4 Predigle Jobs

Role : Automation Engineer

Experience : 1 to 4 Years

Work Mode : WFO / Hybrid /Remote if applicable Immediate Joiners Preferred

Responsibilities :

- Develop and execute test plans, test cases, and test scripts for healthcare claims processing systems.

- Perform functional, integration, regression, and end-to-end testing of claims applications.

- Verify the accuracy of claims data, including patient demographics, medical codes (CPT, ICD-10), and payment information.

- Test claims adjudication logic, ensuring compliance with payer rules and regulations.

- Validate electronic data interchange (EDI) transactions related to claims processing (e.g., 837, 835).

- Identify, document, and track software defects using bug tracking systems.

- Collaborate with developers to resolve defects and ensure timely resolution.

- Perform root cause analysis of defects to prevent recurrence.

- Work closely with business analysts, developers, and project managers to ensure quality throughout the software development lifecycle.

- Participate in requirements review and design sessions.

Required Skills and Qualifications :

- Bachelor's degree in a related field (e.g., Computer Science, Healthcare Administration).

- Experience : 2 - 8 years of testing exp. 3-4 of relevant experience working in US Healthcare Claims projects

- Technical skill : Ability to execute SQL queries for data verification fluent in excel formulas & macros

- Proven experience in quality assurance testing, preferably in the healthcare industry.

- Strong understanding of US healthcare payer systems and claims adjudication processes.

- Knowledge of medical coding (CPT, ICD-10) and healthcare terminology.

- Familiarity with EDI transactions (837, 835).

- Experience with test management and bug tracking tools (e.g., Jira, TestRail).

- Excellent analytical and problem-solving skills.

- Strong attention to detail and accuracy.

- Excellent communication and interpersonal skills.

- Preferred : AHIP AHM 250 certification.