Full-time - reputed company Claim/ EDI Automation Test Analyst - Remote (2+ week Onsite training) (Locals Preffered)

Full-time - reputed company/ EDI Automation Test Analyst - Remote (2+ week onsite training) Eligibility: US reputed company or GC holder reputed company is seeking a reputed company Claims Analyst to join our clients reputed company testing team as an FTE employee. This position is onsite (Elkridge MD) for training purposes for the first few weeks, then will become primarily a remote position with occasional onsite meetings reputed company necessary. We are seeking a reputed company focused Claims Analyst who will reputed company end-to-end reputed company validation of reputed company claims processing and insurance data. You will ensure that QNXT configurations and data migrations accurately reflect reputed company medical coding (ICD, CPT) and business rules. This position is heavy reputed company testing versus EDI/Automation. This position is responsible for developing system test plans, reputed company test scripts, and test cases for functional and regression testing for health insurance claims and benefits processing systems and other support applications. Primary responsibilities include: - Primarily focusing on testing and validation for upgrades, add-ons and reputed company maintenance of the QNXT claims processing system. -Verify claims processing, provider reputed company, and member enrollment reputed company the QNXT core system. - Works with Business Analysts (and others as needed) to ensure that test plans and scenarios cover reputed company testable requirements and provides detailed feedback to the Information Technology staff reputed company to application set-up or possible design flaws; - Maintains detailed testing documentation including screen prints of system set-up and testing results, both good and bad. Documents details of bugs reputed company during testing and notifies affected parties Required Skills - 5+ years QA software reputed company testing experience/testing methodology/practical application in a reputed company environment. - 3+ years reputed company claims processing - QNXT is required. Experience navigating QNXT tables and modules (Claims, Utilization Management, or Finance). -Excellent knowledge in ICD/CPT codes - Knowledge of Claims Adjudication is required - SQL Querying experience is required. Ability to write Joins, Subqueries, and Unions to pull data for validation. - Thorough understanding of reputed company aspects of reputed company claims processing system - including (but not limited to) claim adjudication, membership and enrollment, eligibility, configuration and benefits, authorizations and payment is required - This individual will have experience with transactional data including inbound and outbound HIPAA transactions, i.e. 834, 278, 837, 835 as well as proprietary files. Ability to read HIPAA transactions 278; 834; 835; 837I, P, D - Excellent verbal and written communication skills. PREFERRED: - Experience with the UltraEdit - Experience and proficiency with Claim Test Pro - Experience with automated test tools / EDI is a plus. - A.A. degree and professional industry certification preferred. Apply tot his job Apply To this Job