Healthcare Inside Sales Pro — Patient Access & Referrals

AdaptHealth, LLC; Brentwood (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

AdaptHealth, LLC is seeking an Inside Sales Specialist to ensure continuity between patients, clinics, the community, physician practice and home settings, maximizing patient satisfaction and growing sales, billed revenue, and new patients.

This role involves high-volume outbound calls, building long-term relationships with patients and referrals, coordinating with marketing for educational materials, and ensuring complete, accurate orders with proper insurance verification and authorizations.

Qualifications

• High school diploma required; associate degree preferred.
• One year of work related in health care, administrative, insurance, customer services, or management regardless of industry.
• B2B or B2C Sales preferred.

Responsibilities

• Effectively handling a high volume of outbound calls in a fast-paced environment.
• Generates a steady stream of referrals through researching various sales and marketing sources, selling all offered services.
• Develop long term relationships with patients, families, referrals, clinics, etc. through cold calling, problem solving with insurance companies, follow-up, and integrity.
• Partner with Marketing to develop or enhance educational literature for patients, families, physicians, clinics, etc.
• Obtains all required information and medical documentation to ensure complete, accurate and timely processing of supply program orders.
• Obtain Insurance authorizations when required by the Insurance and obtains physician order signatures as needed.
• Discusses coverage guidelines with patients/referral sources and arranges for payment of non-covered items.
• Suggests alternative equipment as warranted based on reimbursement limitations.
• Contact patients to explain benefits and financial responsibility for services and assist them with questions regarding their insurance coverage.
• Contact referral sources and patients to discuss any problems or delays encountered during insurance verification.
• Assures that diagnoses and disease-state warrant the need for prescribed durable medical equipment (DME) from a reimbursement standpoint.
• Understands issues related to the most cost-effective delivery method for DME ordered.
• Maintains working knowledge base regarding billing, documentation, and reimbursement guidelines/ issues.
• Assist patients and referrals in finding an alternative provider if service is not covered by insurance.
• Prioritize urgent or emergency orders.
• Validate and Log CMNs and PARs as needed.
• Acts 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.
• Identifies programs or initiatives that potentially could increase company revenues, decrease costs, and/or increase customer satisfaction.
• Knows when to appropriately use best judgment with patients/referral sources during conflicts.
• Contributes to creative problem-solving and decision-making within the branch marketing team to achieve marketing/sales goals.
• Expresses confidence in ability to diagnose, develop and carry out solutions to customer complaints.
• Makes appropriate service-related decisions by reviewing all relevant medical information and facts, exploring all medical alternatives.
• Knows when to appropriately use consensus and/or independent decision-making styles.
• Identifies and clearly communicates to sales and operations the needs of hospital and physician referral.

Skills

Verbal & written communication

Presentation skills

Customer service

Product knowledge

Sales motivation

Independent & team work

Analytical thinking

Time & project management

MS Office proficiency

Education

High school diploma

Associate degree preferred

Job description

AdaptHealth, LLC is seeking an Inside Sales Specialist to ensure continuity between patients, clinics, the community, physician practice and home settings, maximizing patient satisfaction and growing sales, billed revenue, and new patients.

This role involves high-volume outbound calls, building long-term relationships with patients and referrals, coordinating with marketing for educational materials, and ensuring complete, accurate orders with proper insurance verification and authorizations.