Automation Test Engineer
Datamatics Consulting · Mumbai · onsite · Posted 36d ago
Not disclosedFresherfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
- Validate OHI service definitions, diagnosis/procedure mappings, benefit routing, priorities, and product rules.
- Verify Medical Coding Spine data and prerequisite configurations.
- Test claims adjudication across approvals, rejections, reviews, pre-authorizations, and benefit limits.
- Validate eligibility, benefits, limits, waiting periods, deductibles, and co-insurance.
- Verify routing and benefit consumption for supporting claim lines such as accommodation, diagnostics, and medication.
- Prepare and manage member, policy, provider, authorization, and claims test data.
- Strong experience in UI automation and excellent communication skills.
Sourced from foundit
Skills
waiting periodsdiagnosis procedure mappingseligibility benefits limitsOHI service definitionsbenefit routing prioritiesclaims test dataMedical Coding Spinemember policy provider authorizationrouting and benefit consumptionProduct Rulesclaims adjudicationCoinsurancedeductiblesUi Automation