Job Title: US Healthcare Claims Tester (Functional + Automation)
Location: All Ascendion Locations (Pune, Bengaluru, Chennai, Vadodara and Hyderabad)
Experience: 6+ Years
Employment Type: Full-time

Job Summary:
We are seeking a QA Tester with strong experience in US Healthcare Claims processing and a mix of functional and automation testing skills. The ideal candidate should have hands-on experience in validating end-to-end claims lifecycle and ensuring compliance with US healthcare standards.

Key Responsibilities:
Perform functional testing across the complete claims lifecycle:
Claims Intake
Adjudication
Pricing
Payment
Denials & Appeals
Design and execute test cases, test scenarios, and test plans.
Develop and maintain automation test scripts using tools like Selenium, Cypress, or Playwright.
Validate EDI transactions such as:
837 (Claims submission)
835 (Remittance advice)
Perform API testing using Postman or Rest Assured.
Validate business rules for ICD-10, CPT, HCPCS coding.
Conduct regression, integration, and UAT support testing.
Log and track defects using Jira.
Ensure compliance with HIPAA guidelines.




Collaborate with BA, Dev, and business teams to clarify requirements.

Required Skills:
Strong experience in US Healthcare Claims domain.
Deep understanding of:
Claims adjudication process
Benefits, eligibility, and provider contracts
Hands-on experience in functional testing.
Experience in test automation (Selenium/Cypress/Playwright).
Knowledge of EDI X12 transactions (837, 835).
Familiarity with ICD-10, CPT, HCPCS coding systems.
Experience in API testing and SQL queries.
Understanding of SDLC & STLC.
Experience working in Agile/Scrum teams.

Good to Have:
Experience with CI/CD tools like Jenkins.
Knowledge of BDD frameworks like Cucumber.
Exposure to healthcare data standards like HL7 / FHIR.
Experience with payer systems like Facets, QNXT, or HealthEdge.

Soft Skills:
Strong analytical and problem-solving skills
Valuable communication skills
Ability to handle multiple priorities

Education:
Bachelor’s degree in Computer Science, IT, or related field

📌 Claims Testing (US Healthcare) (Bengaluru)
🏢 Ascendion
📍 Bengaluru