Inside Sales Specialist

AdaptHealth•Brentwood, TN

About The Position

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

Requirements

High school diploma required.
At least 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 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

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, and clinics through 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 to confirm insurance coverage.
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 or additional equipment when appropriate based on reimbursement limits or diagnoses.
Explain benefits and financial responsibility to patients and help answer questions about insurance coverage.
Contact referral sources and patients about problems or delays during insurance verification.
Confirm that diagnoses and disease states support the prescribed durable medical equipment from a reimbursement standpoint.
Identify cost-effective delivery methods for ordered durable medical equipment.
Maintain working knowledge of billing, documentation, and reimbursement guidelines, 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 and validate and log CMNs and PARs as needed.
Coordinate with AdaptHealth operational teams to resolve patient issues and achieve optimal outcomes for patients and referral sources.
Advise referral-source staff on Medicare, Medicaid, and private-insurance documentation and reimbursement guidelines related to DME/RT equipment and services.
Identify initiatives that could increase revenue, reduce costs, or improve customer satisfaction.
Use sound judgment in resolving conflicts with patients and referral sources.
Contribute to problem-solving and decision-making within the branch marketing team to achieve sales and marketing goals.
Diagnose customer complaints, develop solutions, and make appropriate service-related decisions after reviewing relevant medical information and alternatives.
Identify and communicate hospital and physician referral-source needs to sales and operations.
Promote teamwork across branch sales and operational 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.