Inside Sales Specialist

AdaptHealth, LLC•High Point, NC

10d

About The Position

The Inside Sales Specialist ensures continuity among patients, clinics, community members, physician practices, and the home setting to maximize patient satisfaction. The role increases sales, billed revenue, and new patients in accordance with department goals while supporting patient safety, comfort, and well-being. It also improves awareness of available services among healthcare professionals, physicians, and patients; coordinates referrals for timely admission and appropriate care; and obtains, processes, and completes complex orders accurately and on time. This position works with patients, families, referral sources, insurers, physicians, and internal teams. It manages referrals and supply-program orders, insurance verification and authorizations, documentation, coverage discussions, and reimbursement-related questions. The specialist also contributes to branch marketing and sales goals, customer issue resolution, and teamwork across sales and operational groups.

Requirements

High school diploma required.
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.
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.

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, 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 for complete, accurate, and timely supply-program order processing; validate codes and fees for 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 warrant it.
Explain benefits and financial responsibility to patients and help answer insurance coverage questions.
Contact referral sources and patients about problems or delays with insurance verification.
Review diagnoses and disease states to confirm prescribed DME is warranted for reimbursement; recommend additional equipment when appropriate.
Understand cost-effective delivery methods for ordered DME.
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.
Advise referral-source staff about 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 to manage conflicts with patients and referral sources.
Contribute to creative problem-solving and decision-making within the branch marketing team to meet marketing and sales goals.
Confidently diagnose customer complaints and develop and carry out solutions.
Make service-related decisions by reviewing relevant medical information and facts and exploring medical alternatives.
Use consensus-based or independent decision-making as appropriate.
Identify and communicate hospital and physician referral-source needs to sales and operations.
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 and participate in team meetings as requested.