Medical Inside Sales Representative

4 days ago


Santa Clarita, United States LHH Full time

LHH is currently recruiting for a Medical Inside Sales Representative in Valencia, CA. This is a direct hire and fully onsite position.

Key Responsibilities:

  • Review and interpret medical documentation for patient history, diagnosis, and previous treatment plans.
  • Utilize payer-specific approved criteria to determine medical necessity or clinical appropriateness for the company’s products.
  • Submit pertinent demographic and supporting clinical documentation with pre-authorization requests timely to avoid unnecessary delays in patient treatment.
  • Collaborate with field sales team and healthcare professionals to secure additional information and medical documentation required for insurance submission and/or appeal.
  • Review payer denials and prepare and submit appeals on behalf of patients.
  • Develop working relationships with individual insurance providers, alternative funding sources, government payers, and Care Credit to maximize win rates.
  • Manage inbound and outbound calls using professional and proactive client service skills with call control techniques.

Education and Experience:

  • BS degree preferred and/or relevant experience.
  • 2 years of medical authorization experience involving medical record review required.
  • Knowledge and interpretation of medical terminology and ICD-10 coding. Medical coding certification preferred.
  • Experience in sales (inside or outside) with responsibility for achieving assigned targets.
  • Preferable experience working in the medical industry via pharmaceutical, biotech, or medical device sectors.

Compensation and Benefits:

  • Annual salary: $57,000 with bonus opportunity.
  • Benefits include 401k, PTO, holiday & sick days, and medical, dental, vision insurance.



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