Medicare Outreach and Education Specialist (HH & H)

WPS Health Solutions; Town of Texas (WI); Remote; USD 61,000 - 90,000; Full time

Job summary

A healthcare solutions provider is seeking a Medicare Outreach & Education Specialist to develop and deliver educational content to Medicare providers. This remote role involves creating materials, hosting events, and analyzing data to improve education and reduce billing errors. Candidates should possess experience in Medicare, strong communication skills, and the ability to build relationships. Competitive salary and benefits offered.

Benefits

401(k) with employer match

Health and dental insurance from DAY 1

Competitive paid time off

Performance bonuses

Qualifications

• 3+ years of experience in a Medicare support role.
• 1+ years in Medicare communications.
• Extensive knowledge of Medicare guidelines.

Responsibilities

• Develop educational materials for Medicare providers.
• Host educational events and workshops.
• Analyze data to improve provider education.

Skills

Relationship building

Communication skills

Data analysis

Workshop coordination

Education

Bachelor's Degree in Communications, Health Education, Nursing, or related field

Tools

Microsoft Office Suite

WebEx

Job description

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 Range
$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
We are open to remote work 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

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, billing procedures and regulatory requirements.
• Can Coordinate with internal teams (i.e., Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) 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.
• 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 (can be checked at https://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 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

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.