Government Payor Relations Specialist
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Job Location:
New Prague, MN - USA
Hourly Salary:
$ 23 - 31
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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 ThirdParty 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 contractrelated issues and maintain clean billing operations
Job Outcomes Requirements:
- Bachelors 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 problemsolving and strategic thinking abilities
- Proficiency in Microsoft Office Suite and internet applications
- Experience with systems such as Brightree and/or Salesforce preferred
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 Lifes 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.
Required Experience:
Manager
Key Skills
- Campaigns
- Invasive Cardiology
- Accounting Tally
- DCS
- Drafting
- Activex
About Company
The SmartVest Airway Clearance System delivers effective symptom relief for individuals with chronic lung conditions, such as bronchiectasis and COPD.
