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Quality Assurance Analyst Resume

Sacramento, CA

TECHNICAL SKILLS:

  • HIPAA Trained
  • Medical Insurances
  • Strong Multi - Tasker
  • ICD-10-CM
  • Medical Software
  • Excellent Interpersonal Skills
  • ICD-9
  • Electronic Claim Submission
  • Excellent Phone Skills
  • CPT/HCPCS
  • Paper Claim Submission
  • High Level of Accuracy
  • Medical Terminology
  • Attention to Detail
  • Work Well Under Pressure
  • Problem Solving
  • Analytical
  • Data Analysis
  • Working Knowledge of Oracle Database using SQL/SQL+
  • Working Knowledge of Unix/NT server
  • Quality Center Reporting and Analysis
  • Microsoft Applications and Window Versions
  • Proprietary Software testing tools.
  • Quality Center and Testing Studio
  • Keyboard 51 WPM
  • Proprietary Billing Software
  • Medical Software

PROFESSIONAL EXPERIENCE:

Confidential, Sacramento, CA

Quality Assurance Analyst

  • Prepare documentation of executed test cases from design requirements and functional specifications.
  • Document defect/issues in tracking system, including relevant brief descriptions of the issue with detailed steps to replicate.
  • Follow quality procedures and testing standards, execute manual and automated tests for multiple software builds within scheduled release cycles.
  • Engage in functional, integration, regression, UAT and performance/stress testing for client/server and relational database environments.
  • Proactively troubleshoot with Business Analyst, Development and QA peers to replicate/identify and resolve issues.
  • Proactively alert QA team and Development team of issues and updates, providing regular progress reports as needed.
  • Research and diagnose complex software problems, recommend solutions and determine when program requirements have been met.
  • Engaged with Relationship Managers during their UAT process.

Eligibility Representative II

Confidential - Rancho Cordova, CA

  • Assists Processing team in manual entry of daily Eligibility Reject and EIP reports during critical processing for Open Enrollments.
  • Allocate payments and reconcile and audit assigned individual and employer group accounts.
  • Reviews work with Supervisor or Lead Rep once an audit is performed.
  • Applies payments and reconciles balances monthly to maintain client account financial integrity.
  • Handles internal and external inquiries concerning billings, rates and members.
  • Provide guidance and assistance to Eligibility Representative Staff with shared accounts.

Confidential - El Dorado Hills, CA

Functional Test Engineer

  • Executed functional test cases, to find and correct defects in the billing software.
  • Ensured test environment was error-free and operating efficiently for accuracy in program testing outcomes.
  • Minimized downtime and improved overall operations via ensuring test environments preparedness.
  • Improved billing processes and reduced errors by initiating Sanity and Smoke testing in 3 test environments.
  • Performed defect management using Quality Center to resolve and close defects.
  • “Go-To Advisor” for chat room database tool questions, query needs, and database query writing.

Confidential

Senior Quality Assurance Analyst

  • Performed component, functional, and enterprise testing ensuring consistency with all related processes to maintain smooth work flow and increased productivity.
  • Increased customer understanding and prevented billing payment delays by validating accuracy via end-to-end testing: from inception to final outcomes of billing software projects.
  • Reduced errors and eliminated defects to guarantee on-time delivery and meet customer needs by reviewing software requirements and designs to test, measure accuracy, and maximize performance.

Confidential, Sacramento, CA

Billing Analyst

  • Reviewed and processed rate increases, area builds/rebuilds, agent transfers and marketing promotions to grow business and ensure profitability.
  • Guaranteed project’s needs maintained compliance with state and federal laws and regulations.
  • Recognized as a mentor to peers and customer service representatives regarding change requests, promotions and planning details.

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