Thanks, lots of good info. DME is very similar to what you described, it's all about relationship building. I work for a respiratory company (one of the big ones) and I do pretty well because when I started, the company had a good reputation in my area and most of my accounts already used us, I just needed to smooth things over and strengthen those relationships. Like Hospice, there's a lot of competition, but most of it comes from smaller companies who are pretty easy to beat out for referrals. I worked really hard my first 6 months, and since then I mostly just maintain the business I have while putting a little time each week into getting new business.
What I don't like, is that I have to market lots of products/services to make enough commission to make the job worthwhile, you can't focus on just one thing. Base salary stinks, but once you have good relationships with your referral sources commission tends to come pretty steadily. It's definitely a "true sales job" in that if you can't close, you're toast. I've seen plenty of pharma reps wash out after just a few months. Oxygen numbers is really all your managers will care about, and it's not just about how many referrals you get, but making sure you have a positive net growth. Like Hospice, you have patients that die pretty frequently, but as a sales rep you don't have a lot of patient interaction so most the time to me it's just a name.
One of my biggest gripes about my job is having to be in an office at 8, and back by 5, and having to rely on other people to keep patients happy. Once I build a good relationship with a referral, it seems like I'm constantly doing damage control because someone else in the company did something to piss a patient off.
Another tough part is that when a doctor/case manager sends you business, they always want hand outs in return (i.e. setting up an ininsured patient with a $1k oxygen concentrator for free). Mom and Pop's do that stuff all the time trying to earn referrals, but working for a corporation that's not a call I can make, and your referral sources get pissed. Thankfully with all the Medicare cutbacks, most companies have slowed down on the freebies.
Are you interested in making the switch from Hospice to DME or something?