WPS—A health solutions company
Medicare Outreach and Education Specialist (HH & H)
WPS—A health solutions company, Virginia, Minnesota, United States, 55792
Medicare Outreach and Education Specialist (HH & H)
Join to apply for the
Medicare Outreach and Education Specialist (HH & H)
role at
WPS—A health solutions company Overview
Our
Medicare Outreach & Education Specialist (HH - Home Health and Hospice)
plays a crucial role in our Medicare Program by developing and delivering educational content to the provider community regarding current and upcoming CMS regulations. This specialist creates and develops educational materials, hosts events, and analyzes data to improve provider education and reduce billing errors, all while working in a fast-paced, remote environment. This education is provided to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and be informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protects the Medicare Trust Fund. The Outreach and Education Specialist focuses on ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders. Responsibilities
Develop and deliver educational content to the provider community regarding current and upcoming CMS regulations. Create and develop educational materials and host events; analyze data to improve provider education and reduce billing errors. Educate Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and changes. Assist providers in developing best practices to avoid coverage and billing errors; work to reduce error rates and protect the Medicare Trust Fund. Foster positive customer experiences through relationship building with providers, CMS, and other stakeholders. Coordinate with internal teams (e.g., Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to communicate identified issues to POE staff. Establish and maintain a POE Advisory Group (POE AG) to assist contractors in creating, implementing, and reviewing provider education strategies and efforts. Minimum Qualifications
Bachelor’s Degree in Communications, Health Education, Nursing OR related field OR equivalent combination of education and experience. 3 or more years of experience in a role supporting Medicare. 1 or more years specifically in Medicare communications. Demonstrated experience developing educational materials and presentations. Extensive knowledge of Medicare Part A, Part B and/or Home Health and Hospice program guidelines and PO&E processes. Solid knowledge and understanding of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (i.e., YouTube Channel, WebEx, etc.). Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences. Strong interpersonal and relationship-building skills. Ability to travel for onsite training and education sessions - Travel will be approximately 15% in the future. Preferred Qualifications
CMS knowledge of the Home Health and Hospice program. Strong facilitation, presentation and training experience to large groups of people. Experience processing Home Health and Hospice appeals. MAC contractor experience with FISS, MCS and MAS systems. Remote Work Requirements
Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection Please review Remote Worker FAQs for additional information Benefits
Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml) About WPS
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
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Join to apply for the
Medicare Outreach and Education Specialist (HH & H)
role at
WPS—A health solutions company Overview
Our
Medicare Outreach & Education Specialist (HH - Home Health and Hospice)
plays a crucial role in our Medicare Program by developing and delivering educational content to the provider community regarding current and upcoming CMS regulations. This specialist creates and develops educational materials, hosts events, and analyzes data to improve provider education and reduce billing errors, all while working in a fast-paced, remote environment. This education is provided to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and be informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protects the Medicare Trust Fund. The Outreach and Education Specialist focuses on ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders. Responsibilities
Develop and deliver educational content to the provider community regarding current and upcoming CMS regulations. Create and develop educational materials and host events; analyze data to improve provider education and reduce billing errors. Educate Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and changes. Assist providers in developing best practices to avoid coverage and billing errors; work to reduce error rates and protect the Medicare Trust Fund. Foster positive customer experiences through relationship building with providers, CMS, and other stakeholders. Coordinate with internal teams (e.g., Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to communicate identified issues to POE staff. Establish and maintain a POE Advisory Group (POE AG) to assist contractors in creating, implementing, and reviewing provider education strategies and efforts. Minimum Qualifications
Bachelor’s Degree in Communications, Health Education, Nursing OR related field OR equivalent combination of education and experience. 3 or more years of experience in a role supporting Medicare. 1 or more years specifically in Medicare communications. Demonstrated experience developing educational materials and presentations. Extensive knowledge of Medicare Part A, Part B and/or Home Health and Hospice program guidelines and PO&E processes. Solid knowledge and understanding of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (i.e., YouTube Channel, WebEx, etc.). Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences. Strong interpersonal and relationship-building skills. Ability to travel for onsite training and education sessions - Travel will be approximately 15% in the future. Preferred Qualifications
CMS knowledge of the Home Health and Hospice program. Strong facilitation, presentation and training experience to large groups of people. Experience processing Home Health and Hospice appeals. MAC contractor experience with FISS, MCS and MAS systems. Remote Work Requirements
Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection Please review Remote Worker FAQs for additional information Benefits
Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml) About WPS
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
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