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Facets testing involves manual testing of a Facets tool used for healthcare insurance claims processing and activities. It involves tasks like preparing test cases from requirements, validating member eligibility, testing plan changes, and claims processing. Responsibilities include requirements gathering, test case creation, executing test cases, defect logging, and regression testing. Facets testing is similar to other types of testing but requires healthcare domain knowledge and familiarity with the Facets tool.
Originalbeschreibung:
Various testing approaches for facets applications in healthcare domain
Facets testing involves manual testing of a Facets tool used for healthcare insurance claims processing and activities. It involves tasks like preparing test cases from requirements, validating member eligibility, testing plan changes, and claims processing. Responsibilities include requirements gathering, test case creation, executing test cases, defect logging, and regression testing. Facets testing is similar to other types of testing but requires healthcare domain knowledge and familiarity with the Facets tool.
Facets testing involves manual testing of a Facets tool used for healthcare insurance claims processing and activities. It involves tasks like preparing test cases from requirements, validating member eligibility, testing plan changes, and claims processing. Responsibilities include requirements gathering, test case creation, executing test cases, defect logging, and regression testing. Facets testing is similar to other types of testing but requires healthcare domain knowledge and familiarity with the Facets tool.
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 activiti es 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 requ irements from business people. Prepared Test cases and Test scripts from the requirements a nd Functional, Technical specifications. Validated member eligibility and eligibility inquiry in the facets application to the legacy application in order to confirm the migration s uccessful or not. Experience in Medical, Pharmacy Plan changes from one plan t o other plan with in Group, subgroup, class combinations. Experience with COB (coordination of benefits) application w ith 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 t ier for different products with in a plan. Comparing plan and product details in medical module, and re viewing 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 envir onment 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 c ore application and custom modules as needed. Claims validation in Facets application which includes claim s pending status, member status, etc.. Creating test cases, test scripts for various modules, and u ploading them into quality center. Traceability matrix of test cases to corresponding requireme nts. Running the test cases and it scripts and executing them tho roughly with pass/fail status. Entering defects for failed test cases and assign the defect s to appropriate developers. Regression testing of the application once the defects are f ixed 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 m ust and familiarity on facets tool is necessary. Major applications with in the Facets testing that you need to learn /know befor e interview is, Claims processing, hospital, claims, physician claims, member su bscriber inquiry etc.. facets testing facets healthcare facets testing interview questions what is face ts testing Points to Remember ------------------------ Facets is an integrated health care management system designed to handle the com plex requirements of managed care programs It is comprehensive client/server based system that integrates eligibility, prov ider and plan/product data to efficiently process cliams, utilization management , reviews, case management and customer service information Facets also handles premium billing, commissions, capitation, and reporting need s. Facets is a modular system, allowing sierra to select components to meet its key business needs. Facets includes an extensive range of detailed processing and maintainance appli cations that enable Users to control many aspects of managed health care functio ns