![]() ![]() Involved in validation of the data in 837 transactions in accordance to companion guide.Conducted GAP analysis and filling gap according to the format set by HIPAA.Created Test Cases and Test data after analyzing the BRD.Worked with the agile methodology reviewing the Business requirement, Functional Design Documents and Technical Specification documents.Project Methodologies: Agile Scrum, Waterfall, KanbanĮTL Tools: MS SQL server integration Services Solid experience in creating and validating TCS letters through various FACETS Applications (Utilization Management, Claim Processing and Customer Service Applications) in the QAE1 environmentīug Reporting Tools: Bugzilla, JIRA, HP ALM/ Quality Centerīusiness Analysis: MS Visio, Flowcharts, Business Process Modeling/Mapping, Use Cases/ User Stories, Data Flow.Experience of Web and Mobile applications using Android and IOS devices in agile process.Experience in designing and developing Data Warehouse applications using ETL and Business Intelligence tools like Informatica Power Center, Datastage, Mainframes, OLTP, OLAP, Business Objects.Well versed with Data Migration, Data Conversions and Data Extraction/Transformation/ Loading (ETL). ![]() Excellent communication and organizational skills with the ability to adapt to a new environment.Extensive experience in Data Analysis and ETL Techniques for loading high volumes of data and smooth structural flow of the data.Used ETL methodology for support in extracting data, transforming and formatting the data as per needs, loading the data to Data Warehouse.Used SOAP UI tool to test QA based architecture application and test SOAP-UI services and REST API.Expertise Back-End Testing by writing SQL Queries and validating the database using SQL joins Unions and Stored Procedures on ORACLE and MS-SQL SERVER.Experience with EDI transactions such as EDI 834 (Benefit Enrollment and Maintenance), 276/277 (Health Care Claim Status Request and Response), 278(Health Care Service Review Information), 835 (Health Care Claim Payment/Advice), 837P (Health Care Claim: Professional), 837I (Health Care Claim: Institutions), ICD9/ICD10.Experience in Data Analysis, Data Validation, Data Modeling, Data Profiling, Data Verification, Data Loading, and Data Warehousing/ETL testing thorough understanding various Requirements, Analysis and Design.Used Agile - testing methodology for achieving deadlines in UAT.Worked closely on 834 transactions for Benefit Enrollment and mocking up the EDI transaction file to test the internal system for open enrollment.Experience on Web services to combine component based development and Internet standards and protocols that include HTTP, XML and Web services Description language.Solid understanding ofMembership, Claims Processing, Benefit/Eligibility, COB, Authorization /Referrals,and have experience inHIPAAstandards and correspondingEDItransactions.Tested the HIPAA EDI transactions 834, 837/835, 276/277, 270/271 according to the requirement test scenarios.Performed backend database testing by writing SQL and PL/SQL scripts to verify data integrity.Experience in developing, trouble shooting and customizing automation test scripts usingQuick Test ProfessionalQTP/HP UFTforFunctionalandRegression Testing. ![]()
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