US Healthcare Provider Demographics

Number of Openings*

5

ECMS Request no in sourcing stage *

528758, 528762, 528763, 528765, 528766

Duration of contract*

1. Months

Total Yrs. of Experience*

> 5 years of experience in Healthcare Domain specific to Provider and Contracting Domain testing

Detailed JD *(Roles and Responsibilities)

1. Hands on experience in US Healthcare Provider Demographics, Contracting, Networks and Claims Adjudication Basics.
2. Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing
3. Must have experience in getting providers setup with Insurance payers
4. 2 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing.
5. Knowledge of provider credentialing and its direct impact on the practices revenue cycle.
6. Medicare or Commercial Claims basics and provider relationship related to claims adjudication
7. Experience in Manual & Automation Testing planning & execution.
8. Strong understanding of Software Testing methodologies.
9. Experience with Test Management tools - Rational Tool suite, JIRA.
10. Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting.
11. Strong communication skills.

Mandatory skills*

1. US Healthcare Provider Demographics and Contracting
2. Provider Plans and Networks
3. Claims Adjudication Testing

Desired skills*

1. US Healthcare Provider Demographics and Contracting
2. Provider Plans and Networks
3. Requirement Analysis, Test Planning, Test Scripting and Test Execution
4. Good Communication skills for business connect with Client

Domain*

Insurance and Healthcare Payor

Approx. vendor billing rate excluding service tax*

7200 INR/ Day

Precise Work Location* (E.g. Bangalore Infosys SEZ or STP)

Bhubaneswar STP

BG Check ( Before OR After onboarding)

BG Check should be completed before Onboarding.

Any client prerequisite BGV Agency*

F2F Interview

Mandatory

Is there any working in shifts from standard Daylight (to avoid confusions post onboarding)*

Preferably B-Shift (1.30 pm to 11.30 pm)