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Payor Relations Specialist

Electromed Inc., New Prague, Minnesota, United States, 56071

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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.

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 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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