Inside Sales Specialist

AdaptHealth•Brentwood, TN

6d•Onsite

About The Position

The Inside Sales Specialist ensures continuity of service between patients, clinics, the community, physician practices, and the home setting to support patient satisfaction. The role contributes to sales, billed revenue, and new-patient growth in line with department goals, while promoting patient safety, comfort, and well-being. It also helps healthcare professionals, physicians, and patients understand available services and coordinates referrals for timely admission and appropriate care. The specialist processes complex orders accurately and promptly, including collecting medical documentation, verifying insurance coverage and authorizations, and helping patients understand benefits and financial responsibility. The role develops referral relationships, supports sales and marketing efforts, resolves customer and insurance-related issues, and works with sales and operations teams to meet branch goals. This is a full-time, on-site position in a shared call center/office environment.

Requirements

High School Diploma.
At least one year of related work 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 physical and mental functions needed to provide clinical assessments.
Ability to bend, stoop, stretch, stand, and sit for extended periods; perform repetitive wrist, hand, or finger motions; use a personal computer and other office equipment; and lift up to 30 pounds as needed.
Ability to communicate effectively both verbally and in writing.

Nice To Haves

Associate Degree from an accredited college.
B2B or B2C sales experience.

Responsibilities

Manage a high volume of outbound calls in a fast-paced environment.
Generate referrals by researching sales and marketing sources and promoting offered services.
Develop long-term relationships with patients, families, referral sources, clinics, and other customers through outreach, problem-solving, and follow-up.
Partner with the Marketing department to develop or improve educational materials for patients, families, physicians, and clinics.
Collect required information and medical documentation to process supply program orders completely, accurately, and on time.
Validate codes and fees against the patient's insurance coverage, obtain required insurance authorizations, and secure physician order signatures as needed.
Explain coverage guidelines and financial responsibility to patients and referral sources, and arrange payment for non-covered items.
Discuss insurance verification problems or delays with patients and referral sources and help identify alternative providers when services are not covered.
Confirm diagnoses support the prescribed durable medical equipment (DME) from a reimbursement standpoint; recommend additional or alternative equipment when appropriate.
Understand cost-effective delivery options for ordered DME and maintain working knowledge of billing, documentation, and reimbursement guidelines for Medicare, Medicaid, third-party, and contracted payers.
Prioritize urgent or emergency orders and validate and log CMNs and PARs as needed.
Coordinate with operational teams to resolve patient issues and achieve good 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, problem-solving, and decision-making to resolve conflicts and customer complaints, including reviewing relevant medical information and alternatives.
Communicate hospital and physician referral-source needs to sales and operations teams.
Support teamwork across branch sales and operations teams, adapt to changing operational needs, and share information and expertise with colleagues.
Use company communication systems to report and process requested information and participate in team meetings as requested.
Protect patient confidentiality and follow HIPAA guidelines.
Complete assigned compliance training and other required educational programs, maintain compliance with the company's Compliance Program, and perform other related duties as assigned.