SUMMARY

• QA Tester/UATwith 8 +years in Information Technology with emphasis on Quality Assurance this includes Manual and Automation testing on environments.
• Experience in Waterfall Software Development Life Cycle - SDLC, TDD, BDD and Agile Project Environment.
• Experience in performing the Functional testing, Regression testing, Security testing, Web Service testing, Database/SQL testing, GUI testing, system testing, Performance testing/Load testing, compatibility testing, Mobile testing, Accessibility testing, API testing, Sanity and smoke testing and User acceptance testing (UAT) with business users.
• Involve in testing of HIPAA 835 for the payment of claims and transfer of remittance information.
• Experience in large diversified projects, including manual/automationtestcase execution, defect tracking,testplan/testcase creation and management, and requirements analysis.
• Automation/QA experience in Software Quality Assurance, functional, security, performance, automation, acceptance and Selenium testing.
• Have a very good knowledge and experience in working with EDI transactions. Good familiarity about HIPAA guidelines and ICD 9-10 codes. Extensive experience in working with Medicaid claiming.
• Experience in creating Test Data Governance Policies, Business Glossary, Data Dictionary, Reference Data, Metadata, Data Lineage, and Data Quality Rules.
• Prepare Test Cases based on business requirements and business rules for HIPAA EDI Transaction 276/277, 270/271, 837/835.
• Expert in EDI and HIPAA testing privacy with multiple transaction exposure such as new Member enrolment 834 inbound, claim 837 inbound or claim adjudication, response to claim 835 outbound, 276 status inquiry277response, 270 eligibility/271 benefits.
• SDLC: Excellent experience and well versed with QA standards and methodologies and hands-on knowledge of all phases of the Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC).
• Well versed in GUI application testing, Database Testing, Web service Testing, Front-end Testing, Load Testing on Client-server, stand alone, and web- based applications with multiple server domains.
• Manual Testing experience involvesTestPlanning,Testscenario creation,Testcase writing,Test data creation using MS Excel, SQL and DB validation, Defect reporting withTestand Defect management in TFS/Quality Center/Testdirector.
• Exposure on QuickTestProfessional (QTP) to supporttestautomation using potential features like Data DrivenTests, Check Points, Regular Expressions and Functions.
• Proficient in varioustestmanagement and defect tracking tools such as Rally, Version One, GUS, JIRA.
• Expertise in writing, maintaining and executingTestPlans,TestCases,TestScripts, analyzetest results and generating software defect reports.
• Experience in Healthcare with mandatory HIPAA compliance checks, EDI transactions 837,835,834, 270/271 and 276
• Experience in working with open source tools such as Selenium (Selenium IDE, Selenium RC, Selenium Web driver and Selenium Grid), SoapUI, and Eclipse.
• Good experience in data transformation, data mapping from source to target database schemas and also data cleansing.
• Understand the requirement for End- to- End testing as a part of System integration testing and UAT
• WritingTestCases,Testscripts and reports along with excellent documentation skills based on functional and system specification,TestData Conditioning, Preparation of Project Estimation, Traceability matrix, Risk/Issue reporting and tracking it to closure.
• Excellent Communication, Leadership, Team building, Technical & Analytical Skills with proven abilities in resolving complex software issues by handling multiple projects

PROFESSIONAL EXPERIENCE

Confidential -NJ

UAT Tester/QA Healthcare Tester

Responsibilities:

• Responsible for Performing Functional Requirement verification and log verification defects over the requirements and the design specifications.
• Attended meetings, involved in QA planning, test coordination and implementation of QA methodology.
• Prepared Test Cases based on business requirements and business rules for HIPAA EDI Transaction 276/277, 270/271, 837/835.
• Tested the application to ensure that it has all the required functionality that's specified within its functional requirements.
• Involved in testing EDIs according to code set X12 835 Claim Payment & Remittance Advice.
• Created and executedtestcases, reviewtestcases, report defects, and preparestestreports.
• Performed functional testing to identify various critical points in the application and automated it by using SeleniumWebDriver.
• Have built a testautomationframework based on Page Object Model, TestNG and Selenium Web driver.
• Developed test strategies and test scenarios for all 837, 835, 834, 270/271, 276/277 transaction related reports
• Involved in writing automated scripts for Angular.JS application using Protractor and Java.
• Configured Selenium WebDriver, TestNG, Maven tool and created Seleniumautomationscripts in javausing Junit prior to agile release.
• Developed SQL Queries for database validations for insert update, delete of the records on Raven DB.
• Participated in meetings withUATteam and stakeholders to review project planning, status, and issue discussion.
• Responsible for preparing Test cases and Test data for 276/277,837 P/D/I transactions.
• Recommend on implementation of HIPAA 5010 (EDI X12 837,834, 820, 278,270,999) in the new System.
• Participated in Sprint planning, Sprint retrospective, Spring Grooming and Agile Daily standup meeting and weekly status meetings to discuss the task completed, deliverables, dependencies and goals of the projects.
• Provided weekly status report to project manager and team lead, worked closely with BA and development teams.
• Responsible for Claims loading, processing, and resolving, re processing, voiding and adjusting for both single line and multi line claims.
• Experience with derived amounts on the claim both at header level and at line level.
• Worked on ICD 9 codes
• Tested Section 508 compliance, HIPAA infrastructure EDI transactions for Claims 837P, 837I, 837D, 834, 835, 270/271,276/277 and 278
• Executed HIPAA compliance checks throughout the transaction life cycle.
• Used EDI X12 Reader to understand the values of EDI transactions without its codes
• Logged and tracked defects in HP ALM and reviewed stories in JIRA for new requirements or enhancements.
• Performed manual testing of wholesale profitability relationship reports across various periods and with multiple metric.
• Worked on data modeling and produced data mapping and data definition specification documentation.
• Extensively utilized ALM for execution oftestscripts, creating newtestcases andtestplans.
• Performed Data mapping between exiting input database new requirements of data.
• Executed ad-hoc reports on profitability relationship for management to decide business decisions
• UATCoordination -UATtesting activities and the development ofUATtestartifacts,UATtest documentation,UATtesting for change management and reporting.
• Conducted theUATsessions with the business users and tracked/maintained and closed the critical defects for the migration efforts.
• Designed comprehensive test cases to support the end to end functionality testing of the application and collected the test data as needed.

Confidential

QA Tester/EDI Tester

Responsibilities:

• Analyzed Business Requirements and Identified documents required for system and functional Testing efforts for alltestscenarios.
• Tested the application in highly dynamic environment with sprint team using Agile Methodology.
• Developed all the necessary documents for QA/UATTesting includingTestStrategies,TestPlan TestCases, and User Acceptance Documents.
• Worked on defects and test coordination with the development Team to solve the problems using Defect tracking.
• Tested interfaces and ANSI X12 / EDI Version 4010/5010 transactions for 270, 271, 276, 277, 278, 837P, 837I, 837D, 835, 834, TA1, 997 and 824 BRR
• Involved in working with ICD9 10 codes.
• Tested HIPAA Transactions and Code Sets Standards such as 820,834, 837/835, 270/271, 276/277 transactions
• Maintained testing rules and worked on Medicare and Medicaid rules and regulations pertaining to configuration and evaluated the impact of proposed changes in rules and regulations.
• Prepared Production Defect Tracking document andTestData sheets for automation to ensure high-quality and defect-free Application
• Involved in testing the EDI transactions routing to Blue Exchange for Out of state member inquiries from local providers and responses for local member inquiries from Out of state providers.
• Involved in Manual/Automated Testing of the web user interface features.
• Automated Smoke and Functionaltestcases using Selenium WebDriver, Junit and Java (Eclipse IDE) for marketing cloud client application.
• Successfully Completed User Acceptance Testing (UAT) on each release of the project with the help of end user requirements.
• Involved in HIPAA/EDI Medical Claims Analysis, Design, Implementation and Documentation. Involved in HIPPA Complaint X12N837 Transaction testing.
• Developed and implemented EDI applications to process Health Care transactions as per the HIPAA implementation.
• Managed requirements,testcases andtestresults using Jira.
• Preparedtestplan,testscope,testcases andtestdata for white box testing
• Worked on Planview Enterprise Solution and entered requirements in issue-tracking system JIRA.
• Support UAT Testing Team with ramping up on the application and hands on support during theUAT testing Phases.
• Microsoft SQL database validation.
• Entered Claims and Customer Service Tasks into the FACETS.
• Worked on different EDI transactions like 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products, 270/271 for Eligibility inquiry, and 276/277 for claims status.
• Conducted HIPAA Gateway Testing. Tested the claims processing and Adjudication (EDI 837I, 837P, 837D& EDI 835).
• Skilled knowledge of understanding and validating the X12 EDI format files 834 benefits and enrollment.
• Responsible for creating the test plan and designing test cases for the EDI 834 members' enrollment file loading Created reports that included a general overview, open bugs, new bugs and enhancement requests. Entered new bugs and maintained the current status of those bugs.
• Tested Regression EDI834, 820 Transactions following the HIPPA compliance EDI Standard of X12.
• Conducted User AcceptanceTest(UAT) with users and customers and wrote issues log based on outcome ofUAT

Confidential

UAT Tester/ QA Analyst

Responsibilities:

• Validated the following: 837 (Health Care Claims or Encounters), 835 (Health Care Claims payment/ Remittance), 270/271 (Eligibility request/Response), 834 (Enrollment/Dis-enrollment to a health plan).
• Written multiple Test Cases (System, Integration) for multiple transactions include 837I, 837P, 835, (both inbound and outbound) transactions
• Analyzed business requirements and functional documents, created theteststrategy document that
• Defined thetestenvironment, phases of testing, entrance and exit criteria into different phases of testing and resources required to conduct the effort.
• Worked in Agile process as part of this project, attended Scrum calls
• Analyzed the requirements mentioned in the Business requirement docs, Functional requirement docs and High-level design documents.
• PreparedTestPlan according to the BRD's FRD's and walkthrough of theTestPlan. Designing oftestscripts and loading scripts to Quality center.
• Created the TechnicalTestPlan in the initial phase and during change requests.
• Created functional automation scripts for the report generation module using tools Selenium WebDriver and TestNG.
• Worked on different EDI transactions like 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products, 270/271 for Eligibility inquiry, and 276/277 for claims status.
• Conducted HIPAA Gateway Testing. Tested the claims processing and Adjudication (EDI 837I, 837P, 837D& EDI 835).
• Skilled knowledge of understanding and validating the X12 EDI format files 834 benefits and enrollment.
• Responsible forUATproject planning like creating testing scenario,testplans, andtestscripts
• Conducting research on IT requirements and business requirements inUAT
• Drafted complex SQL queries and performing allocation testing from front end / user interface
• Identified defects and perform root cause analysis by analyzing data quality issues
• Role Played as a TeamLeadof offshoreUATTesting team, was one of the Critical Resource.
• Participated in Regular Defect and Functional walkthroughs.
• CreatedTestdata based on thetestcases
• Conducted the Smoke testing to check the High-level functionality of the application
• Expertise and experience in performing different kinds of testing like Functional, GUI, Integration, Backend, Regression and System Testing
• Involvement in writingTestcases,TestExecution, Results analyzing and Defect Reporting.
• Participated & conducted independent User Acceptance Testing (UAT), Business Acceptance Testing (BAT) & End-to-End testing, recording results and getting sign-off.