Netsmart

Data Engineer

• Design, implement, and optimize complex data pipelines using advanced SQL, ETL tools, and integration technologies
• Collaborate with cross-functional teams on data solutions for advanced analytics and data science initiatives
• Lead process improvements involving automation, data delivery optimization, and infrastructure redesign for scalability
• Evaluate and recommend emerging data technologies for comprehensive data integration strategies
• Lead technical discovery processes, define complex requirements, and map detailed scenarios
• Develop and maintain data governance policies and procedures

Senior Data Engineer

Strategist

• Conduct client, stakeholder, competitive, and market research to identify solution needs
• Translate clinical workflows into business requirements, user stories, acceptance criteria, and product priorities
• Communicate solution strategy, plans, and roadmaps to clinical, technical, and business stakeholders
• Partner with Engineering to manage solution scope, requirements, and prototypes
• Collaborate across product teams on integrations, data requirements, interfaces, and legacy care-record migrations
• Facilitate client discovery and workflow discussions with clinical and technical audiences
• Partner with Support, Sales, and Marketing on feature descriptions, demonstrations, solution training, release content, and go-to-market activities
• Use research, competitive analysis, utilization data, and user-engagement insights to promote innovation and differentiation
• Monitor regulatory and industry changes for new product requirements and market opportunities

Solution Strategist

Technician

• Serve as the first line of contact for clients experiencing issues with installation, configuration, operation, and management of Netsmart Managed Services
• Manage incidents and requests and communicate with clients to ensure satisfactory completion
• Escalate service requests as required
• Resolve basic incidents and requests
• Enter quality information into tickets and accurately capture data
• Complete follow-up and follow-through on all tickets
• Contribute to self-help knowledge bases
• Document typical requests, incidents, resolutions, and workaround procedures
• Use the ticketing system consistently and properly
• Identify and recommend customer support best practices
• Balance high-volume productivity demands with analytical troubleshooting and problem resolution

Service Desk Technician

Accounts Receivable

• Manage a portfolio of outstanding insurance accounts receivable, ensuring timely follow-up and resolution of unpaid or underpaid claims
• Perform end-to-end denial management, including researching claim denials, identifying root causes, submitting appeals, and securing appropriate reimbursement
• Analyze denial patterns and reimbursement trends to identify opportunities for process improvement and revenue recovery
• Contact insurance carriers via phone, email, fax, payer portals, and written correspondence to resolve claim issues and payment delays
• Investigate and resolve claim edits, rejections, authorization issues, coding discrepancies, and payer-specific reimbursement concerns
• Follow up on aged accounts and claims with no response from insurance carriers while maintaining productivity and quality standards
• Use Microsoft Excel to track accounts, analyze payer trends, manage work queues, create reports, and maintain denial inventories
• Use Microsoft Outlook extensively for communication with payers, clients, and internal stakeholders regarding claim resolution activities
• Review and apply current federal, state, Medicare, Medicaid, and payer-specific billing regulations
• Handle Electronic Data Interchange (EDI) transactions, including reconciliation of carrier submissions, clearinghouse edits, and rejection reports
• Leverage RPA tools and AI-assisted workflows to enhance efficiency, automate routine follow-up activities, and improve claim resolution outcomes
• Maintain detailed documentation of account activity and claim resolution efforts

Accounts Receivable Specialist – Medical Billing Experience

Consultant

• Complete complex system configuration and assist with testing
• Ensure proper configuration management and change control processes
• Gather and document business requirements based on client requirements and known system functionality
• Lead design sessions to uncover interdependencies and design decision impacts
• Train, coach, guide, and mentor Application Analysts and Consultants
• Identify, resolve, and report solution status, risks, and issues to clients and Netsmart leadership
• Analyze data to determine configuration readiness
• Develop client relationships and navigate conflict and complex relationship situations
• Execute process improvement opportunities and efficiencies
• Identify and generate documentation for methodology best practices
• Support established post-implementation clients through expert guidance, system optimization, and strategic recommendations
• Translate data into actionable insights and support technical reporting needs

Senior Solution Delivery Consultant – Post Implementation

Solutions Engineer

• Design, develop, modify, and maintain reports utilizing ActiveReports and ActiveReports.NET based on documented business requirements
• Develop report functionality including grouping, sorting, filtering, parameters, calculated fields, conditional formatting, charts, subreports, and export capabilities
• Provide workflow and solution design expertise during client engagements to achieve defined benefits
• Guide clients through current workflows, upgrades, system changes, enhancements, and ongoing system maintenance
• Act as a primary consultant for solution troubleshooting, consultation, and knowledge transfer
• Cultivate and sustain client relationships and provide escalation, solution knowledge, and engagement support
• Resolve escalated problems and issues during installation, operation, maintenance, or testing
• Manage client expectations and ensure project delivery meets engagement goals
• Coach, mentor, and guide solution teams on recommended methodology practices
• Support clinical, operational, financial, and regulatory business objectives through workflow consultation, solution design, system optimization, and reporting expertise

Technical Solution Architect – myAvatar

Reviewer

• Review OASIS and document recommended changes in the approved system
• Review ICD-10 coding and sequencing using documentation in the patient chart
• Complete documentation of review results and ensure workflow processes are timely and accurate
• Document reasons for changes and recommended reimbursement impact
• Consistently meet chart equivalent targets and quality metrics
• Perform work on an as-needed basis for home health and hospice agencies