Inside Sales Specialist

AdaptHealth, LLC • Brentwood, TN

7d

About The Position

The Inside Sales Specialist ensures continuity between patients, clinics, community organizations, physician practices, and the home setting to maximize patient satisfaction. The role supports department goals for sales, billed revenue, and new patients while promoting patient safety, comfort, and well-being. It also helps healthcare professionals, physicians, and patients understand available services and equipment; 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 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 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 selling offered services.
• Build long-term relationships with patients, families, referral sources, clinics, and others 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 against patient 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 alternative equipment when reimbursement limitations apply.
• Explain benefits and financial responsibility to patients and answer questions about insurance coverage.
• Contact referral sources and patients about problems or delays with insurance verification.
• Verify that diagnoses and disease states support prescribed DME from a reimbursement standpoint; recommend additional or alternative equipment as appropriate.
• Understand cost-effective delivery methods for ordered DME.
• Maintain working knowledge of billing, documentation, and reimbursement guidelines and issues for Medicare, Medicaid, other third parties, and contracted payers.
• Help patients and referral sources find an alternative provider when insurance does not cover a service.
• Prioritize urgent and emergency orders.
• Validate and log CMNs and PARs as needed.
• Coordinate with AdaptHealth operational teams to resolve patient issues and achieve appropriate outcomes for patients and referral sources.
• Advise referral-source staff about 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 with patients and referral sources during conflicts; diagnose customer complaints and develop and carry out solutions.
• Make service-related decisions by reviewing relevant medical information and considering medical alternatives.
• Use consensus or independent decision-making as appropriate.
• Communicate hospital and physician referral-source needs to sales and operations teams.
• 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.
• Contribute to creative problem-solving and decision-making within the branch marketing team to achieve marketing and sales goals.

What This Job Offers

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