Inside Sales Specialist

AdaptHealth, LLC•Phoenixville, PA

7d•Onsite

About The Position

The Inside Sales Specialist supports continuity of care among patients, clinics, the community, physician practices, and the home setting, with the goal of maximizing patient satisfaction. The role contributes to sales, billed revenue, and new-patient growth in accordance with department goals, while helping promote patient safety, comfort, and well-being. It also supports awareness among healthcare professionals, physicians, and patients about available options and services, coordinates referrals for timely admissions and appropriate care, and processes complex orders accurately and promptly. The position handles high volumes of outbound calls, develops referrals and long-term relationships, and coordinates with patients, referral sources, insurance companies, marketing, and operations. It obtains and reviews information and medical documentation, validates codes and coverage, secures authorizations and physician signatures when required, explains insurance coverage and financial responsibility, and helps resolve coverage or service issues. The role also maintains knowledge of billing and reimbursement guidelines for Medicare, Medicaid, third-party insurers, and contracted payers; prioritizes urgent orders; supports customer issue resolution; and follows HIPAA and AdaptHealth compliance requirements. This is a full-time, on-site role in a call center or office environment. The workspace is shared and open, with noise from conversations, calls, and general workplace activity. Work levels may fluctuate and may be stressful; employees may encounter angry or irate customers, patients, or referral sources. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

High school diploma required.
One year of work-related experience in healthcare, administration, insurance, customer service, or management, regardless of industry.
Excellent verbal and written communication skills.
Excellent presentation skills.
Excellent customer service skills.
Product knowledge.
Motivation for sales.
Ability to work independently and as part of a team.
Strong analytical and problem-solving skills with attention to detail.
Ability to prioritize and manage multiple projects.
Mental alertness and ability to handle confidential information appropriately.
Proficient computer skills and knowledge of Microsoft Office.
Ability to bend, stoop, stretch, stand, and sit for extended periods.
Ability to perform repetitive wrist, hand, and/or finger motions due to extensive computer use.
Ability to use a personal computer and other office equipment.
Ability to lift 30 pounds as needed.
Physical and mental ability to provide clinical assessments.

Nice To Haves

Associate degree from an accredited college preferred.
B2B or B2C sales experience preferred.

Responsibilities

Work through a high volume of outbound calls in a fast-paced environment.
Generate referrals by researching sales and marketing sources and selling offered services.
Develop long-term relationships with patients, families, referral sources, clinics, and others through cold calling, problem-solving, follow-up, and integrity.
Partner with the Marketing department to develop or enhance educational materials for patients, families, physicians, and clinics.
Obtain required information and medical documentation for complete, accurate, and timely processing of supply program orders.
Validate codes and fees and confirm coverage under patients' insurance policies.
Obtain insurance authorizations and physician order signatures when required.
Explain coverage guidelines to patients and referral sources and arrange payment for non-covered items.
Suggest alternative equipment when warranted by reimbursement limitations or patient diagnoses.
Explain benefits and financial responsibility to patients and assist with insurance coverage questions.
Contact referral sources and patients about problems or delays in insurance verification.
Assess whether diagnoses and disease states support the prescribed DME from a reimbursement standpoint and make appropriate equipment recommendations.
Understand cost-effective delivery methods for ordered DME.
Maintain working knowledge of billing, documentation, and reimbursement guidelines and issues, including Medicare, Medicaid, other third-party payers, and contracted payers.
Help patients and referral sources find an alternative provider when services are not covered by insurance.
Prioritize urgent or emergency orders.
Validate and log CMNs and PARs as needed.
Coordinate with operational teams to resolve patient issues and support positive outcomes for patients and referral sources.
Serve as a resource to referral-source staff regarding Medicare, Medicaid, and private-insurance documentation and reimbursement guidelines for DME/RT equipment and services.
Identify initiatives that may increase company revenue, decrease costs, or improve customer satisfaction.
Use sound judgment with patients and referral sources during conflicts and help resolve customer complaints.
Contribute to problem-solving and decision-making within the branch marketing team to achieve sales and marketing goals.
Review relevant medical information and alternatives when making service-related decisions.
Communicate hospital and physician referral-source needs clearly to sales and operations.
Promote teamwork with branch sales and operations teams and adapt to changing operational needs.
Use company communication systems to report and process requested information.
Share information and expertise with colleagues and participate in team meetings as requested.
Maintain patient confidentiality and comply with HIPAA guidelines.
Complete assigned compliance training and other educational programs, maintain compliance with AdaptHealth's Compliance Program, and perform other related duties as assigned.