15 Sep
|
Datamatics Consulting
|
Mumbai
15 Sep
Datamatics Consulting
Mumbai
- 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.
- Robust experience in UI automation and excellent communication skills.
📌 Automation Test Engineer (Mumbai)
🏢 Datamatics Consulting
📍 Mumbai