AdaptHealth
Inside Sales Specialist
AdaptHealth Opportunity – Apply Today!
At AdaptHealth we offer full‑service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.
Job Duties
Effectively work through a high volume of outbound calls in a fast‑paced environment.
Generate a steady stream of referrals through researching various sales and marketing sources and 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 the Marketing department to develop or enhance educational literature for patients, families, physicians, clinics, etc.
Obtain all required information and medical documentation to ensure complete, accurate and timely processing of supply program orders. Validate codes and fees to assure coverage under the patient’s policy.
Obtain insurance authorizations when required by the insurer and obtain physician order signatures as needed.
Discuss coverage guidelines with patients/referral sources and arrange for payment of non‑covered items. Suggest 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.
Assure that diagnoses and disease‑state warrant the need for prescribed durable medical equipment (DME) from a reimbursement standpoint. Suggest additional equipment if warranted based on diagnoses or make appropriate recommendations.
Understand issues related to the most cost‑effective delivery method for DME ordered.
Maintain working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including Medicare, Medicaid, other third‑party and contracted payers.
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.
Act 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.
Act as a resource for referral source staff regarding Medicare, Medicaid and private insurance documentation and reimbursement guidelines related to DME/RT equipment and services.
Identify programs or initiatives that potentially could increase company revenues, decrease costs, and/or increase customer satisfaction.
Know when to appropriately use best judgment with patients/referral sources during conflicts.
Contribute to creative problem‑solving and decision‑making within the branch marketing team to achieve marketing/sales goals.
Competency, Skills & 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.
Minimum Job Qualifications
High School Diploma required; Associate Degree from an accredited college is preferred.
One (1) year of work related in health care, administrative, insurance, customer services, or management regardless of industry.
B2B or B2C Sales preferred.
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.
#J-18808-Ljbffr
Job Duties
Effectively work through a high volume of outbound calls in a fast‑paced environment.
Generate a steady stream of referrals through researching various sales and marketing sources and 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 the Marketing department to develop or enhance educational literature for patients, families, physicians, clinics, etc.
Obtain all required information and medical documentation to ensure complete, accurate and timely processing of supply program orders. Validate codes and fees to assure coverage under the patient’s policy.
Obtain insurance authorizations when required by the insurer and obtain physician order signatures as needed.
Discuss coverage guidelines with patients/referral sources and arrange for payment of non‑covered items. Suggest 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.
Assure that diagnoses and disease‑state warrant the need for prescribed durable medical equipment (DME) from a reimbursement standpoint. Suggest additional equipment if warranted based on diagnoses or make appropriate recommendations.
Understand issues related to the most cost‑effective delivery method for DME ordered.
Maintain working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including Medicare, Medicaid, other third‑party and contracted payers.
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.
Act 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.
Act as a resource for referral source staff regarding Medicare, Medicaid and private insurance documentation and reimbursement guidelines related to DME/RT equipment and services.
Identify programs or initiatives that potentially could increase company revenues, decrease costs, and/or increase customer satisfaction.
Know when to appropriately use best judgment with patients/referral sources during conflicts.
Contribute to creative problem‑solving and decision‑making within the branch marketing team to achieve marketing/sales goals.
Competency, Skills & 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.
Minimum Job Qualifications
High School Diploma required; Associate Degree from an accredited college is preferred.
One (1) year of work related in health care, administrative, insurance, customer services, or management regardless of industry.
B2B or B2C Sales preferred.
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.
#J-18808-Ljbffr