Senior Executive
EXL Service · India
EXL Service · India
- Job Description: Possess knowledge in testing & claim processing including Cotiviti rules & triggers (FRE, UNB, MUE, non-covered, bundled scenarios) and knowledge in different products, member accounts and contracts. - Execute and manage end-to-end testing cycle for Cotiviti in HRP. - Analyze and test to maintain HealthRules Payor, supporting changes in Quarterly CMS dictionary Updates and procedures. - Create comprehensive test plans and test cases based on project requirements and specifications. - Perform testing based on Cotiviti & CXT rule changes and implementation. - Work with the HealthRules Payor (HRP) application, Cotiviti Tool. - Perform full, unit, and regression testing. - Responsibilities: Possess knowledge in testing & claim processing including Cotiviti rules & triggers (FRE, UNB, MUE, non-covered, bundled scenarios) and knowledge in different products, member accounts and contracts. - Execute and manage end-to-end testing cycle for Cotiviti in HRP. - Analyze and test to maintain HealthRules Payor, supporting changes in Quarterly CMS dictionary Updates and procedures. - Create comprehensive test plans and test cases based on project requirements and specifications. - Perform testing based on Cotiviti & CXT rule changes and implementation. - Work with the HealthRules Payor (HRP) application, Cotiviti Tool. - Perform full, unit, and regression testing. Qualifications: Education/Qualification: Any Graduate