strong skills in test case creation, execution, and defect management.
Kezan Consulting
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