Medicare Outreach & Education Specialist
About The Position
The Medicare Outreach & Education Specialist 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, host events, and analyze 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.
Requirements
- 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.
- Possess experience working with Medicare.
- 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.
Nice To Haves
- CMS knowledge of the Home Health and Hospice program.
- Strong facilitation, presentation and training experience to large groups of people.
- MAC contractor experience with FISS, MCS and MAS systems.
- 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 )
Responsibilities
- Developing and delivering educational content to the provider community regarding current and upcoming CMS regulations
- Creating and developing educational materials
- Hosting events
- Analyzing data to improve provider education and reduce billing errors
- Assisting providers in developing best practices to avoid coverage and billing errors
- Ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders
- Conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives
- Collaborating with clinical and administrative teams to understand provider challenges and develop targeted solutions
- Serving as a resource for providers regarding updates in guidelines, policies, billing procedures and regulatory requirements
- Coordinating 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
- Establishing and maintaining a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of provider education strategies and efforts
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
