Medicare Outreach and Education Specialist (HH & H)

Overview

Medicare Outreach and Education Specialist (HH & H) 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 role 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 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 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 educational materials and presentations for Medicare provider education on current and upcoming CMS regulations.
• Host events and coordinate training sessions, workshops, and training materials tailored to provider needs.
• Analyze data (error data, geographic data, regulatory changes) to identify education needs and opportunities to reduce billing errors.
• Collaborate with internal teams (Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to communicate issues to Provider Outreach & Education staff.
• Establish and maintain a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of provider education strategies.

Minimum Qualifications

Preferred Qualifications

Remote Work Requirements

Benefits

About Us

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.

J-18808-Ljbffr