Payor Relations Specialist

Electromed Inc.•New Prague, MN

6d•$23 - $31•Hybrid

About The Position

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.

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

Nice To Haves

Experience with systems such as Brightree and/or Salesforce preferred

Responsibilities

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