healthcare domain interview questions

Testing a healthcare application for various factors, such as standards, safety, compliance, cross dependency with other entities, etc., is known as “healthcare domain testing.” The goal of healthcare domain testing is to make sure that the healthcare application is of high quality, reliability, performance, safety, and efficiency.

Healthcare job interview questions (and how to answer them)
  • Tell me about yourself. …
  • What made you interested in working here? …
  • What’s your biggest strength? …
  • What’s your biggest weakness? …
  • Why did you leave your last position? …
  • How do you stay up-to-date with healthcare advancements? …
  • What are your career goals?

How to Explain Health Care Project in an Interview

Why is QA important for the health care industry?

For health care organizations to create high-quality products that will benefit practitioners, specialists, and patients, quality assurance procedures are crucial. Employers might test your understanding of QA procedures and how they fit into the software development life cycle by asking you this question. Your response to this query can demonstrate to hiring managers your dedication to ensuring high-quality products while adhering to industry standards. Select one or two justifications to emphasize in your response, and then describe how your knowledge or experience have equipped you to handle QA responsibilities.

Example: “In the development of health care applications, quality assurance processes are crucial in any software project. Device testing, for example, can help predict patient outcomes and ensure that they receive high-quality products intended to improve their health. Before a company releases a product, QA engineers can find potential issues with it, which can help businesses keep customers’ trust. I want to work in quality assurance where I can use my strong problem-solving abilities and meticulous attention to detail to improve patient care. “.

How can QA testing help organizations comply with security regulations?

Health care organizations must protect patients’ health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Knowing these legal requirements helps QA testers make sure that all products adhere to security standards. Addressing specific QA procedures that can assist organizations in adhering to these safety protocols will show that you are knowledgeable about the HIPAA regulations.

For instance: “HIPAA regulations must be met by health care software for an organization to remain compliant with this law. The use of data, encryption, auditing, and accessibility are a few QA domains that can support HIPAA compliance. As a QA analyst, I feel that completing testing during development rather than after it is complete would help to maintain compliance with regulations. With the help of developers, I can ensure that we are adhering to the necessary regulatory requirements to protect patient information. “.

Health care QA testing interview questions with sample answers

Examine the following interview inquiries and sample responses to help you get ready for QA job interviews in the healthcare sector:

In addition to discussing significant global events that had an impact on and helped shape the healthcare industry as it is known today, this article provides a brief history of the healthcare sector. This article provides a brief history of global healthcare, spanning antiquity, the colonial era, and modern times. This article also examines various ideologies that have guided global health policy and influenced the trend toward the globalization of the healthcare industry. Health Care or Health Insurance is similar to general insurance. As you are aware, the insurer (insurance company) offers the plans, and the customer (the subscriber or policy holder) purchases the policy for the desired plan. The policyholders will pay the premium amount to the insurer, and the insurer will reimburse the policyholders for any legitimate claims they have made. In healthcare insurance, the same thing occurs, but in addition to the insurer and the policyholder, there are other significant contributors, including providers, third-party administrators (TPAs), brokers, etc.

• Member system – To maintain policy holder data, various plans with their list of benefits, and to generate premium bills for policy holders based on their plans; • Provider system – To maintain provider data; • Broker system – To maintain broker data and calculate commissions; • Claims system – For claim entry and validation; • FINANCEsystem – To perform the necessary payments to provider/member/broker; • Member portal – To display the policy holder information, make premium payments;

These applications cannot be tested in the order we choose, which is a unique feature of the healthcare system. There is a specific process that must be followed: • A member or policy holder must be assigned to a provider (a primary care physician) or a provider network in order to enroll in a health plan, so there must be a way for the member system to verify the assign provider. Either the member system connects to the provider system, or the provider system sends the member system a data feed on a regular basis. Therefore, member system testing should wait until provider system is ready for use and tested. • A claim should include the provider ID, member ID, and other information. Before testing the claims system, the member and provider systems should be tested and ready for use because the claim system must validate both the member and the provider. • In order to write checks or make EFT payments to the appropriate person or entity, the finance system must have data from the member, provider, claim, and BROKER systems. • Provider and BROKER systems are stand alone. • Testing portals should come last because they depend on data from other applications.

HIPAA Transactions: • 820 – Premium Payments (Payroll Deducted and Other Group Payments) • 270/271 – Eligibility and Benefits (Health Care Eligibility Inquiry and Response) • 278 – Authorization (Health Care Services Request for Review and Response) Challenges faced by testers in the healthcare domain: Testing healthcare software is a challenging task. Additionally, it presents many difficulties due to the complexity of the design, diagnosis, and ongoing patient development. Additionally, the product must adhere to a number of Safety and Regulatory Standards, including IHE, HL7, and others. The complexity of the product is increasing along with the demand for healthcare software. Some of the challenges are.

A sector that offers products and services to treat patients with curative, preventive, rehabilitative, or palliative care is the health care or medical industry. In order to meet the health needs of individuals and populations, the modern health care sector is divided into numerous sub-sectors and relies on interdisciplinary teams of qualified professionals and paraprofessionals. This article provides an overview of medical industry.

If you want to find the latest job openings and launch your career as a health care business analyst with a business administration degree, visit www. wisdomjobs. com. An increasingly important role in the provision of contemporary healthcare and the effectiveness of health systems is played by health care business analysts, who analyze activities. Underwriting, producing reports, performing healthcare data analysis and data validation, and serving as a point of contact between the client and the team are just a few of the many duties of a health care business analyst. He should evaluate medical facilities’ data management in an effort to increase and boost their productivity and profitability. As a result, examine the healthcare business analyst job interview questions and answers if you are passionate about identifying problems and desperate to find solutions.

Basic knowledge of Health Care Domain

The single entity that is a hospital or provider (doctor) weaves the entire health care system together.

While the other entities include-

  • Insurance company: Medicare, Medicaid, BCBS, etc.
  • Patient/Consumers: Patient Enrolled
  • Regulatory Authority: HIPAA, OASIS assessment, HCFA 1500 and UB92, etc.
  • Health-care and Life-Science solution Vendors
  • healthcare domain interview questions

    Basic Terminology of Health Care System

  • Provider: A health care professional (doctor), medical group, clinic, lab, hospital, etc. licensed by health care services
  • Claim: A request to your health insurance company to pay a bill for health care service
  • Broker: An insurance professional, who negotiates, procures insurance on behalf of insured or prospective insured
  • Finance: Insurance bodies that pay for medical expenses, it could be government (Medicare or Medicaid) or commercial (BCBS)
  • Medicare: A federal health insurance program for senior citizen and permanently disabled people
  • Medicaid: A joint and state program that helps low-income families and individuals pay for the cost associated with medical care
  • CPT code: A current procedural terminology code is a medical code set to describe medical, surgical and diagnostic services
  • HIPAA: It is a set of rules and regulations which doctors, hospitals, healthcare providers and health plan must follow in order to provide their services
  • In this tutorial, we will learn-

    The majority of healthcare organizations have adapted software to handle the system’s smooth operation. This software system provides each entity dealing with this with all the information in a single document.

    healthcare domain interview questions

    Making this entire system work effectively is even more difficult than connecting it to a single web application. This health application must undergo extensive testing and go through several testing phases.

    In this tutorial, we will learn,

    Sample Test Scenarios and Test cases for providers (doctor/hospital) system:

    Test Scenario Test Cases
    1. Access to providers system
    • We should be able to enter, edit, and save provider data using the provider system.
    1. Positive flow System Testing
    • It includes scenarios for entering various provider types, changing provider details, saving them, and contacting them.
    1. Negative flow System Testing
    • allows you to enter details about current providers in the system and save provider information with incomplete data and the contract’s effective date.
    1. System Integration Testing
    • Validate the feed to the provider portal, the claim system, the finance system, and the members system. Additionally, confirm that the corresponding provider’s record has been updated with the changes from the provider portal.
    1. Positive flow providers portal testing
    • Login and view providers details, claim status, and member details
    • Make a request for a name, address, phone number, or other change.
    1. Negative flow providers portal testing
    • View the member details with an invalid ID
    • Login with invalid credentials
    1. Positive flow Broker portal testing
    • Login and view details about broker and commission payment
    • Ask to have the name, address, phone number, etc. changed.
    1. Negative flow Broker portal testing
    • It should include scenarios to log in with invalid credentials

    Sample Test Scenarios and Test cases for Broker System:

    Sr# Test Scenario Test Cases
    1) Broker System
    • It ought to be able to modify, input, and save broker data.
    • Calculation of broker commission based on information about premium payments obtained from the member system
    2) Positive Flow System Testing
    • Enter, save, and modify broker records for various broker types.
    • Calculate the commission for active brokers by making a feed file with the appropriate record for members of a different plan.
    3) Negative flow System Testing
    • Save a broker record with incomplete information for various broker types.
    • Calculate the commission for the terminated broker by creating a feed file with the relevant records for members with different plans.
    • Calculate the commission for the erroneous broker by creating a feed file with the appropriate records for members with different plans.
    4) System Testing
    • The feeds are validated by downstream systems like the financial system, broker portal, and member system.
    • Verify whether the relevant broker record has been updated with the changes from the broker portal.

    Sample Test Scenarios and Test cases for Member (Patient) System:

    Sr# Test Scenario Test Cases
    1) Member system
    • Enroll, reinstate and terminate a member
    • Remove and add a dependent
    • Generate premium bill
    • Process premium payments
    2) Positive Flow System Testing
    • Enroll various member types with the current, past, and future effective dates.
    • Inquire and change members
    • Create a premium bill for a member who is active for the upcoming month.
    • Terminate an active member with termination dates greater than the effective date in the past, present, and/or future.
    • Re-enroll a terminated member with dates that are current, past, and future
    • Reinstate a terminated number
    3) Negative flow System Testing
    • With insufficient data enroll a member
    • Create a premium bill for the following month for a terminated member.
    4) System Integration Testing
    • Verify the feed to downstream systems, including the provider portal, the broker portal, the finance system, and the claim system.
    • Check to see if the member record has been updated with the changes from the member portal.
    • Process the premium bill payment using the feed from the members portal that contains information about the payment.

    Sample Test Scenarios and Test cases for Claims System:

    # Test Scenarios Test Cases
    1) Claim System
    • Health care claims should be edited, entered, and processed for both members and dependents.
    • When incorrect data is entered, it should raise errors for invalid claims.
    2) Positive Flow System Testing
    • It ought to depict editing, entering, and processing claims for both a member and a dependent.
    3) Negative Flow System Testing
    • The claim should be validated and entered with invalid procedure and diagnosis codes.
    • Validate and enter a claim with the inactive provider ID
    • Validate and enter a claim with a terminated member
    4) System Integration
    • A scenario to verify the feed to downstream systems like the provider and finance portal should be included.

    Sample Test Scenarios and Test cases for Finance System

    Sr# Test Scenarios Test Cases
    1) Finance System
    • Enroll, reinstate and terminate a member
    2) Positive flow system testing
    • It should verify that the proper member, provider, or broker’s account number or address is used for the payment.
    3) Negative flow system testing
    • By creating the appropriate record in the feed, you can determine whether payment was made for a member, provider, or broker ID that is invalid.
    • Create the corresponding records in the feed to check whether the member, provider, or broker was paid for an incorrect amount.

    The top priority for health regulatory bodies is to protect patients’ private information. The testing ought to be carried out in accordance with these regulatory bodies.

    Sample Test Scenarios and Test cases for Regulatory Compliance:

    Sr# Test Scenarios Test Cases
    1) User’s Authentication
    • Using a verification method to ensure that the right users log in and prevent others from doing so
    2) Information Disclosure
    • Based on the user’s role and the patient’s restrictions, access to information is authorized.
    3) Data Transfer
    • At all transfer, points ensure that data is encrypted
    4) Audit Trail
    • With the appropriate set of audit trail data, all transactions and attempts to access data are recorded.
    5) Sanity Testing related to regulatory body
    • Perform sanity checks and confirm that the data has been encrypted in specific areas, such as EPHI (Electronic Protected Health Information).

    FAQ

    What is a healthcare domain?

    Healthcare is a top-level domain (TLD) that is suitable for any individual, company, or organization that works in the healthcare sector. It is professional and descriptive. This includes healthcare organizations, publishers, e-commerce businesses, as well as medical facilities like hospitals and clinics.

    How do I prepare for a healthcare interview?

    How to prepare for your healthcare job interview
    1. Research the company and interviewer. …
    2. Tweak your resume. …
    3. Anticipate resume questions. …
    4. Rehearse some answers. …
    5. Prepare some questions of your own. …
    6. Plan your outfit. …
    7. Pack your bag. …
    8. Catch some zzz’s.

    What are the 10 most common interview questions and answers?

    10 most common interview questions and answers
    • Tell me about yourself.
    • What attracted you to our company?
    • Tell me about your strengths.
    • What are your weaknesses?
    • Where do you see yourself in five years?
    • Please describe a time when you faced a business obstacle.

    What are your strengths healthcare?

    4 Strengths You Should Look for When Hiring Healthcare Professionals
    • Self-confidence. Making a diagnosis and determining a patient’s course of treatment as quickly as possible can be crucial in the high-stress environment of a hospital.
    • Flexibility. …
    • Great communication skills. …
    • Empathy.

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