Inside Sales Specialist

AdaptHealth, LLC • Brentwood, TN

7d • Onsite

About The Position

The Inside Sales Specialist supports continuity of care between patients, clinics, the community, physician practices, and the home setting. The role works to maximize patient satisfaction, increase sales, billed revenue, and new-patient volume in line with department goals, and promote patient safety, comfort, and well-being. The specialist helps healthcare professionals, physicians, and patients understand available options and capabilities, coordinates referrals for timely admission and appropriate care, and obtains and processes complex orders accurately and promptly.

The position handles high volumes of outbound calls, develops referral streams and long-term relationships, and works with patients and referral sources to resolve insurance, documentation, reimbursement, and service issues. It also collaborates with Marketing and branch teams, supports customer outcomes, follows HIPAA and company compliance requirements, and completes assigned training and other duties.

This is a full-time, on-site role in a call center/office with a shared open workspace. The environment may include surrounding conversations, call-center noise, bright overhead lighting, fluctuating work levels, and interactions with 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.
• 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 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 properly.
• Proficient computer skills and knowledge of Microsoft Office.
• Must be able 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.
• Must be able to lift 30 pounds as needed.
• Physical and mental ability to provide clinical assessments.
• Excellent ability to communicate verbally and in writing.

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 cold calling, follow-up, problem-solving, and integrity.
• Partner with Marketing to develop or enhance educational materials for patients, families, physicians, and clinics.
• Obtain required information and medical documentation for complete, accurate, and timely supply-program order processing; validate codes and fees against patient coverage.
• Obtain insurance authorizations and physician order signatures when required.
• Explain coverage guidelines and financial responsibility to patients and referral sources, arrange payment for non-covered items, and answer insurance coverage questions.
• Suggest alternative or additional equipment when warranted by reimbursement limitations, diagnoses, or other relevant medical information.
• Contact patients and referral sources about problems or delays in insurance verification.
• Assess whether diagnoses and disease states support the need for prescribed durable medical equipment from a reimbursement standpoint.
• Understand cost-effective delivery methods for ordered durable medical equipment.
• Maintain working knowledge of billing, documentation, and reimbursement guidelines for Medicare, Medicaid, other third-party payers, and contracted payers.
• Assist patients and referral sources in finding an alternative provider when insurance does not cover a service.
• Prioritize urgent or emergency orders; validate and log CMNs and PARs as needed.
• Serve as a resource to external customers and referral-source staff on patient issues, documentation, and reimbursement guidelines for DME/RT equipment and services, coordinating with operational teams to support positive outcomes.
• Identify initiatives that could increase revenue, decrease costs, or improve customer satisfaction.
• Use sound judgment, creative problem-solving, and appropriate decision-making to address conflicts and customer complaints.
• Communicate hospital and physician referral-source needs clearly to sales and operations teams.
• Promote teamwork by adapting to operational needs, using company communication systems, sharing expertise, and participating in team meetings as requested.
• Maintain patient confidentiality and comply with HIPAA and AdaptHealth's Compliance Program; complete assigned compliance training and other educational programs.
• Perform other related duties as assigned.

What This Job Offers

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