OBJECTIVE

• An IT Quality Assurance Software Tester is a software quality testing professional who performs testing of software.
• The duties of an IT Quality Assurance software manual tester include developing and implementing software quality, managing testing environment.

SUMMARY

• 6+ years of experienced in Healthcare industry as a Quality Assurance/Tester Professional.
• Experienced in managingSDLC methodologies like Waterfall, Agile Scrum, RUP and RAD.
• ExpertiseSTLC like integration testing, system testing, and UAT testing developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
• Analyzes business requirements, design documents for completeness and testability.
• Strong understanding of Test Methodologies in Project Life Cycles.
• Strong in Analyzing Business specifications and expertise in developing Test Plan and Test Cases.
• Expertise on various Electronic Data Interchange (EDI) transaction.
• Tested the HIPAA EDI transactions 834, 837/835, 276/277, 270/271 according to the test scenarios.
• Enhancements of ICD9 TO ICD - 10 standards.
• Experience of Facets in Billing Entity, Premium Rates, Product Billing Component, Billing Group, Fees and Discounts, Adjustments, Claims processes, Provider, Member.
• Worked extensively on Claims and have a good understanding of COB 837/835 between providers and insurance company.
• Reported defects and bugs to development team using Bugzilla, Clear quest.
• Developed and maintained Requirements Traceability Matrix(RTM).
• Attended walkthrough meetings with the Business Analysts, Project Managers, Business Managers and QA Leads.
• Proven ability to move data across and within platforms by using ETL tools, such as SQL server Import/Export Wizards, SSIS, and INFORMATICA.
• Knowledge of X12 transaction and standards development processes
• Experienced in Batch Jobs, Autosys, File transfer protocol.
• Excellent team player with strong written, communication, interpersonal and analytical skills.

TECHNICAL SKILLS

Testing Tools: QC/ALM, Bugzilla, Soap UI, Clear Quest

Databases: SQL Server, Oracles

Other Tools: SQL+,DB Visualizer,MS SharePoint

MS Office Tools: Word, Excel, Project, PowerPoint

Systems: Window 7,8,XP, Unix, Linux

PROFESSIONAL EXPERIENCE

Confidential, UTAH

QA Analyst

Responsibilities:

• Coordinated with different teams and prepared Test Plans and Test Strategy documents and helped other QA members with Business Requirements.
• ValidateEDI Claim Process according to HIPAA compliance.
• Extensively worked with 837 I and 837 P Claim files.
• Reviewing Test plans, Test conditions, Test scripts, and Test results.
• Involved in black box testing, data driven testing, security testing, performance testing.
• Translated Use Cases into Test Cases and Test procedures and actively participated in brainstorming and walkthrough sessions.
• Supporting Team members in Preparation of Test Plan, Scenarios and the Testing procedures.
• Prepared Traceability Matrix and mapping Requirements and Test cases
• Performed regression, integration and functional testing on the builds of the application
• Conducted Backend test using SQL queries to verify the Integrity of the Database.
• Responsible for creating and uploading the project artifacts in Share point site and providing release support.
• Involved in Testing Out-Bound Transactions (835 Health care claims Payment, 277 Claim Status Response).
• Experienced in Health Informatics and HL7 standards.
• Developed Test plans and scripts using Quality Center and utilized use cases as a basis for performing Integration and System testing.
• Reported defects and bugs to development team using Bugzilla.
• Assisted in User Acceptance Testing (UAT), developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
• Extensively used Parameterization of data from Excel as well as using MS SQL Server Database for Data Driven testing.

Confidential, New York, NY

QA Analyst

Responsibilities:

• As a QA Analyst my responsibilities included documenting and developing Test Plans for the Product using several methodologies.
• Assisted in writing efficient and effective Master Test Plan, Test Strategy, System Testing, End-to-End Testing .
• Profound understanding of insurance policies like HMO and PPO and proven experience with HIPPA 4010 EDI transaction codes such as 270/271(inquire/response health care benefits),276/277(Claim status), 834(Benefits enrollment), 835(Payment/remittance advice), 837(Health care claim).
• Performed end-to-end System Integration testingwhich covered the entire business process flow to all the downstream systems and XML output files, including apps interfaces.
• Participated in the planning, development, coordination and presentation of specific testing needs as appropriate to the quality assurance needs of the end user.
• Established and maintained test cases and test data in Quality Center.
• Participated in changes for system design, methods, procedures, policies and workflows affecting Medicare/Medicaid claims processing in compliance with government compliant processes like HIPAA/ EDI formats
• Evaluated claims adjudication needs and created HIPAA-compliant business rules configuration.

Confidential, Chicago, IL

QA Analyst

Responsibilities:

• Reviewed Business Requirements with Project Manager and Lead Developer to learn the functionality of the application.
• Involved in preparing Test Plan and Test Cases based on business requirements.
• Wrote Test Cases in Excel based on Technical Specifications, Functional Specifications and Business rules for online application system.
• Authored Test cases for HIPAA EDI Transactions 270/271, 276/277,837/835.
• Tested HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/835 transactions.
• Executed Configuration Testing to check if the application was compatible in different environment for each module of the application
• Executed Test cases manually by composing 270, 276,837 EDI files and dropped inbound and check response 271,277,835 using interleaves and outbound.
• Logged defects in Quality Center and interacted with the developers to resolve technical issues.
• Prepared test matrices based through defect status in Quality Center.
• Authored and executed Test cases manually for Tiered Benefit and mapped from website to PMHS.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and Technical Specification in Excel and exported them in Mercury Quality Center.
• Logged errors reported defects, determined repair priorities, did regression testing and close by using Mercury Quality Center.
• Performed Integration Testing with PMSH, LRSP and Website, System Testing and Regression Testing.
• Responsible for performing User Acceptance Testing.