- Facets application, Facets batch/online and custom development, etc. Familiar with Health care claims processing. Apply to Job Back to Jobs. Apply to Job Back to Jobs. Subscribe to job alerts. Pharmacy Related Services; Revenue Cycle Management.
- The Facets Open Access Solution simplifies access to data and integrates with external systems allowing healthcare organizations to share, manage and process Facets data with third-party and custom developed applications through web services and data publishing interfaces in near real-time.
- Facets is an enterprise-wide core solution that automates claims processing, billing, care management and network management workflow. But getting the most out of Facets requires configuring it to best meet the needs of your organization, testing processes before they go live and ensuring full security.
- Agile Health Technologies Inc. Is a healthcare information technology company offering specialized business and technology solutions and services in product areas such as FACETS and QNXT for our Health Plan clients. FACETS, one of the flagship products of Trizetto, is an excellent Health Plan core administration solution.
Facets Testing explained
Shogun game download free. Facets is an enterprise-wide core solution that automates claims processing, billing, care management and network management workflow. But getting the most out of Facets requires configuring it to best meet the needs of your organization, testing processes before they go live and ensuring full security. Clash of magic apk free download for android free.
FacetsTesting 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 forclaims processing and other healthcare insurance company day to day activitiesare done.
Theseare Typical healthcare manual testing/ tester roles and responsibilitiesespecially in FACETS application in healthcare industry.
·Participatedin requirements meetings to understand the requirements from business people.
·PreparedTest cases and Test scripts from the requirements and Functional, Technicalspecifications.
·Validatedmember eligibility and eligibility inquiry in the facets application to thelegacy application in order to confirm the migration successful or not.
·Experiencein Medical, Pharmacy Plan changes from one plan to other plan with in Group,subgroup, class combinations.
·Experiencewith COB (coordination of benefits) application with in facets, testing ofclaims status for selected subscribers.
·Writingtest cases and test scripts in MS Excel Manually and uploading in Qualitycenter.
·Wellexperienced in benefit coding of different products for various plans of BCBSsuch as Blue preferred, Blue exchange etc.
·Calculatingco-pay, coinsurance, adding single tier, multi tier for different products within a plan.
·Comparingplan and product details in medical module, and reviewing the benefit summaryand feeding them into pivot tables with appropriate co-pay and coinsurance andvalid comments for various codes of vision, maternity etc.
·Testdata entry into FACETS4.7 application in the test environment for creatinggroups, subscribers and family members.
·Experiencein creating new groups, subgroups, subscribers as and when needed which islater used as a test data for testing purpose.
·Experiencein System testing and UAT testing of the facets core application and custommodules as needed.
·Claimsvalidation in Facets application which includes claims pending status, memberstatus, etc.
·Creatingtest cases, test scripts for various modules, and uploading them into qualitycenter.
·Traceabilitymatrix of test cases to corresponding requirements.
·Runningthe test cases and it scripts and executing them thoroughly with pass/failstatus.
Facets Healthcare Tutorial
·Enteringdefects for failed test cases and assign the defects to appropriate developers.
·Regressiontesting of the application once the defects are fixed and passing the testcases.
Facets Healthcare Claims
Insimple words, Facets testing is not really much different than other types oftesting except the fact that the domian knowledge in healthcare industry is amust and familiarity on facets tool is necessary.
Majorapplications with in the Facets testing that you need to learn /know beforeinterview is, Claims processing, hospital, claims, physician claims, membersubscriber inquiry etc.
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