WPS—A health solutions company
Medicare Outreach and Education Specialist (HH & H)
WPS—A health solutions company, Saint Paul, Minnesota, United States
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 Role Snapshot Our
Medicare Outreach & Education Specialist (HH & H - 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. Salary $61,000 ~ $90,000
(The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside of this range.) Work Location Remote work is available in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin Key Responsibilities Possess experience working with Medicare specifically in the Home Health and Hospice space. Develop and maintain positive relationships with healthcare providers, clinics, and medical staff. Plan, develop, coordinate and deliver educational sessions, workshops, and training materials tailored to provider needs. Analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and stay informed on upcoming legislation to determine education needs. Conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Collaborate with clinical and administrative teams to understand provider challenges and develop targeted solutions. Serve as a resource for providers regarding updates in guidelines, policies, billing procedures and regulatory requirements. Coordinate with internal teams (Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to ensure identified issues are communicated 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. Qualifications Bachelor’s Degree in Communications, Health Education, Nursing or related field, or equivalent combination of education and experience. 3+ years of experience in a role supporting Medicare. 1+ year 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 of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (e.g., YouTube channel, WebEx). Excellent written and verbal communication skills with the ability to present complex information clearly to diverse audiences. Strong interpersonal and relationship-building skills. Ability to travel for onsite training and education sessions – travel 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. Experience processing Home Health and Hospice appeals. MAC contractor experience with FISS, MCS and MAS systems. Remote Work Requirements Wired (ethernet) 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 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 salary and a 50% match for the next 2% (100% vested immediately) Competitive paid time off Health, dental, and telehealth services start DAY 1 Professional and Leadership Development Programs About WPS WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor. We offer health plans for individuals, families, seniors and group plans for businesses. We process claims and provide customer support for Medicare beneficiaries and manage benefits for military personnel. WPS is committed to a flexible, inclusive culture and has a long history of serving diverse communities. This position supports services under CMS contracts and is subject to applicable federal regulations and CMS requirements. EEO and Compliance CMS contractors and their personnel are subject to screening and background investigation prior to access to information systems or sensitive data. All policies regarding data security, privacy, confidentiality, and program integrity apply.
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Join to apply for the
Medicare Outreach and Education Specialist (HH & H)
role at
WPS—A health solutions company Overview Role Snapshot Our
Medicare Outreach & Education Specialist (HH & H - 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. Salary $61,000 ~ $90,000
(The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside of this range.) Work Location Remote work is available in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin Key Responsibilities Possess experience working with Medicare specifically in the Home Health and Hospice space. Develop and maintain positive relationships with healthcare providers, clinics, and medical staff. Plan, develop, coordinate and deliver educational sessions, workshops, and training materials tailored to provider needs. Analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and stay informed on upcoming legislation to determine education needs. Conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Collaborate with clinical and administrative teams to understand provider challenges and develop targeted solutions. Serve as a resource for providers regarding updates in guidelines, policies, billing procedures and regulatory requirements. Coordinate with internal teams (Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to ensure identified issues are communicated 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. Qualifications Bachelor’s Degree in Communications, Health Education, Nursing or related field, or equivalent combination of education and experience. 3+ years of experience in a role supporting Medicare. 1+ year 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 of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (e.g., YouTube channel, WebEx). Excellent written and verbal communication skills with the ability to present complex information clearly to diverse audiences. Strong interpersonal and relationship-building skills. Ability to travel for onsite training and education sessions – travel 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. Experience processing Home Health and Hospice appeals. MAC contractor experience with FISS, MCS and MAS systems. Remote Work Requirements Wired (ethernet) 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 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 salary and a 50% match for the next 2% (100% vested immediately) Competitive paid time off Health, dental, and telehealth services start DAY 1 Professional and Leadership Development Programs About WPS WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor. We offer health plans for individuals, families, seniors and group plans for businesses. We process claims and provide customer support for Medicare beneficiaries and manage benefits for military personnel. WPS is committed to a flexible, inclusive culture and has a long history of serving diverse communities. This position supports services under CMS contracts and is subject to applicable federal regulations and CMS requirements. EEO and Compliance CMS contractors and their personnel are subject to screening and background investigation prior to access to information systems or sensitive data. All policies regarding data security, privacy, confidentiality, and program integrity apply.
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