Netsmart

• Responsible for being the first line of contact for clients experiencing issues with installation, configuration, operation and management of Netsmart solutions • Manage incidents and requests; communicate with clients to ensure that work is completed to their satisfaction • Escalate service requests as required • Address and resolve basic incidents and requests; enter quality information into tickets and appropriately capture data; complete follow-up and follow-through on all tickets • Contribute to self-help knowledge bases and documents typical requests and incidents, resolutions, and work-around procedures • Demonstrate consistent and proper use of ticketing system • Identify and make recommendations to implement customer support best practices • Effectively balance high volume productivity demands against ability to provide analytical troubleshooting and problem resolution

• Provide expertise during client engagement to deliver workflow and solution design to achieve defined benefits. • Responsible for guiding clients through current workflows, upgrades, system changes, enhancements, and ongoing system maintenance. • Act as a primary consultant for the client’s solution troubleshooting, consultation, and knowledge transfer. • Cultivate and sustain relationships with clients to provide appropriate escalation of issues, solution knowledge, and engagement support. • Seek to resolve escalated problems and issues using solution knowledge and expertise during installation, operation, maintenance or testing. • Manage client expectations and ensure project delivery meets goals of engagement. • Coach, mentor and guide solution teams on recommended methodology practices.

• Lead RCM Automation Strategy • Identify and prioritize high-value automation opportunities across revenue cycle workflows, including claims management, prior authorization, eligibility verification, coding, charge capture, denials, and payment reconciliation. • Develop and maintain a strategic automation roadmap that aligns with business objectives and client needs. • Evaluate current-state processes and determine where automation can drive efficiency, scalability, and improved outcomes. • Build the Foundation for Scalable Automation • Create and own a comprehensive library of automation playbooks. • Establish documentation and process standards that enable repeatable, high-quality automation development. • Partner Across Teams and Clients • Collaborate with RCM leaders, operational subject matter experts, automation consultants, RPA developers, and clients to design and implement automation solutions. • Facilitate discovery sessions, process assessments, and workflow evaluations to ensure automation initiatives align with operational goals. • Serve as a trusted advisor and automation champion for both internal stakeholders and external clients. • Drive Governance and Continuous Improvement • Define automation governance standards, quality frameworks, naming conventions, and version control practices. • Track solution performance and measure outcomes against operational and financial benchmarks. • Analyze results and continuously refine automation strategies to improve future implementations. • Serve as the RCM Automation Subject Matter Expert • Provide guidance and direction on complex workflow logic, process optimization, and automation best practices. • Support automation teams with troubleshooting, process design decisions, and exception management. • Stay informed on emerging automation, AI, and healthcare technology trends to help shape future capabilities.

Role Description We are seeking a detail‑oriented Provider Enrollment Specialist to support our Revenue Cycle Management (RCM) operations. This role is responsible for managing the full lifecycle of provider enrollment and re‑enrollment across government and commercial payers. The ideal candidate understands how timely and accurate enrollment directly impacts revenue, provider readiness, and patient access to care. This position works closely with internal billing teams, provider offices, and payer representatives to ensure enrollment requirements are met efficiently and compliantly. Key Responsibilities - Manage the end‑to‑end provider enrollment, re‑credentialing, and revalidation process for Medicare, Medicaid, and commercial payers - Prepare, submit, and track enrollment applications, ensuring accuracy and completeness - Maintain and update provider information within CAQH, PECOS, payer portals, and internal tracking systems - Conduct follow‑ups with payers to resolve enrollment delays, denials, or discrepancies - Partner with billing and operations teams to prevent enrollment‑related claim delays or revenue disruptions - Support new provider onboarding by ensuring enrollment approvals are secured prior to billing - Monitor payer guidelines and enrollment requirements, staying current on regulatory changes - Maintain clear documentation and reporting on enrollment status and timelines - Assist with audits, revalidations, and payer correspondence as needed Qualifications - 1+ years of experience in provider enrollment, credentialing, or revenue cycle management - Working knowledge of Medicare, Medicaid, and commercial payer enrollment processes - Experience using CAQH, PECOS, NPI Registry, and payer portals - Strong attention to detail with the ability to manage multiple enrollments concurrently - Effective written and verbal communication skills - Ability to work independently while collaborating across teams - Proficient in Microsoft Office Platforms (Word, Excel, Outlook, etc.) Preferred Qualifications - Experience supporting multi‑provider or multi‑state healthcare organizations - Familiarity with enrollment tracking systems or RCM platforms - Understanding of downstream billing and claims workflows - Revenue cycle or healthcare certifications (CPC, CPB, or similar) are a plus Benefits - Direct impact on provider readiness and revenue performance - Exposure to multiple payer types and healthcare specialties - Opportunities for growth within enrollment, credentialing, or broader RCM functions - Collaborative team environment focused on process improvement and operational excellence

Role Description We are seeking a Clinical Consulting Manager with a strong background in Home Health and/or Hospice care to support clinical excellence, quality outcomes, and best practices across post-acute settings. This role is ideal for experienced clinicians who are passionate about care in the home, end-of-life support, interdisciplinary collaboration, and patient-centered care delivery. As a Clinical Consulting Manager, you will partner with clinical teams and organizational leaders to provide guidance, education, and operational support that strengthens care delivery, ensures regulatory compliance, and enhances the patient and family experience across home health and hospice services. Responsibilities - Perform documentation review on medical records to identify clinical elements for accuracy. - Perform post-acute home health and/or hospice documentation review on medical records to identify clinical elements for accuracy. - Research and provide comments and recommendations on complex or newly issued home health and/or hospice billing regulations. - Review client information systems for complete and accurate clinical documentation. - Research and provide comments and recommendations on complex or newly issued billing regulations. - Conduct weekly calls with the client to present findings and results of the engagement. - Analyze trends and provide process improvement recommendations for clinical operational processes to improve quality of care and patient outcomes. - Review documentation associated with focused medical reviews and write appeals for denied services; provide denial support at the Administrative Law Judge (ALJ) level of appeals. - Participate in cross-team clinical consulting work. Qualifications - Associate’s Degree in nursing, social work, physical therapy or another related discipline. - Active and unrestricted license in related field. - At least 5 years of progressive post-acute clinical management experience in home health and/or hospice. - Experience with case management in home health and/or hospice with progressive involvement in Quality Assurance activities. - In-depth knowledge of condition of participations and conditions of payment; extensive knowledge of regulatory standardized assessment documents and patient care protocols. - Proficient in Microsoft Office Suite including Excel, PowerPoint, and Word. - Excellent written and verbal communication and presentation skills are required. Requirements - Bachelor of Science in nursing (BSN), social work (MSW), physical therapy or another related discipline (preferred). - Experience with Medicare contractor audits and appeals (preferred). - Comfortable with remote work arrangements and virtual collaboration tools. - Physical demands include extended periods of sitting, computer use, and telephone communication. - Position at times may include extended or irregular hours outside of traditional office hours to support clients and projects across multiple time zones. - Travel up to 25% as needed. Company Description

• Supports Netsmart’s clinical quality operations • Leads reviewer training • Ensures quality through audits • Acts as a key resource in resolving client and reviewer questions • Maintains high-quality clinical outcomes • Completes quality assurance processes • Documents and reports findings • Tests McBee Clinical Review functionality • Identifies and communicates quality concerns to QA leadership

Role Description This role partners with clients, internal support teams, and engineering to configure, implement, and support HL7 based integrations between Netsmart solutions and third party healthcare systems. The consultant plays a key role in diagnosing interface issues, managing configuration changes, and ensuring reliable, accurate data exchange in both pre-production and production environments. Responsibilities - Implement and support technically focused solutions for multiple Electronic Health Record (EHR) software solutions, with a primary emphasis on HL7‑based integrations. - Provide ongoing HL7 interface support through ticket‑based workflows, troubleshooting server‑specific issues, message flow errors, and data transmission failures. - Design, configure, and maintain interfaces, forms, reports, and related system components across pre‑production and production environments. - Support both net‑new HL7 implementations and ongoing interface maintenance, recognizing that day‑to‑day work includes a balance of implementation activities and production support. - Diagnose and resolve HL7 transmission issues (e.g., ACK/NAK, routing, validation) to ensure accurate data exchange and eliminate duplicate data entry. - Support Unified Data Services (UDS) integrations enabling inpatient rehabilitation clients to submit required government data and receive benchmark reporting. - Maintain integrations in alignment with evolving CMS logic and data submission requirements. - Assist with system maintenance activities including security updates, server upgrades, large‑scale migrations, and cloud‑based (AWS) migrations. - Collaborate with engineering, clients, and third‑party vendors to drive data mapping, improve logging and monitoring, and ensure timely, accurate completion of implementations and support efforts. Qualifications - Required: Bachelor’s degree in Management Information Systems, Computer Science, Computer Information Systems, Information Systems Technology, Data Analytics, or similar. - Equivalent of 2 years of work experience in lieu of degree. - At least 1 year of healthcare information technology, systems management, implementation, or consulting experience. - Strong analytical and problem‑solving skills. - Ability to multitask on projects and work effectively under pressure. - Ability to problem‑solve design and programming issues. - Preferred: Experience with electronic health records. - Minimum 3 years of experience in HL7 technical support and an HL7 systems implementation role. - Experience with Windows Server environments. - Familiarity with IIS (Internet Information Services) for basic service health checks. - Experience with healthcare EHR systems (Epic, Cerner, Meditech, or similar). - Experience using interface management or monitoring tools. Expectations - Potential travel up to 20% as needed. - Position may at times require extended or irregular hours outside of traditional office hours to support clients, projects across multiple time zones, and any required travel.

Role Description Responsible for being the first line of contact for clients experiencing issues with installation, configuration, operation and management of Netsmart Managed Services. - Manage incidents and requests; communicate with clients to ensure that work is completed to their satisfaction. - Escalate service requests as required. - Address and resolve basic incidents and requests; enter quality information into tickets and appropriately capture data; complete follow-up and follow-through on all tickets. - Contribute to self-help knowledge bases and documents typical requests and incidents, resolutions, and work-around procedures. - Demonstrate consistent and proper use of ticketing system. - Identify and make recommendations to implement customer support best practices. - Effectively balance high volume productivity demands against ability to provide analytical troubleshooting and problem resolution. Qualifications - High school diploma or GED. - At least 1 year of IT support experience in a professional services environment including use of a ticketing system. - Customer focused skills to include active listening skills, ability to interpret IT related issues from the client as well as communicate resolutions/troubleshooting tasks to the client. - Demonstrated ability to develop clear, concise and professional written communication (via work instructions or emails). - Thorough knowledge and troubleshooting of PC hardware and peripherals. - Organizational skills to balance and prioritize work. - Ability and willingness to quickly learn new skills. - Ability to handle confidential information responsibly and exhibit sound judgment with maintaining confidentiality. - Efficient and accurate typing skills to ensure quick and accurate entry of service request details. Requirements - Associates or Bachelor’s degree (preferred). - MCP, ITIL, CompTIA certifications (preferred). - MCP certification in desktop Operating System software required within the first six months of employment. - Ability and willingness to participate in an alternate work schedule which might include non-traditional hours (i.e. shifts) or workdays (i.e. more than 8 hours per day or less than 5 days per week). Company Description Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. - All employment decisions at Netsmart are based on performance, qualifications, abilities, education and experience. - Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate. - Netsmart desires to provide a healthy and safe workplace and is committed to maintaining a drug-free workplace in accordance with applicable federal law. - All post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. - All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

Role Description Responsible for reviewing OASIS and/or coding for home health and hospice agencies on an as needed basis. Are you a certified clinical documentation professional looking for flexible PRN work? Join our team as a Coding & OASIS Reviewer where your expertise in ICD-10 coding and OASIS review will help drive accuracy, compliance, and quality in post-acute care documentation. What You’ll Do - Review OASIS and document recommended changes in approved system - Review ICD-10 coding and sequencing from documentation in the patient chart - Complete documentation of results review; ensure workflow processes are timely and accurate - Document reason for change and recommended reimbursement impact - Consistently meet chart equivalent targets and quality metrics Qualifications - At least 1 year of experience in medical coding or OASIS review work experience - HCS-D certification - HCS-O OR COS-C certification - Proven ability to consistently meet deadlines - High attention to detail with excellent organization skills - Demonstrates learning agility; seeks out opportunities for teaching, support, and professional growth Requirements - Comfortable with remote work arrangements and virtual collaboration tools - Physical demands include extended periods of sitting, computer use, and telephone communication Company Description Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate. Netsmart desires to provide a healthy and safe workplace and, as a government contractor, is committed to maintaining a drug-free workplace in accordance with applicable federal law. All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

• Address and resolve basic and routine support requests. • Adhere to Netsmart processes and best practices. • Escalate support requests as required. • Enter quality information into tracking systems. • Create and manage Netsmart support requests according to Netsmart best practices. • Contribute to knowledge bases and documentation. • Identify and make recommendations to improve support processes.