Professional
Dynamic and detail-oriented EDI QA Tester with over 6 years of expertise in healthcare systems, specializing in HIPAA X12 transactions, claims testing, and SQL-driven data validation, combined with strong analytical, technical, and leadership skills to deliver high-quality business solutions.
Healthcare QA Testing Expertise
My expertise spans claim adjudication, end-to-end testing, and regulatory compliance. I excel in analyzing complex scenarios, creating robust SQL queries, and conducting comprehensive testing to ensure seamless integration and functionality across systems. My dedication to quality and attention to detail drive my ability to deliver exceptional solutions tailored to healthcare industry standards.
Strong Team Player and Collaborator
With proven experience working closely with product owners, developers, and QA teams, I bring clarity to complex requirements and provide valuable insights during testing and development phases. My ability to adapt quickly to new applications and methodologies, combined with strong interpersonal and time management skills, ensures productive teamwork and the successful delivery of high-quality solutions.
About Me
Experienced EDI QA Tester with a proven track record in healthcare systems, claims testing, and cross-functional collaboration to deliver high-quality, compliant solutions.
Learn more about me
Over 6 years of experience as an EDI QA Tester in the healthcare industry.
Proficient in EDI HIPAA X12 transactions (837, 835, 834) and claims testing, including end-to-end and UAT processes.
Extensive knowledge of healthcare standards, including Medicaid, Medicare, Marketplace, and claims adjudication.
Skilled in SQL and PL/SQL for data validation, database testing, and report generation.
Hands-on experience with tools like JIRA, HP ALM, QTP, and BugZilla for test management and defect tracking.
Expertise in Agile and Waterfall methodologies, with a focus on delivering high-quality solutions.
Proficient in QNXT platforms, including QNXT5.6, QNXT5.9, QNXT6.1 and related modules for claims, enrollment, and providers.
Adept at validating API test cases and managing data migration processes.
Strong team player with excellent interpersonal and communication skills for working with cross-functional teams.
Proven ability to quickly adapt to new tools, applications, and requirements.
Experienced in leading demo sessions with stakeholders and aligning technical objectives with business goals.
Committed to fostering a collaborative environment to ensure project success and team efficiency.
Happy Clients
Projects
Hours Of Support
Team Group
My Services
EDI Transaction Testing for Healthcare
Ensure accurate data exchange with HIPAA-compliant X12 transactions (837, 835, 834) through thorough EDI testing.
Claims Adjudication and Testing
From claim submission to adjudication, I conduct detailed testing for CMS-1500 and UB-04 claims to ensure accuracy, compliance, and smooth processing.
SQL & Database Validation Services
I specialize in writing advanced SQL and PL/SQL queries to validate data across healthcare systems, ensuring that your backend databases meet reporting and functional requirements.
UAT and SIT Testing
With strong expertise in UAT (User Acceptance Testing) and SIT (System Integration Testing), I ensure that all systems, modules, and applications function as expected in real-world healthcare environments, mitigating risks and preventing errors before deployment.
API Testing for Healthcare Systems
I offer comprehensive API testing services, ensuring that healthcare applications and systems communicate effectively.
Test Management and Defect Tracking
Using industry-standard tools like JIRA, HP ALM, and QTP, I provide robust test management and defect tracking services to ensure that all issues are identified, documented, and resolved efficiently, leading to high-quality software releases.
Why Me
Proven Expertise
With over 6 years of experience in the healthcare industry, I bring in-depth knowledge of EDI transactions, claims testing, and database validation, ensuring high-quality and compliant solutions for your healthcare applications.
Comprehensive Skill Set
From manual and automated testing to advanced SQL queries, API testing, and regulatory compliance (HIPAA), I offer a full spectrum of services to meet your unique testing needs.
Attention to Detail
I am dedicated to delivering error-free solutions, ensuring accuracy and regulatory compliance in every phase of testing, from claims adjudication to system integration.
Portfolio
EDI QA Testing & Healthcare Solutions
- All
- UAT & SIT
- Test management
- API
- JIRA
Frequently Asked Questions
Find quick answers to common questions in our FAQ section.
What is your area of expertise as an EDI QA Tester?
I specialize in delivering business and system solutions for the healthcare industry with over 6 years of experience, focusing on EDI HIPAA X12 transactions (837, 835, 834), claims testing, SQL queries, and ensuring regulatory compliance.
Which healthcare transactions are you proficient in testing?
I have extensive experience in testing healthcare transactions, including 837 (Institutional, Professional, Dental, and Pharmacy Claims), 835, 834, 270, 271, 277, and 999 (X12 standards).
Do you have experience with claims testing?
Yes, I am experienced in claims testing across various modules, including claims adjudication, end-to-end testing, UAT, and SIT for CMS-1500 and UB-04 claims.
What tools do you use for defect tracking and test management?
I am proficient in tools such as JIRA, HP Quality Center (ALM), QTP, and BugZilla for managing test cases, tracking defects, and conducting various phases of testing.
Do you have experience with database testing?
Yes, I have extensive experience in backend database testing, writing complex SQL and PL/SQL queries, and validating data migration processes across environments.
What testing methodologies are you experienced with?
I have expertise in both Agile and Waterfall methodologies and possess hands-on experience in functional, integration, regression, compatibility, security, UAT, and GUI testing.
Contact
Feel free to contact me :
Address
Sacremento, California
Call Us
+1 9167412316
Email Us
contact@tulasisapkota.com