Enlyte is seeking a Software QA Engineer 2 to enhance their Workers Compensation Medical Bill Review and Utilization Review platforms by debugging, testing, and automating complex healthcare software systems, improving medical billing workflows, API integrations, and EDI transaction processing.
Requirements
- Automated test scripts for complex medical billing scenarios and healthcare data validation
- Experience with API testing methodologies and EDI transaction processing in healthcare environments
- Knowledge and familiarity with at least one scripting language for test automation
- Experience in coding/code debugging either in a development or QA role
- Basic understanding of REST/SOAP APIs, JSON/XML data formats, and web services (preferred)
- Interest in learning EDI standards and healthcare transaction processing (training provided)
- Validate API security protocols, authentication mechanisms, and data encryption for healthcare information exchange
Responsibilities
- Debug software products through systematic testing of Workers Compensation medical bill review workflows, fee schedule calculations, and utilization review processes
- Develop, modify, support, execute, and automate software test plans and test scripts for medical billing validation, API endpoints, and EDI transaction processing
- Code test harnesses and automation scripts using scripting languages to validate medical billing calculations, CPT/ICD coding verification, and healthcare data integrations
- Analyze and write test standards and procedures for API testing (REST/SOAP), EDI workflows (X12 837, 835, 278, 270/271), and medical billing compliance
- Test integration points with medical provider networks, pharmacy benefit management systems, and healthcare clearinghouses through API and EDI channels
- Maintain comprehensive documentation of test results for medical billing accuracy, API response validation, and EDI transaction processing to assist in debugging and software modification
- Analyze test results for existing functionality in utilization review algorithms, medical necessity determinations, and prior authorization workflows
Other
- This is a full-time remote position that can be located anywhere in the U.S.
- Bachelor's degree in Computer Science, Engineering, or related field; or equivalent work experience
- Minimum 2 years of related software quality assurance experience, or advanced degree without experience
- Willingness to learn medical billing processes, CPT/ICD coding, and Workers Compensation regulations
- Good judgment in determining appropriate testing actions for moderate scope problems involving healthcare workflows
