Job Title

Job Title: US Healthcare Claims Tester (Functional + Automation)Location: All Ascendion Locations (Pune, Bengaluru, Chennai, Vadodara and Hyderabad)Experience: 6+ YearsEmployment Type: Full-timeJob 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 IntakeAdjudicationPricingPaymentDenials & AppealsDesign 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 processBenefits, eligibility, and provider contractsHands-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 skillsGood communication skillsAbility to handle multiple prioritiesEducation:Bachelor’s degree in Computer Science, IT, or related field