Payor Relations Specialist

Remote
Full Time
Reimbursement
Mid Level
People Purpose: Beyond Competitive
It is no longer ok to just be competitive regarding how we treat our people in everything we do. Our leadership team believes wholeheartedly we need to be beyond competitive and cultivate a culture of proud, driven employees who are passionate about the work they do and where they do it.  Our leadership strives to unleash unsurpassed potential in every team and individual employed and owns making that happen. Sincere, Simple, Smart.

What makes us Beyond Competitive:
  • 6 weeks’ time off annually
  • Employee bonus plan
  • Flexible hybrid/remote work options
  • Full pay maternity, paternity, parental, short-term disability leaves
  • Employee driven recognition program
  • Access to hundreds of training opportunities
  • Company paid educational assistance
  • Well-being on demand
  • Perks at Work
  • Competitive health and welfare plans -HSA company contribution
  • 401(k) company match
  • Great culture and people!

 
The Opportunity:
The Government Payor Relations Specialist manages contracting, enrollment, and compliance activities for government programs such as Medicare, Medicaid, and the Veterans Administration. This role ensures provider eligibility, supports accurate reimbursement processes, and oversees state business licensure to maintain organizational good standing. The Specialist works closely with Reimbursement, Patient Services, Billing, and Accounting to uphold operational efficiency and revenue integrity.
  

Job Outcomes You Must Get:
  • Ensure ongoing Market Access by completing all state and federal requirements, including licensing, accreditation, enrollment, revalidations, portal management, and fee schedule reviews.
  • Maintain complete, accurate records for government contracts to support compliance and timely revalidation.
  • Review and interpret payor and Third‑Party Administrator (TPA) communications and policies related to Electromed products.
  • Build and sustain productive relationships with government payors to support contracting and credentialing efficiency.
  • Serve as a primary liaison, ensuring clear, timely, and professional communication with payors.
  • Identify opportunities to expand Market Access and contribute to strategic initiatives.
  • Partner with Patient Services and the Billing t to resolve contract‑related issues and maintain clean billing operations

Job Outcomes Requirements:
  • Bachelor’s degree in business, health sciences, or a related field; or equivalent experience
  • Experience in Revenue Cycle Management within the medical device, DME, or managed care industry
  • Hands-on experience with provider enrollment, credentialing, or government payor operations
  • Knowledge of federal and state DME regulations, CMS guidelines, and accreditation standards
  • Strong understanding of coding, coverage, and payment for medical devices and DME in homecare and institutional settings
  • Strong negotiation, communication, organization, and project management skills
  • Demonstrated problem‑solving and strategic thinking abilities
  • Proficiency in Microsoft Office Suite and internet applications
  • Experience with systems such as Brightree and/or Salesforce preferred
Salary range is $23.00-$31.25/hour plus employee bonus with the final agreed upon compensation to be based on individual qualifications and experience. 
 

Be You.

Our people celebrate diverse individuals, backgrounds, and thinking. As an equal opportunity

employer this is the absolute most important belief in cultivating our culture and growth together.

Core Values

Customer-Focused. Integrity. Resourceful. Collaborative. Results-Driven.

Electromed develops, manufactures, and markets innovative airway clearance devices that help

people around the world breathe better, stay healthier, and lead active and fulfilling lives.

Making Life’s important moments possible-one breath at a time.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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