Inside Sales Specialist

AdaptHealth•Phoenixville, PA

17d

About The Position

The Inside Sales Specialist ensures continuity among patients, clinics, community organizations, physician practices, and the home setting to maximize patient satisfaction. The role supports department goals by increasing sales, billed revenue, and new patients while helping optimize patient safety, comfort, and well-being. It also builds awareness among healthcare professionals, physicians, and patients about available options and capabilities, coordinates referrals for timely admission and appropriate care, and obtains and processes complex orders accurately and promptly. The specialist works in a fast-paced environment handling a high volume of outbound calls, generating referrals, and developing long-term relationships with patients, families, clinics, and other referral sources. The position also supports order processing, insurance verification and authorization, reimbursement documentation, patient education, and issue resolution in coordination with AdaptHealth operational and marketing teams.

Requirements

High school diploma required.
One year of work-related experience in health care, administration, insurance, customer service, or management, regardless of industry.
Excellent verbal and written communication skills.
Excellent presentation skills.
Excellent 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 properly handle confidential information.
Proficient computer skills and knowledge of Microsoft Office.

Nice To Haves

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

Responsibilities

Handle a high volume of outbound calls in a fast-paced environment.
Generate referrals by researching sales and marketing sources and promoting offered services.
Build long-term relationships with patients, families, referral sources, and clinics through calling, follow-up, problem-solving, 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 to process supply program orders completely, accurately, and promptly.
Validate codes and fees to confirm coverage under patient policies.
Obtain insurance authorizations and physician order signatures when needed.
Explain coverage guidelines to patients and referral sources and arrange payment for non-covered items.
Suggest alternative equipment when warranted by reimbursement limitations.
Explain benefits and financial responsibility to patients and answer questions about insurance coverage.
Contact patients and referral sources about problems or delays in insurance verification.
Confirm that diagnoses and disease states support the prescribed DME from a reimbursement standpoint; recommend additional equipment or alternatives when appropriate.
Consider cost-effective delivery methods for ordered DME.
Maintain knowledge of billing, documentation, and reimbursement guidelines and issues, including Medicare, Medicaid, third-party, and contracted payers.
Help patients and referral sources find an alternative provider when insurance does not cover the service.
Prioritize urgent or emergency orders.
Validate and log CMNs and PARs as needed.
Coordinate with AdaptHealth operational teams to resolve patient issues and support 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 programs or initiatives that could increase revenue, decrease costs, or improve customer satisfaction.
Use sound judgment when handling conflicts with patients or referral sources.
Contribute to creative problem-solving and decision-making within the branch marketing team to meet marketing and sales goals.
Diagnose customer complaints, develop and implement solutions, and make service-related decisions based on relevant medical information and available alternatives.
Identify and communicate the needs of hospital and physician referral sources to sales and operations teams.
Promote teamwork across branch sales and operational teams, adapting to changes in 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.