Medicare Outreach & Education Specialist

Role Snapshot

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, 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.

$60,000 - $95,000
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.

We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.

• 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.
• 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.

• 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., You Tube Channel, Web Ex, 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.

• 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 )
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