Inside Sales Specialist

AdaptHealth Opportunity – Apply Today!

About the role

The Inside Sales Specialist plays a crucial role in ensuring continuity between patients, clinics, community, physicians, and the home setting to maximize patient satisfaction of services. This position involves increasing sales, billed revenue, and new patients in line with departmental goals.

Responsibilities

• Effectively working through a high volume of outbound calls in a fast-paced environment
• Generating a steady stream of referrals through researching various sales and marketing sources, selling all offered services
• Developing long-term relationships with patients, families, referrals, clinics, etc. through cold calling, problem-solving with insurance companies, follow-up, and integrity
• Partnering with the Marketing department to develop or enhance educational literature for patients, families, physicians, clinics, etc.
• Obtaining all required information and medical documentation to ensure complete, accurate, and timely processing of supply program orders. Validating codes and fees to ensure there is coverage under the patient's policy
• Obtaining insurance authorizations when required by the Insurance and obtaining physician order signatures as needed
• Discussing coverage guidelines with patients/referral sources and arranging for payment of non-covered items. Suggesting alternative equipment as warranted based on reimbursement limitations
• Contacting patients to explain benefits and financial responsibility for services and assisting them with questions regarding their insurance coverage
• Contacting referral sources and patients to discuss any problems or delays encountered during insurance verification
• Affirming that diagnoses and disease-states warrant the need for prescribed durable medical equipment (DME) from a reimbursement standpoint. Suggesting additional equipment if warranted based on diagnoses or making appropriate recommendations
• Understanding issues related to the most cost-effective delivery method for DME ordered
• Maintaining a working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid, Other Third Party, and contracted payers
• Assisting patients and referrals in finding an alternative provider if service is not covered by insurance
• Prioritizing urgent or emergency orders
• Validating and logging CMNs and PARs as needed
• Acting as a resource to all external customers to facilitate resolution of AH patient issues in coordination with members of the operational teams within AH to assure optimal patient and referral source outcomes
• Acting as a resource for referral source staff regarding Medicare, Medicaid and private insurance documentation and reimbursement guidelines related to DME/RT equipment and services
• Identifying programs or initiatives that potentially could increase company revenues, decrease costs, and/or increase customer satisfaction
• Knowing when to appropriately use best judgment with patients/referral sources during conflicts
• Contributing to creative problem-solving and decision-making within the branch marketing team to achieve marketing/sales goals

Requirements

• High School Diploma required; Associate Degree from an accredited college is preferred
• One (1) year work related in health care, administrative, insurance, customer services, or management regardless of industry
• B2B or B2C Sales preferred

Skills and Abilities

• Excellent verbal and written communication skills
• Excellent presentation skills
• Excellent customer service skills
• Product knowledge
• Motivation for sales
• Ability to work independently and with a team
• Strong analytical and problem-solving skills with attention to detail
• Ability to prioritize and manage multiple projects
• Possess mental alertness and ability to properly treat confidential information
• Proficient computer skills and knowledge of Microsoft Office

Benefits

AdaptHealth offers competitive benefits packages to support our employees' well-being and career growth.

Pay

Compensation details will be provided upon interview.

Schedule

Hours and schedule details will be provided upon interview.

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.