Summary
Overview
Work History
Education
Skills
Timeline
Generic

NEHA BHAVSAR

Summary

Seeking a challenging & growth-oriented position in a Client Server and Webserver environment utilizing and enhancing my skills in Software Analysis, Testing and Documentation.

15 + years for total health care experience working with 5+ years of Experience in Health Care Testing with comprehensive knowledge of standard formal testing procedures and techniques and software development life cycle. Experience working in both Waterfall and Agile environments. Experience with Requirement Analysis, Test Plans and writing Test Cases. Extensive understanding of the Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC) techniques and methodologies. Ability to work with complex test data and setup. Performed different kinds of testing which includes Black-Box testing, Smoke Testing, System Integration Testing, Functional testing, Regression Testing, End-to-End Testing, UAT Testing. Expertise in Problem solving & defect Tracking Reports using Defect Tracking Tools (Jira, ALM). Experience in testing enrollment, claims (1500 and UB04) processing and billing in QNXT and VUE360 and Flexi. Strong understanding experience for creating test cases for different EDI transaction like 837, 834, 277, 271, with focus on EDI 835, supplemental and control and error reports. Experience in Integration testing of claims and billing flow from QNXT to FLEXI and validation of provider payment through PAYSPAN (clearing house). Familiar with healthcare working environment, standards, business, and delivery process. Have strong experience in preparing test summary reports and communicating testing status and defects to the developers. Efficient in interacting with developers and other business team members to ensure high quality software is delivered. Excellent problem-solving skills, experience in working group projects, desire, and ability to learn and apply new technologies. Self-motivated, fast learner, and detail oriented. Can work very well in a team as well as independently under minimum supervision. Self-Starter and comfortable in high intensity and challenging work environment. Self-starter and ability to adapt and learn new technology quickly and leadership skills. Software-savvy quality assurance professional committed to confirming proper functionality and usability of software products before release. Plans test schedules and strategies according to project scope and delivery dates and monitors and tracks bug resolutions. Reviews software documentation to verify technical accuracy and completeness and to mitigate risks.

Overview

8
8
years of professional experience

Work History

Senior Quality Analyst

Sentara Health Plan
01.2023 - Current
  • Working on the Finance and Billing modules/applications
  • Involved in thorough testing and validations to ensure EDI implementation is working accurately and also exchanging test files with trading partners, conducting end-to-end testing and verifying that data is being mapped correctly to internal systems.

Professional Test Engineer

Gainwell Technologies
11.2021 - 01.2023
  • Involved in migration project for Ohio State Medicaid
  • Responsible for analyzing business requirements, creating test scripts, and executing functional tests manually
  • Conducted Retesting and Regression testing on every modified SUT to close bugs.

QA Test Engineer

Healable
08.2019 - 11.2021
  • Participated in Sprint Planning for sizing and dividing tasks
  • Involved in testing various business rules, User/Customer functionalities, and Change Processes
  • Executed Smoke testing on every new builds for checking Basic Functionality.

Medical Coder

Coronis Health
08.2017 - 07.2019
  • Abstracting ED (emergency medicine) Peds and Adults charts to determine and assign appropriate ICD-10, CPT E/M, CPT procedures, modifiers, and identify/report documentation deficiencies in accordance with client coding profile and coding turnaround time requirements.

Patient Access Intake

AstraZeneca/Medimmune (Kelly Services)
06.2016 - 08.2017
  • Responsible for addressing all support request entries including management of eConnect/Salesforce fax and mail queues and working with patient cases that come through AstraZeneca Access 360 program.

Education

MS in Information Systems Management -

Stratford University
VA, USA

Bachelors in Science -

Gujarat University

Skills

  • Defect Tracking Tools: ALM, Jira
  • Methodologies: Waterfall, Agile (Scrum)
  • Databases: Microsoft SQL
  • Knowledge of JAVA (OOPS concepts), Selenium, TestNG, Cucumber BDD
  • Knowledge of API testing (Postman)
  • Writing Test Cases
  • Root Cause Analysis
  • Requirements Analysis
  • Continuous Improvement Mindset
  • Cross-functional Collaboration
  • Attention to Detail

Timeline

Senior Quality Analyst

Sentara Health Plan
01.2023 - Current

Professional Test Engineer

Gainwell Technologies
11.2021 - 01.2023

QA Test Engineer

Healable
08.2019 - 11.2021

Medical Coder

Coronis Health
08.2017 - 07.2019

Patient Access Intake

AstraZeneca/Medimmune (Kelly Services)
06.2016 - 08.2017

MS in Information Systems Management -

Stratford University

Bachelors in Science -

Gujarat University
NEHA BHAVSAR