MUMBAI · FULLTIME
Automation Test Engineer
GetLocal DataMatics
Mumbai · onsite · Posted 22d ago
Sourced from
Not disclosedFresherfulltimeMumbai
About a minute. You'll make an account on the way through.
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- Read this posting0.7s
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Section · 01
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
Section · 02
Skills
waiting periodspre-authorizationsdiagnosis procedure mappingsOHI service definitionsbenefit routing prioritiesclaims test dataMedical Coding Spinebenefit consumptionbenefit limitsclaim linesdata and prerequisite configurationsmember policyprovider authorizationProduct RulesaccommodationDiagnosticsclaims adjudicationrejectionsRoutingCoinsurancedeductiblesEligibility BenefitsreviewsUi AutomationApprovalsmedication