I worked at ACS Health Care (More than a year)
Involved in preparing the UAT Test data and conducted the UAT result review sessions to get the sign-off from the end users
Responsible to understand the test plan of the QA partners assigned to large projects and provide guid-ance if any gaps are observed
My main role is to Test the claim after the Adjudication Looking into different parameters like ICD 9- 10 & HCPCS Coding, Validating Recipient Data, Provider Data, Pricing Authorization Data etc..
Involved in Configuring the system incase of any Failed Claims according to the client requirement.
Checking for Bugs and run a test claim before implementing it into the production.
Industry is in decline, as a result there is a focus on cutting costs. There are redundancies and regular restructuring of divisions, which affect job security and stability in some areas. Silos between departments result in poor communication, conflict and ability to resolve issues. Very poor communication and unreasonable expectations from head office. Lack of controls, ineffective processes and systems that affect
Advice to Management
There isn't a clear strategy or direction which raises concern how the company will overcome its challenges.
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