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.
  
  

(ref:hirist.tech)