Inside Sales Specialist

AdaptHealth, LLC • Phoenixville, PA

11h

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 sales, billed revenue, and new-patient goals while promoting patient safety, comfort, and well-being. It 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.

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 skills.
• Excellent customer service skills.
• Product knowledge.
• 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

• Make a high volume of outbound calls in a fast-paced environment.
• Generate referrals by researching sales and marketing sources and selling the company’s services.
• Build long-term relationships with patients, families, referral sources, and clinics through outreach, problem-solving, follow-up, and integrity.
• Partner with Marketing to develop or enhance educational materials for patients, families, physicians, and clinics.
• Obtain required information and medical documentation to process supply-program orders accurately and on time; validate codes and fees for insurance coverage.
• Obtain required insurance authorizations and physician order signatures.
• 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 during insurance verification.
• Confirm that diagnoses and disease states support the prescribed durable medical equipment from a reimbursement standpoint; recommend additional equipment when warranted.
• Understand cost-effective delivery methods for ordered durable medical equipment.
• Maintain working knowledge of billing, documentation, and reimbursement guidelines 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 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.
• Serve as a resource to 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, reduce costs, or improve customer satisfaction.
• Use sound judgment when addressing conflicts with patients or referral sources.
• Contribute to creative problem-solving and decision-making within the branch marketing team to achieve sales and marketing goals.
• Confidently diagnose customer complaints, develop solutions, and carry them out.
• Make service-related decisions by reviewing medical information and facts and exploring medical alternatives.
• Use consensus-based or independent decision-making as appropriate.
• Clearly communicate hospital and physician referral-source needs to sales and operations teams.
• Promote teamwork across branch sales and operations teams and adapt to changing operational needs.
• Use company communication systems to report and process requested information.
• Share information and expertise with colleagues to help them perform their roles effectively.
• Participate in team meetings as requested.

What This Job Offers

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