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Claims System Tester

Aurora, IL · Administrative
Claims System Tester - Health Plan
Aurora, IL (Western Suburb of Chicago)
 
Claims System Tester Job Summary: 
 
  • Evaluates system performance through feature and function testing
  • Develops, documents and executes test cases
  • Creates and maintains testing specifications
  • Calculates, summarizes and communicates testing results
  • Evaluates system documentation for the purposes of creating targeted test cases
  • Identifies, triages and documents system plan, feature interaction and programming defects
  • Evaluates plan builds for accuracy and automation
  • Provides written feedback detailing errors and expected system behavior
  • Evaluates system file and data consumption
  • Assesses testing results from business/User Acceptance Testing (UAT) testers and provide relevant feedback and/or correction
  • Provides technical support to business users
  • Performs other duties as assigned within the scope of responsibilities and requirements of the job
  • Performs Essential Job Functions and Duties with or without reasonable accommodation
 
Claims System Tester Background Profile:
 
  • Requires an education level of at least a high school diploma or GED; Associate’s degree is a plus.
  • Requires 1-2 years direct testing experience.
  • Requires 1-2 years claims processing experience
  • Working knowledge and experience in plan building and claim testing: Preferred
  • Experience with Javelina claim adjudication system required
  • Knowledge of medical, dental, vision, life & STD claims required
  • Knowledge and experience in medical terminology including Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-9 10 required
  • Knowledge of major medical benefit application and plan building features required

#ADMIN
 
 
KAYLA ROGERS
STRATEGIC DIRECTOR, NON-CLINICAL DIVISION

CareNational
kayla@carenational.com
623.201.8732 (CALL – TEXT – FAX)
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