SUMMARY

• Over 7 years of QA experience in software development environment, with focus on developing test strategies, test plans, test cases, test scripts, executing tests & resolving test discrepancies
• Experience in testing Healthcare, Insurance and Client - Server applications on different environments.
• Strong knowledge of Healthcare Insurance, EDI HIPAA transaction types and ANSI X12 data (837, 835, 834, 270/271 and 276/277).
• Extensive knowledge in Claims Processing and HIPAA regulations
• Strong knowledge of Software Development Life Cycle (SDLC) and QA Methodologies.
• Excellent knowledge in Automated Software Testing using QTP
• Testing expertise includes, Test Plan and Test Cases Formulation, Working knowledge of Bug Reporting Tools like Test Director and Quality Center.
• Worked on EMR modules for Physicians, Drug information and Order Details.
• Experience in Out Patient & In-Patient, Ambulatory EMR and Hospital Services.
• Hands on experience working on different modules of Trizetto Facets claims processing system.
• Good Knowledge of creating Medical claims, Billings, Benefits, Appeals, enrolling subscribers and members in Facets.
• Good understanding of EMR, EHR and HL7.
• Expertise in the EPIC Medical software application (EMR, EHR) as it relates to hospital workflows and setting up the infrastructure for a software implementation in a clinic environment.
• Worked on Cerner and Meditech.
• Extensive knowledge of Epic Inpatient and OpTime.
• Problem Solving Skills and testing experience in complex business systems.
• Ability to understand & analyze business processes & workflows with the objective of providing recommendations for the best use of technology to improve these
• Experience in EDI Testing, Mainframe Testing, with great knowledge of QA methodologies
• Expert level knowledge of Microsoft Office tools, Mercury Tools, Rational Clear Quest, Quality Center, MS-Visio and others.
• Extensive experience in Functional, Integration, Regression, User Acceptance (UAT), System, and Black Box Testing
• Strong experience in developing Test Plans, Test Scripts and Test cases using requirements and design documents while specifying Testing Overview, Approach, Strategy, Scope, Roles and Responsibilities.
• Experience in testing of Windows OS's such as Windows 2008, Win7, Vista
• Developed Test Cases and scripts for different HIPAA EDI ASC X12 Message Formats.

TECHNICAL SKILLS

Testing Tools: Quick Test Professional 9.5/9.2/9.0/8.2/8.0/6.5 , Load Runner 8.0/7.8/7.5

Bug Reporting Tools: Quality Center 9.0/8.2/8.0, Test Director 8.0/7.6/7.2, Clear Quest V2003Programming Languages C, C++, TSL (Win Runner Test Script Language), Rational SQARational VU, Java, Visual Basic 6.0, and SQL

Platforms: Windows 2003 Server/98/2000/NT/XP

Database: Oracle 9i / 8.x, DB2, MS-SQL Server 2003/2000 and MS Access

Web Technologies: VBScript, HTML, DHTML, XML/XSL, JavaScript

Web/Application Servers: IIS 4.0, Apache 2.0, BEA Web Logic 8.1/ 7.0

Network Protocols: TCP/IP, FTP, HTTP, SMTP and UDP

PROFESSIONAL EXPERIENCE

Confidential, NYC, NY

Sr. QA Analyst/Epic Analyst

Responsibilities:

• Involved in testing, validating and trouble-shooting interfaces between Healthcare information systems and other ancillary systems utilizing Integration Engines and HL7
• Understanding the user requirements and business goals for successfully implementations
• Created test plans and test cases for Epic application.
• Extensively worked on Interface Tickets (ON CALL) for all Cleveland Clinic Facilities using ITSM application
• Manually tested the Bridges application for new functionalities in TEST environment, Involved in Regression, Integration, Functional, Smoke testing.
• Worked on Reconcile Reports for Epic Health Care Systems.
• Hands on experience working on ICD 9 to ICD 10.
• Extensively worked with other Business Team / Units to resolve issues. Coordinated with other team members on issues as-needed.
• Performed End to End testing of Inpatient module in Epic
• Extensively worked on Interface engines to monitor the flow from Epic to other External Ancillary Systems
• Worked on Epic modules, ADT, ORU Delete and Process Reports were tested in all regions. MED Image Reports were tested in Regional Interfaces.
• Worked exclusively on Reconcile Reports to match the data Epic systems.
• Monitored Interface Engines like Sun E-gate, Orion's Rhapsody, Siemens Open link to see the messages flow through various interfaces
• Logged issues in EPIC defect tracking system called Sherlock and discussed the issues in daily and weekly status meeting
• Escalated Priority 1 and 2 issues in the daily stand up meetings.

Environment: EPIC, HL7, HIPAA, Bridges, Query Journal, E-Gate, Rhapsody, Open link, Error Correction, MS office, Windows XP, 7

Confidential, Detroit, MI

Sr. QA Analyst

Responsibilities:

• Analyzed Business and Technical Requirements and help Program SIT lead to estimate Level of Effort (LOE) for Test.
• Reviewed BRD, FDD and Technical Design to determine the Risk Analysis of the application and to create a test plan.
• Wrote Test Cases and Scripts as per the business requirements and Functional Design Document.
• Responsible for writing System test cases and System Integration test cases for Cerner applications - FirstNet, PowerChart.
• Regular interaction with the core developers helped us in fixing the defects in less time.
• Conducted data driven testing using QTP to conduct backend testing.
• Established traceability matrix using Rational Requisite Pro to trace completeness of requirements in different SDLC stages.
• Used Radiology relatedactivities worked on Module RadNet of Cerner Millennium and PathNet module for pathology.
• Performed manual testing and system integration testing of different modules in Cerner Millennium.
• Configured the Data mapping between Oracle and SQL Server.
• Identified test requirements from specifications, mapped test case requirements and design test coverage plan for Cerner Millennium.
• Automated confidence tests that run on new builds on regular basis.
• Worked on HL7 for Order methods and Admit Methods.
• Involved in setting up different configuration environment for compatibility testing and manual testing.
• Upgraded the existing Test Scripts and created new scripts for client application to be able to work for new versions and patches, which improved product quality.
• Created test scripts for all the test cases in PL/SQL.
• Evaluated testing results for each potential release build using Test Director, Quality Center and Bugzilla reports, listing summarized bug information in priority sequence, recommended viability of release for production.
• Created Use-Case diagrams and State diagrams using MS Visio.
• Preparing Weekly action report & QA feedback to QA team & Manager.

Environment: Web Logic, Java, Quick Test Pro, Cerner Millennium, Citrix, MS Visio, MS Office, Mercury Quality Center, Load Runner, Oracle, SQL Server, DB2, MS-Project.

Confidential, Nashville, TN

QA Analyst

Responsibilities:

• Analyzed the requirements and created test strategy, test plan and test cases for the various scenarios in testing.
• Used EDI for message flow from Clinical systems to Billing office.
• Created User manuals for the Central Billing office which explained the step by step process for billing a patient right from the patient visit in the Take Care Clinic.
• Extensively used Agile Methodology and Adhoc testing for the applications.
• Actively involved in smoke test and User Acceptance testing.
• Worked on EHR system that provided online access to mobile patient records and improved communication in public health.
• Worked Extensively on BizTalk 2006 which includes setting up the BizTalk environment for testing.
• Was actively involved in creating test plan, test strategy and test cases for SharePoint portal project.
• Performed testing on HL7 messages based on the requirements provided.
• Extensively used SharePoint for Defect tracking and as a central repository for maintaining the requirements and the testing documents.
• Worked with ICD-9 encoding to verify the validity of incoming claims, documented ICD-9 codes presently used by the system.
• Worked on web portal features EMR functions and Integrated Clinical decision Support tools for better care management.
• Worked on HL7 Message parsing
• Performed manual testing as well as automated testing using VBScript Language.
• Actively involved in testing Windows Communication Foundation in Biztalk for Address standardizations.
• Extensive experience in Unit, System and Data Validation testing.
• Performed database testing using SQL server.
• Tested the EDI transaction sets for Claims (837 and 835 remittances).
• Involved in testing Batch and Real Time updates of HIPAA-4010-mandated ANSI 270 (Eligibility and Benefit Request), the ANSI 271(Eligibility and Benefit Response) and ANSI 835 (Remittance)
• Involved in testing conversions.
• Performed Extensive testing on Patient Health Information (PHI) in terms of ICD-9 and CPT codes.
• Designed the QA maturity model for the various functions that QA does for the organization.
• Extensively worked with the offshore team on testing the HL7 messages developed by them.
• Performed the Data Mapping in Biztalk 2006 for the various client files.
• Worked closely with the Central Billing Office to understand their Billing requirements and tested the messages based on their needs.
• Communicated and maintained strong working relationship with the implementations team regarding Client and workflow.
• Created Test Scripts in SQL for data validation in the Database.
• Created HL7 Reference Guides for Version 2.2 and Version 2.5 of messages.

Confidential, Louisville, KY

QA Analyst

Responsibilities:

• Worked with Business Analyst and QA Lead in reviewing and analyzing the business requirements Documents and functional requirements.
• Worked on AGILE methodology /Agile-Waterfall Hybrid environment for software development and testing.
• Developed and created master test plans and related documents, test cases, and test schedules
• Executed test cases and test scenarios across development projects
• Wrote and executed SQL queries to interpret test results and create test data
• Created, enhanced and maintained high-end object repository for various functional and regression test using Quick Test Professional (QTP)
• Prepared Test Cases based on business requirements and business rules for HIPPA EDI Transaction 834, 276/277, 270/271, 837/835.
• Tested all HIPAA transactions for multi version support (4010 and 5010) and validating the database to file elements.
• Performed Gap analysis.
• Performed Smoke Testing, Sanity Testing, Positive, Negative and functional testing while keeping track of the testing effort in QC.
• Hands on testing experience in Facets pricing module. end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module Performed Security Testing on the application
• Involved in FACETS Implementation, involved.
• Set claim processing data for different Facets Module.
• Identify processes and systems to enable to trade files with non ICD-10 complaint trading partner. Monitor and resolve testing issues.
• Tested HIPAA regulations in Facets HIPAA privacy module.
• Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.
• Conducted Back-End Testing Using SQL Commands.
• Responsible for Performing Integration Testing, UAT testing.
• Actively participated in walkthroughs and enhancement meetings
• Maintained Test Matrix and Requirement Traceability Matrix.