Responsibilities of Healthcare tester – manual Facets Testing

Facets Testing explained

Facets Testing is not one of the testing types. But it is purely and most of the time, a type of manual testing which is done on Facets tool that is being used for claims processing and other healthcare insurance company day to day activities are done.

These are Typical healthcare manual testing/  tester roles and responsibilities especially in FACETS application in healthcare industry.

·                     Participated in requirements meetings to understand the requirements from business people.

·                     Prepared Test cases and Test scripts from the requirements and Functional, Technical specifications.

·                     Validated member eligibility and eligibility inquiry in the facets application to the legacy application in order to confirm the migration successful or not.

·                     Experience in Medical, Pharmacy Plan changes from one plan to other plan with in Group, subgroup, class combinations.

·                     Experience with COB (coordination of benefits) application with in facets, testing of claims status for selected subscribers.

·                     Writing test cases and test scripts in MS Excel Manually and uploading in Quality center.

·                     Well experienced in benefit coding of different products for various plans of BCBS such as Blue preferred, Blue exchange etc..

·                     Calculating co-pay, coinsurance, adding single tier, multi tier for different products with in a plan.

·                     Comparing plan and product details in medical module, and reviewing the benefit summary and feeding them into pivot tables with appropriate co-pay and coinsurance and valid comments for various codes of vision, maternity etc..

·                     Test data entry into FACETS4.7 application in the test environment for creating groups, subscribers and family members.

·                     Experience in creating new groups, subgroups, subscribers as and when needed which is later used as a test data for testing purpose.

·                     Experience in System testing and UAT testing of the facets core application and custom modules as needed.

·                     Claims validation in Facets application which includes claims pending status, member status, etc..

·                     Creating test cases, test scripts for various modules, and uploading them into quality center.

·                     Traceability matrix of test cases to corresponding requirements.

·                     Running the test cases and it scripts and executing them thoroughly with pass/fail status.

·                     Entering defects for failed test cases and assign the defects to appropriate developers.

·                     Regression testing of the application once the defects are fixed and passing the test cases.

In simple words, Facets testing is not really much different than other types of testing except the fact that the domian knowledge in healthcare industry is a must and familiarity on facets tool is necessary.

Major applications with in the Facets testing that you need to learn /know before interview is, Claims processing, hospital, claims, physician claims, member subscriber inquiry etc..

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