SUMMARY

• Over 7+ years of professional experience in Quality Assurance and Software testing. In depth knowledge of Software development life cycle, testing methodologies.
• Proficient in System, Functional, Regression, and Performance testing of Client/Server and Web - Based applications.
• Hands-on experience with diverse testing tools - QTP and Quality Center.Experienced in database testing by writing SQL queries, worked both on windows and UNIX environments.
• Extensive knowledge on all phases of Software Development Life Cycle (SDLC).
• Experienced in software testing which involved development of test cases and test scripts.
• Strong analytical and QA/ testing skills, capacity for work and diagnostic ability, Gathering different kind of projects requirement. Covered Agile and Waterfall models of SDLC.
• Excellent Knowledge in Agile (Scrum)development methodology,Waterfall and agile models of SDLC.
• Extensive experience in functional and regression testing of web-based and client-server applications using Mercury Interactive Test Suite: Quick Test Professional (QTP) and Quality Center.
• Mainly used Quality center for writing and executing the test cases for validating 837I transaction sets.
• Expertise in Manual Testing.
• Experience in testing EDI (835 and 837I/P/D) transactions.
• ExperienceinHealthcare Payer and Provider Operations, re-engineering claims, benefits, enrollment, and eligibility processes.
• Good knowledge of ICD-9/ICD-10 and HIPAA 4010/5010 Transaction Requirements.
• Performed Data Validations by executing SQL queries, stored procedures and front end testing to ensure data lineage and coding standards.
• Extensively used QualityCenter for Bug tracking.
• Profound experience in testing client-server applications.
• Good Understanding of FACETS database which resides in Sybase.
• Extensive knowledge of Medicaid, Procedural and Diagnostic codes and Claims Process.
• Used HP Quality Center/ALM, QTP, SoapUI for tracking and reporting for Internal High Level access and also to create reports and update bug status
• Extensively done Backend Manual testing using SQL and constraint validations.
• Excellent communication, interpersonal, intuitive and analytical skills.
• Proven ability to work efficiently in both independent and team work environments.
• Involved in testing of data mapping, data extraction, transformation and loading from Amisys (legacy system) into Facets as part of conversion.

TECHNICAL SKILLS

Testing Tools: MDE(Medical Data Express)

Test Reporting Tools: Quality Center.

Operating Systems: Windows 98/2000/XP/NT/7, UNIX.

Programming Languages: VB Scripting, SQL.

Bug Reporting Tool: QC

PROFESSIONAL EXPERIENCE

Confidential, VA

QA/UAT tester

Responsibilities:

• Understanding Business Requirements for writing the test cases.
• Involved in Preparation of test plans, test cases based on requirements and uploaded them into Quality center tool.
• Mainly involved in validation of 837I claims by preparing test cases for different segments in 837I transaction set and imported into QC and executed them and reported the defects in QC.
• Involved in the preparation of test data for 837I.
• Responsible for testing the 837 Institutional edits testing for 4010 and 5010.
• Involved in preparation of SQL queries based on business requirements and testing needs.
• Responsible for creating and maintaining test data set on patients, claims, providers, and bills using CPT, HCPCS, ICD9 codes.
• Involved in execution of the report with appropriate parameters and compare the report data with the table’s data by executing SQL queries.
• Involved in logging of defects in QC.
• Participated in Bug Review meetings.
• Used to develop Test Plan, Test Strategy, Test Cases, and executed them in test lab (QC/ALM 11.0) and excel sheets.
• Test data entry into FACETS application in the test environment for creating groups, subscribers and family members.
• Co-ordinated with enhancement of AMISYS(Accounting and Management Systems) responsible for Billing of Claims.
• Used FACETS Analytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports
• Performed tests on various features of Agile development process.
• Used SQL queries for back end testing for web services.
• Track all issues in an issue management system - Quality Center for internal applications, or an agreed upon application for manage issues or enhancements.
• Responsible for Integration testing, System testing and Regression testing.
• Involved in execution of Automation scripts for Regression testing with Quality Center.
• Coordinated User Acceptance Testing (UAT) with Business users from environmental services, accounting and Tax.

Environment: Windows XP, Oracle, Toad, DB2, JCL, VSAM, UCPS (united claims processing system) Quality Center 10.0, ALM.

Confidential, Detroit, MI

QA Analyst

Responsibilities:

• Developed and Documented Test strategy, scenarios and Test cases, test plan in accordance with the Business Requirements Documents
• Responsible for developingSystem Test Plans and Test Casesbased on the user requirements and design documents.
• Having very good experience intesting Facets4.31/4.51 applications and EDI transactions.
• HIPAA compliance, data store, X12N 837, 834, 835, 270/271 and 276/277 transaction sets; Billing, Claims Adjudication, Payment
• Institutional, Benefit Enrolment and Maintenance (834), and Eligibility Inquiry/Response (270/271, 276/277)
• Tested Medicare Claim Status Request Response (276/277) Transaction.
• Exposure of Medicare Eligibility Request Response (270/271) Transaction.
• Hands on Different X12 transaction and HIPAA Standards.
• Perform testing of configuration to ensure AMISYS performs according to the business requirements
• Analyse and design systemHIPAA Compliance with 5010/4010and part of HIPAA 5010 upgrade.
• Database integrity testing by executing SQL statements on Oracle database.
• Involve testing for web portal application and validated defects for the web portal.
• Involved in testing Facetsfor Group Information, Enrolling Subscribers, adding members, Related Entities, Class/Plan definition, Premium Rate Tables and all.
• Extensively involved in testing FacetsMember/Subscriber, Billing, Medical Plan, Dental Plan modules.
• UsedHP Quality Centerfor tracking and reporting, also followed up with development team to verify bug fixes, and update bug status.
• Involved in datamining inmainframesystemto research specific provider and member data for creating test data setup.
• Altered the provider tables and member tables in mainframe before the claim adjudication to get required results.
• Good understanding of Agile software development lifecycle
• Performed results validation by comparing the adjudicated results with the data in themainframe.
• Createdpaper claims,XML (Electronic) claims, and direct data entry claims for testing purposes.
• Responsible for generating reports for batchprocesses in mainframe.
• Investigated software bugs and interacted with developers to resolve technical issues.
• Involved in useracceptance testing with users along with providing trainingto end-users.
• Participated inwalkthrough with client and the development team, attendedDefect reporting meetings periodically.
• Investigated software bugs and interacted with developers to resolve technical issues Work extensively on Manual Testing.

Environment: Mainframe, DB2, Sql Server,X12,HIPAA,Agile Methodology, PL/SQL, Oracle, TOAD,windows NT/2000/XP, SharePoint Server 2007, Trizetto FACETS, ALM, MS Excel, DB2, MS word, MS Power point.

Confidential, CA

QA Tester

Responsibilities:

• Reviewed the Business/ Functional/ System Requirement Specs, High Level Design Documents, Detailed Design Documents and Requirement Matrix.
• Developed Data flow Analysis and Modeling for Healthcare applications and categorized the applications according to HIPAA 4010, ICD 9.0 and Institutional Guidelines.
• Proficient in using ICD 9/CPT.
• EDI Medical claims experience in Process documentation, analysis and implementation in 835/837/270/276/277 (X12 Standards) processes from the provider/Payer side.
• Worked with Quality Center Admin in customizing fields for Creating Users and their Access levels.
• Used to develop Test Plan, Test Strategy, Test Cases, and executed them in test lab (QC/ALM 11.0) and excel sheets.
• Verified database information by employing SQL queries for data accuracy and consistency.
• UsedQuality Centerand Test Directorfor Tracking and Reporting also followed up with development team to verify Bug Fixes, and update Bug Status.
• Test Cases were designed based on Use-Cases and Requirements in Test Director.
• Maintained requirements in Test Directorand requirements are traced to Test Cases in Test Director.
• Created Automated the Test Cases usingQuality Center,Monitored the Defect Tracking process, trouble shooting and generating customized Graphs and Reports for the Client.
• Development of Automated Test Scripts using VB Script for all the identified Test Scenarios.
• Parameterized the Scripts and enhanced them according to the Test Cases.
• Implemented appropriate test coverage (Functional/Database/Security/Performance) to drive efficient Defect Discovery and ensureValidationagainst Functional/Technical Specifications.
• Performed tests on various features of Agile development process.
• Used Check Points, Output Values, Recovery Scenarios, Regular Expressions and Object Repository Administration extensively in QTP.
• Involved in Back end Testing and execute the SQL queries using TOAD.
• Generated reports using Quality Metrics Data, Prepared Test Metrics and reported to the Team Lead.
• Developed SQL Queries for checking the Data Transaction.
• Participated in various meetings fordiscussed EnhancementandModification Requests.

Environment: Quality Center 9.2, Quick Test Professional 9.2, TOAD, MS EXCEL, MS WORD, Oracle, UNIX, VB Script.

Confidential

QA Engineer

Responsibilities:

• Participated in the management of testing project with the help of Quick Test Pro.
• Participated in requirement walkthroughs and creation of test plan.
• Developed and executed test cases, test scenarios and followed-up defects using Test Director.
• Developed automation test scripts for performing regression testing on the application using Quick Test Pro.
• Worked with Functions and Library Files in Quick Test Pro.
• Handle exceptional situations in test scripts using Recovery Scenario Manager in Quick Test Pro.
• Verified the application’s functionality on different Configurations with QTP.
• Handle dynamic Objects using regular expression in Quick Test Pro.
• Involved in both Manual and Automated testing.
• Maintained various versions of Test Scripts.
• Conducted Data integrity and Data validation test manually.
• Performed Sanity Testing and Smoke Testing.
• Backend Testing using Database Checkpoints in Quick Test Pro.
• Investigating software bugs and reporting to the developers using Test Director Defect Module.
• Performed Integration Testing, System Testing and Regression Testing.
• Interfacing with developers to resolve the technical issues.

Environment: Test Director, QTP, Oracle, SQL, UNIX, VB Script.