Inside Sales Specialist

AdaptHealth • Phoenixville, PA

6d • Onsite

About The Position

The Inside Sales Specialist ensures continuity among patients, clinics, the community, physician practices, and the home setting to maximize patient satisfaction. The role supports department goals by increasing sales, billed revenue, and new patients, while promoting patient safety, comfort, and well-being. It also helps healthcare professionals, physicians, and patients understand available options and capabilities, and coordinates referrals for timely admission and appropriate care.

The specialist obtains, processes, and completes complex orders accurately and promptly. This includes gathering required information and medical documentation, verifying insurance coverage and authorizations, explaining coverage and financial responsibility, and helping patients and referral sources resolve issues related to DME/RT equipment and services. The role works closely with patients, referral sources, and internal sales and operations teams, and maintains patient confidentiality and compliance with HIPAA and AdaptHealth's Compliance Program.

This is a full-time, on-site position performed in a shared call center/office environment. The work involves frequent computer use, extended periods of sitting, and high-volume calls. The environment may be noisy or stressful, and interactions may include angry or irate customers, patients, or referral sources.

Requirements

• High school diploma required.
• At least 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.
• Ability to perform clinical assessments.

Nice To Haves

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

Responsibilities

• Handle 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, clinics, and other partners through cold calling, follow-up, problem-solving, and integrity.
• Partner with the Marketing department to develop or improve educational materials for patients, families, physicians, and clinics.
• Obtain required information and medical documentation to process supply program orders accurately and promptly.
• Validate codes and fees, verify insurance coverage, obtain required authorizations and physician signatures, and discuss coverage guidelines with patients and referral sources.
• Arrange payment for non-covered items and explain benefits and financial responsibility to patients.
• Contact patients and referral sources to address questions, insurance verification problems, and delays.
• Confirm that diagnoses and disease states support the need for prescribed DME from a reimbursement standpoint; recommend additional or alternative equipment when appropriate.
• Understand cost-effective delivery options for ordered DME and maintain knowledge of billing, documentation, and reimbursement guidelines for Medicare, Medicaid, third-party, and contracted payers.
• Help patients and referral sources find an alternative provider when services are not covered by insurance.
• Prioritize urgent or emergency orders and validate and log CMNs and PARs as needed.
• Coordinate with operational teams to resolve patient issues and achieve optimal patient and referral-source outcomes.
• Serve as a resource to referral-source staff on documentation and reimbursement guidelines for DME/RT equipment and services.
• Identify initiatives that could increase revenue, decrease costs, or improve customer satisfaction.
• Use sound judgment, problem-solving, and decision-making when addressing conflicts and customer complaints.
• Communicate hospital and physician referral-source needs to sales and operations.
• Promote teamwork, adapt to operational needs, use company communication systems, and share information and expertise with colleagues.
• Participate in team meetings as requested.
• Maintain patient confidentiality and comply with HIPAA and AdaptHealth's Compliance Program, including completing assigned training and educational programs.
• Perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED