Medicare Outreach and Education Specialist (HH & H)

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

Overview

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 CMS regulations. This specialist creates and develops educational materials, hosts events, and analyzes data to improve provider education and reduce billing errors, all in a fast-paced, remote environment. The education targets 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 about current and upcoming CMS regulations to the provider community.
• Create and develop educational materials and presentations; host events and training sessions.
• Analyze data (error data, geographic data, regulatory updates) to identify education needs and improve provider education and reduce billing errors.
• Engage with providers, CMS, and internal teams to communicate issues and implement education strategies.
• Establish and maintain a POE Advisory Group (POE AG) to assist in creating, implementing, and reviewing provider education efforts.

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 providing health plans and managing Medicare-related services. We are headquartered in Madison, Wisconsin, and serve diverse beneficiaries and providers nationwide. We are committed to an inclusive, value-driven culture and to supporting a workforce that brings authentic perspectives to the table.

Employment Details

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