Medical Sales Consultant

1 day ago

Knoxville, Tennessee, United States AdaptHealth LLC Full time
About AdaptHealth LLC

We are a leading provider of home medical equipment and services. Our team is dedicated to empowering patients to live their best lives.

Job Description

As an Inside Sales Specialist, you will play a critical role in ensuring continuity between patients, clinics, community, physician practice, and the home setting to maximize patient satisfaction of services.

Responsibilities:
  • 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, 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 there is coverage under the patient's policy.
  • Obtain Insurance authorizations when required by the Insurance and obtains physician order signatures as needed.
  • 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 makes appropriate recommendations.
  • Understand issues related to the most cost-effective delivery method for DME ordered.
  • Maintain a working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to 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.

$65,000 - $75,000 per year

Requirements:
  • A High School Diploma required; Associate Degree from an accredited college is preferred.
  • One (1) year work-related experience in healthcare, administrative, insurance, customer services, or management regardless of industry.
  • B2B or B2C Sales preferred.

AdaptHealth LLC 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.

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