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.

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

Preferred Qualifications

Remote Work Requirements

Benefits

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