Inside Sales Specialist

AdaptHealth, LLC•Brentwood, TN

About The Position

The Inside Sales Specialist ensures continuity between patients, clinics, the community, physician practices, and the home setting to maximize patient satisfaction. The role supports sales growth, billed revenue, and new-patient goals while helping optimize patient safety, comfort, and well-being. It increases awareness among healthcare professionals, physicians, and patients about available options and capabilities, coordinates referrals for timely admission and appropriate care, and obtains, processes, and completes complex orders accurately and promptly.

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 and customer service skills.
Product knowledge and 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.

Nice To Haves

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

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.
Build long-term relationships with patients, families, referral sources, and clinics through cold calling, problem-solving, follow-up, and integrity.
Partner with Marketing to develop or improve educational literature for patients, families, physicians, and clinics.
Obtain required information and medical documentation to process supply-program orders accurately and promptly; validate codes and fees for insurance coverage.
Obtain insurance authorizations and physician order signatures when required.
Explain coverage guidelines to patients and referral sources, arrange payment for non-covered items, and suggest alternatives when reimbursement limits apply.
Explain benefits and financial responsibility to patients and help answer insurance coverage questions.
Contact referral sources and patients about problems or delays in insurance verification.
Confirm that diagnoses and disease states support the prescribed DME for reimbursement purposes; suggest additional equipment or make appropriate recommendations when warranted.
Understand cost-effective delivery methods for ordered DME.
Maintain working knowledge of billing, documentation, and reimbursement guidelines, including Medicare, Medicaid, other third parties, and contracted payers.
Help patients and referral sources locate an alternative provider when insurance does not cover a service.
Prioritize urgent or emergency orders.
Validate and log CMNs and PARs as needed.
Coordinate with AdaptHealth operational teams to resolve patient issues and achieve positive patient and referral-source outcomes.
Advise referral-source staff on Medicare, Medicaid, and private-insurance documentation and reimbursement guidelines for DME/RT equipment and services.
Identify initiatives that could increase revenue, reduce costs, or improve customer satisfaction.
Use sound judgment in handling conflicts with patients and referral sources.
Contribute to creative problem-solving and decision-making within the branch marketing team to achieve marketing and sales goals.
Confidently diagnose customer complaints and develop and carry out solutions.
Make service-related decisions by reviewing relevant medical information and facts and exploring medical alternatives.
Use consensus-based or independent decision-making as appropriate.
Identify and clearly communicate the needs of hospital and physician referral sources to sales and operations.
Promote teamwork across branch sales and operations teams and adapt to changing operational needs.
Use team and company communication systems to report and process requested information.
Share information and expertise with colleagues and participate in team meetings as requested.