WPS—A health solutions company
Clinical Medicare Outreach and Education Specialist (HH & H)
WPS—A health solutions company, Virginia, Minnesota, United States, 55792
Clinical Medicare Outreach and Education Specialist (HH & H)
Join to apply for the
Clinical Medicare Outreach and Education Specialist (HH & H)
role at
WPS—A health solutions company Role Snapshot Our
Clinical 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. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protects the Medicare Trust Fund. Salary Range 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 We are open to remote work in the following approved states: Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Possess experience working with Medicare specifically in the Home Health and Hospice space. Thrive in developing and maintaining positive relationships with healthcare providers, clinics, and medical staff. Enjoy planning, developing, coordinating and delivering educational sessions, workshops, and training materials tailored to provider needs. Can analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and keep abreast on upcoming legislation, to determine areas for additional education needs. Like to conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Have collaborated with clinical and administrative teams to understand provider challenges and develop targeted solutions. Would enjoy serving as a resource for providers regarding updates in guidelines, policies, and documentation and regulatory requirements. Can Coordinate with internal teams to ensure identified issues are communicated and shared with Provider Outreach & Education (POE) staff. Can establish and maintain a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of 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. 2 or more years of experience as a Medical Review Nurse Analyst with background in Medicare principles and guidelines. 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 Provider Outreach & Education 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. 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 4 or more years of clinical nursing experience. 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. 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. Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. Culture Drives Our Success WPS’ culture is where the great work and innovations of our people are seen, fueled and rewarded.
#J-18808-Ljbffr
Join to apply for the
Clinical Medicare Outreach and Education Specialist (HH & H)
role at
WPS—A health solutions company Role Snapshot Our
Clinical 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. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protects the Medicare Trust Fund. Salary Range 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 We are open to remote work in the following approved states: Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Possess experience working with Medicare specifically in the Home Health and Hospice space. Thrive in developing and maintaining positive relationships with healthcare providers, clinics, and medical staff. Enjoy planning, developing, coordinating and delivering educational sessions, workshops, and training materials tailored to provider needs. Can analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and keep abreast on upcoming legislation, to determine areas for additional education needs. Like to conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Have collaborated with clinical and administrative teams to understand provider challenges and develop targeted solutions. Would enjoy serving as a resource for providers regarding updates in guidelines, policies, and documentation and regulatory requirements. Can Coordinate with internal teams to ensure identified issues are communicated and shared with Provider Outreach & Education (POE) staff. Can establish and maintain a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of 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. 2 or more years of experience as a Medical Review Nurse Analyst with background in Medicare principles and guidelines. 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 Provider Outreach & Education 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. 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 4 or more years of clinical nursing experience. 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. 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. Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. Culture Drives Our Success WPS’ culture is where the great work and innovations of our people are seen, fueled and rewarded.
#J-18808-Ljbffr