Engineer Developer

Pamela Bays

**** ***** ****** **** * Wheelersburg, OH 45694

740-***-**** w adk7ty@r.postjobfree.com

Professional Summary

Currently I am working as a Test Engineer with 25 years of experience working in the Medicare Part B MCS claims processing environment. In my current position as an MCS Test Engineer at DCCA, I research MCS system changes, compose test cases related to CMS Change Request and enter test data. In addition, strong communication skills, ability to work as a team or individual and Medicare experience and knowledge would make me an excellent candidate for a position with your company.

Technical Skills

HP ALM (Quality Center)

TSO/ISPF

INFOMAN

Microsoft Office

Oracle Financial System (HIGLAS)

BDS/CWF

PC-ACE Pro32 for 5010 claims

eChimp

EDSNET

System Control Facility (SCF)

SPITAB

Work Experience

DCCA – Wheelersburg, OH November 2015 - Present

Test Engineer

Working on the Single Testing contract (STC) for CMS testing of the Medicare system for the MCS Line of Business.

Analysis and develop test plans & test cases detailing expected results to validate correctness of system modifications related to CMS Change Requests and Problems.

Performs negative testing to assure functionality of preexisting functions and processes.

Inputs electronic claims using Pro32.

Researches problems and issues with testing.

Works with systems area and/or SSM Maintainer to determine if issues exist and documents problems in Infoman when requested by SSM.

Reviews CMS CRs and the system developer specifications to obtain an understanding of system modifications.

Performs testing with BDS and CWF.

Works in TSO/ISPF and HP ALM (Quality Center).

Received a T-4 High Risk Public Trust Clearance.

Performs integrated test case development and testing between MCS, FISS, VMS and CWF.

Performs systems maintenance to the MCS system.

Coordinates with other Test Engineers to monitor and ensure that test cases are executed, documentation is present and accurate, expected results are obtained, and defect reporting and resolution is performed.

QSSI – Wheelersburg, OH May 2010 - November 2015

Business Analyst

Worked on the Single Testing contract (STC) for CMS testing of the Medicare system for the MCS Line of Business.

Analyzed and developed test plans & test cases detailing expected results to validate correctness of system modifications related to CMS Change Requests and Problems.

Performed negative testing to assure functionality of preexisting functions and processes.

Input electronic claims using Pro32.

Researched problems and issues with testing.

Worked with systems area and/or SSM Maintainer to determine if issues exist and documents problems in Infoman when requested by SSM.

Reviewed CMS CRs and the system developer specifications to obtain an understanding of system modifications.

Performed testing with BDS and CWF.

Pamela Bays

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Work Experience (cont.)

Worked in TSO/ISPF and HP ALM (Quality Center.

Performed systems maintenance to the MCS system.

Coordinated with other Business Analyst to monitor and ensure that test cases are executed, documentation is present and accurate, expected results are obtained, and defect reporting and resolution is performed.

Created training information and led one-on-one training for the QSSI MCS Team.

Palmetto GBA – Wheelersburg, OH January 2008 – May 2010

Project Testing Specialist

Executed test cases and analyzed results to determine correctness of new or newly revised system or policy changes.

Reviewed CMS CRs and the system developer specifications to obtain an understanding of system modifications.

Prepared test data and executed test transactions to evaluate system functionality and verify correctness of system modifications.

Documented the outcome of all test cases and recorded problems/issues through appropriate channels and assisted in problem resolution.

Completed daily status report and prepared written reports pertaining to system functionality and testing progress.

Palmetto GBA – Wheelersburg, OH October 1995- January 2008

Medicare Claims Analyst I & II

Processed Medicare Part B claims according to coverage guidelines mandated by CMS.

Maintained a thorough working knowledge of the Medicare claims processing system and daily work distribution and monitoring.

Identified on-line processing problems and referred them to the appropriate areas.

Southern Ohio Medical Center, - Portsmouth, OH March 1993 - October 1995

Billing Clerk

Performed billing of hardcopy and electronic commercial insurance claims, Workers Compensation, Medicaid, and Medicare Part A claims, with an emphasis on customer service.

Managed weekly backlog of pending claims and maintained filling processes.

Downloaded bills into hospital billing system for review and transmitted bills to be processed for payment.

Education

South Webster High School, South Webster, OH

Received High School diploma May 1992.

Scioto Joint Vocational School, Lucasville, OH

Received Certificate of Completion in General Secretarial/Word Processing Program May 1992.

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