About QTechUS

QTechUS is seeking a talented Healthcare Test Analyst to join our manual testing team. This onsite role in Elkridge, MD includes initial training onsite with transition to primarily remote work and occasional onsite meetings.

Why Join Us?

• Initial onsite training with transition to primarily remote work
• Work with cutting-edge healthcare claims processing systems
• Collaborate with Business Analysts and IT teams on critical healthcare projects
• Opportunity for long-term engagement with industry leader

Key Responsibilities

• Perform end-to-end manual validation of healthcare claims processing and insurance data in QNXT system
• Develop system test plans, manual test scripts, and test cases for functional and regression testing
• Verify claims processing, provider contracts, and member enrollment within QNXT core modules
• Test and validate upgrades, add-ons, and maintenance for QNXT claims processing system
• Work with Business Analysts to ensure comprehensive test coverage and provide detailed feedback on application setup
• Maintain detailed testing documentation including screenshots and bug reports
• Validate complex medical coding (ICD/CPT) and business rules in claims adjudication

Required Qualifications

• 5+ years QA manual testing experience in healthcare environment
• 3+ years healthcare claims processing experience
• QNXT experience required (Claims, Utilization Management, or Finance modules)
• Excellent knowledge of ICD/CPT codes
• Claims Adjudication expertise required
• SQL Querying experience (Joins, Subqueries, Unions for data validation)
• Thorough understanding of healthcare claims processing systems
• Experience with HIPAA transactions (834, 278, 837, 835)

Preferred Skills

• Experience with Ultra Edit and Claim Test Pro
• Familiarity with automated test tools and EDI
• A.A. degree or professional industry certification
• Excellent verbal and written communication skills