Test Cases Insurance

Professional Experience

CorVel Corporation – Norristown PA Billing and Coding Analyst 10/2015 - present

Provider Relations Specialist

Reviewed Bills and corrected appropriate codes per PA guidelines

Answers questions from providers and Insurance companies.

Identified and resolved providers billing complaints.

Prepared, reviews and sent providers statements

Evaluated all billing status to Providers

Contacted patients by phone, correcting and resubmitting claims to third party payers.

Processed payments from insurance companies

Translates patient information into alphanumeric and numeric medical codes

Use several coding systems, including Level 1 HCPCS and Level 2 HCPCS

Investigates and corrects rejected and denied claims

Participates in educational activities and attend weekly, monthly and quarterly staff mtgs.

Maintains strict confidentiality and adhere to all HIPAA guidelines and regulations

Extensive knowledge of ICD 9 and ICD 10 codes

Wells Fargo Financial Services- Philadelphia PA QA Tester 6/2013 to 6/2015

Wells Fargo is a provider of banking, mortgage, investing, credit card, insurance, and consumer and commercial financial services.

Analyzed the business requirements and functional requirements to better understand the client needs.

Performed GUI and Functionality testing, using Quick Test Pro to ensure conformance to requirements.

Created Manual test cases foe each functional module and automated the bug free test cases for regression testing.

Manually tested calculations of home and auto insurance rates and cross-checked for results.

Performed positive and negative testing manually to ensure the application outputs for the expected results given the output.

Performed GUI, Integration, Regression and Systems Testing to verify functionality of the application after defect fixing the added features. Involved in Ad-hoc testing of the application.

Responsible for conducting test of software components by coordinating with software developers.

Handle the tasks of interacting with developers in performing automated testing and in developing testing tools

Assigned responsibilities of preparing test scripts and analyzing software to provide testing solutions.

Perform the tasks of validating software by defining automated testing components

Responsible for running test validations, developing testing plans, and estimating project resource

Handled the tasks of preparing defect reports, developing automation strategies, and perform automated testing of back end systems .Actively involved in meetings and reviews to discuss any changes and impacts of new functionalities that were added during the quality control life cycle with Requirement Traceability Matrix.

Maintained test cases, test scripts, defect tracks and reports in Quality Center.

Summary of Knowledge:

Comprehensive knowledge of agile software development cycle, white box testing, and web based application testing

In-depth knowledge of software testing methodologies, functional, and regression testing

Excellent knowledge of Agile & Scrum development environment, multiple web browsers, and automated testing suites

Sound knowledge of change management tools, User Acceptance Testing phases, programming technologies, and automated testing fundamental concepts

Well versed in software debugging and load performance testing.

Quick learner with excellent analytical and communication skills.

CADCOM Norristown PA Executive Administrator 6/2008 to 10/2013

Community Action Development of Montgomery, is a Non-for- profit organization, serving local Montgomery PA residents in housing, food and nutrition needs for the unemployed and minorities.

Performed administrative duties for executive manager

Screened calls; managing calendars; making travel, meeting and event arrangements

Prepared reports and financial data and maintained files

Excelled in skills, flexibility with interpersonal skills

Maintained project coordination experience, and the ability to work well with all levels of internal management and staff, outside clients and vendors.

Maintained sensitivity to confidential matters within the organization.

Duties also included fielding telephone calls, filing and data entry.

McNeil Pharmaceutical

Fort Washington PA Consumer Health Care Call Center 03/ 2004 to 2007

McNeil Pharmaceutical / Johnson and Johnson is one of the leading Pharmaceutical known for their OTC medications.

Executing retail and consumer initiatives in the call center by informing consumers, Physicians, and Nurses about all of the OTC products such as TYLENOL, MOTRIN, BENADRYL, ZYRTEC, and BAND-AID and LACTAID products.

Communicating to the Marketing department of all packaging issues reported by the consumers.

Attended all Marketing Development meetings for updates concerning package changes.

Answered inquiries by clarifying desired information; researching, locating, and providing information to the Consumer and Marketing Department.

Resolved problems by clarifying issues; researching and exploring answers and alternative solutions; implementing solutions; escalating unresolved problems.

Education

QA Testing In Miris Technologies, Bryn Mawr, PA

Degree, Bachelor of Life Sciences /w Minor in Psychology Penn State University

Abington, Pa. Campus

Diploma, Computerized Business Systems, Computer Learning Center

Philadelphia, PA

Cheltenham High School High School Diploma/ Major in Biology and Minor in Bussiness

Cheltenham, PA

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