WPS—A health solutions company
Medicare Outreach and Education Specialist (HH & H)
WPS—A health solutions company, Columbus, Ohio, United States
Overview
Medicare Outreach and Education Specialist (HH & H) role at WPS—A health solutions company. This position develops and delivers educational content to the provider community regarding current and upcoming CMS regulations, in support of the Medicare Program. Responsibilities
Develop and deliver educational content to Medicare providers, coders, billers, and compliance staff about current and upcoming CMS regulations. Create educational materials, host events, and analyze data to improve provider education and reduce billing errors. Work in a fast-paced, remote environment while focusing on a positive customer experience through relationship building with providers, CMS, and other stakeholders. Assist providers in developing best practices to avoid coverage and billing errors, reducing error rates and protecting the Medicare Trust Fund. 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 creation, implementation, and review of provider education strategies. Minimum 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+ 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 (e.g., YouTube Channel, WebEx). 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 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 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 salary and a 50% match for the next 2% (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 at the official benefits page Who We Are: WPS, a health solutions company, is a not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. We provide health plans and manage benefits for millions of beneficiaries and service members. We are committed to a culture that values employee engagement and inclusion. This position supports CMS contracts and is subject to applicable regulations and internal policies including data security and program integrity.
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Medicare Outreach and Education Specialist (HH & H) role at WPS—A health solutions company. This position develops and delivers educational content to the provider community regarding current and upcoming CMS regulations, in support of the Medicare Program. Responsibilities
Develop and deliver educational content to Medicare providers, coders, billers, and compliance staff about current and upcoming CMS regulations. Create educational materials, host events, and analyze data to improve provider education and reduce billing errors. Work in a fast-paced, remote environment while focusing on a positive customer experience through relationship building with providers, CMS, and other stakeholders. Assist providers in developing best practices to avoid coverage and billing errors, reducing error rates and protecting the Medicare Trust Fund. 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 creation, implementation, and review of provider education strategies. Minimum 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+ 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 (e.g., YouTube Channel, WebEx). 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 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 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 salary and a 50% match for the next 2% (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 at the official benefits page Who We Are: WPS, a health solutions company, is a not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. We provide health plans and manage benefits for millions of beneficiaries and service members. We are committed to a culture that values employee engagement and inclusion. This position supports CMS contracts and is subject to applicable regulations and internal policies including data security and program integrity.
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