FACETS SYSTEM TESTER (FRONT END) (BBBH1180) Buffalo, New York
Job Description
Medicare Claims Processing Manual. Chapter 1 - General Billing Requirements. Table of Contents (Rev. 10236, 07-31-20) Transmittals for Chapter 1. 01 - Foreword 01.1 - Remittance Advice Coding Used in this Manual 02 - Formats for Submitting Claims to Medicare 02.1 - Electronic Submission Requirements 02.1.1 - HIPAA Standards for Claims. TriZetto QNXT - E Health Partners - eHealthPartner s Facets consultants are experienced with leading and supporting new implementations and upgrades of QNXT in commercial, Medicare and Medicaid. Trizetto Facets Training Pdf booklad.org - Trizetto Facets Training PDF eINFOsource Training Manual Monday, February 02 15 / pdf. Revised Reviewed Welcome to eINFOsource! Configure and maintain the claim processing system mapping and all interface modules Set-up and file maintenance of all diagnosis, CPT and other medical codes Collaborate with client to develop, implement and improve cross functional work processes which support claims processing.
OPL SI and Smart Pend Project (2 Needed: Systems Testers: Facets)
- Facets (Trizetto Claims processing system) provides several functionality which is supported under the application group or you can call modules.It helps the organizations to perform their day to day operational work by utilizing any or all of the application groups.
- Medicare Claims Processing Manual Facets Testing is not one of the testing types. But it is purely and most of the time, a type of manual testing which is done on Facets tool that is being used for claims processing and other healthcare insurance company day to day activities are done. Facets Claims Processing User Guide.
Aside from what has been identified for the Facets 4.71 upgrade
Testers will be shared across multiple projects, must be able to prioritize workload and handle multiple projects
Tester must understand and have hands on experience with claims and adjustment workflow in Facets
Tester should have experience in Other Party Liabiltiy workflow
Tester should have experience with membership and eligibility in Facets
Tester must have experience with web testing
Tester must be comfortable with ICD-9, CPT Codes and Rev Codes
Required Experience
Web testing
Facets
3-5 years test experience
Facets is a must. subscriber, member and provider modules
Hands on Facets Claims processing experience a must, experience creating test cases, experience reviewing requirements for testability, Quality Center experience preferred
Must have knowledge of the following: white box v. black box, functional v. non-functional, defect reporting standards, how to reproduce test results.
the hands-on Facets claims knowledge must include experience with: to manipulate and adjudicate claims by changing or adding procedure codes, modify pricing, adding overrides. Able to fully navigate Facets. Familiar with claims adjudication process. Able to locate membership or claims in Facets to meet specified criteria for testing. Thorough knowledge of the claims lifecycle.
Able to troubleshoot test failures. Able to create manual test cases. Monitor defects and review for root cause analysis. Must have experience with HP Quality Center. Able to manually create test data by creating a claim and an adjustment using the Claims Module.
ITS and FEP is a plus. SQL Query is a plus.
PLEASE SEND WORD DOC RESUME, MOST COMPETITIVE RATE, AVAILABILITY AND
Facets Claims Processing Pdf
CURRENT LOCATION.