WPS—A health solutions company
Medicare Outreach and Education Specialist (HH & H)
WPS—A health solutions company, Madison, Wisconsin, us, 53774
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.
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 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 stay informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protect 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 educational materials, host events, and analyze data to improve provider education and reduce billing errors.
Provide education to 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; help reduce error rates and protect the Medicare Trust Fund.
Encourage a positive customer experience 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 and share identified issues with Provider Outreach & Education (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+ 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, 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 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 internet connection (speed check at speedtest.net).
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 employer’s benefits page.
Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor. WPS offers health insurance plans for individuals, families, seniors, and group health plans for employers. We process claims and provide customer support for Medicare beneficiaries and manage benefits for military personnel. WPS has been serving for nearly 80 years and is proud to be military and veteran ready.
Equal Employment Opportunity and Compliance This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). The role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to gaining access to information systems and/or sensitive data.
Additional Job postings and related content are provided for informational purposes and do not guarantee employment. Referrals may increase interview likelihood.
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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 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 stay informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protect 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 educational materials, host events, and analyze data to improve provider education and reduce billing errors.
Provide education to 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; help reduce error rates and protect the Medicare Trust Fund.
Encourage a positive customer experience 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 and share identified issues with Provider Outreach & Education (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+ 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, 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 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 internet connection (speed check at speedtest.net).
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 employer’s benefits page.
Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor. WPS offers health insurance plans for individuals, families, seniors, and group health plans for employers. We process claims and provide customer support for Medicare beneficiaries and manage benefits for military personnel. WPS has been serving for nearly 80 years and is proud to be military and veteran ready.
Equal Employment Opportunity and Compliance This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). The role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to gaining access to information systems and/or sensitive data.
Additional Job postings and related content are provided for informational purposes and do not guarantee employment. Referrals may increase interview likelihood.
#J-18808-Ljbffr