Average salary: $125,000 /yearly

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  • TEMP- Workers' Compensation Claims Adjuster

    $37.66 - $44.33 per hour

     ...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Temporary work
    Local area
    Remote work

    Argonaut Management Services, Inc

    Wilmington, DE
    4 days ago

  • Insurance Verification Specialist

     ...Week: 40. Responsibilities Verify patient insurance eligibility, benefits, and coverage details prior to appointments, including copays, deductibles, referrals, and authorization requirements. Contact insurance carriers via phone or online portals to confirm active... 
    Suggested
    Work at office

    Delaware Orthopaedic Specialists

    Wilmington, DE
    1 day ago

  • Insurance Verification Specialist 2 - Prior Authorization (Hybrid - Dallas)

     ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization.... 
    Suggested
    Work at office
    Immediate start

    Baylor Scott & White Health

    Dover, DE
    5 days ago

  • UM BH Registered Nurse

     ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review... 
    Suggested
    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
    Remote work
    Work from home
    Home office
    Weekday work

    Humana

    Dover, DE
    8 days ago

  • Surgical Prior Authorization & Revenue Specialist

    $20 - $23 per hour

     ...healthcare provider in New Castle, Delaware, seeks an experienced Accounts Receivable Specialist to manage all facets of surgical prior authorization and billing in accordance with practice protocols. Responsibilities include charge entry, customer service, and follow-up to... 
    Suggested
    Hourly pay
    Private practice

    Brandywine Urology

    New Castle, DE
    4 days ago

  • Case Management Pharmacist (Remote)

     ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management.... 
    Suggested
    Remote work

    Pharmacy Careers

    Dover, DE
    3 days ago

  • Triage Nurse

     ...pharmacy directory updates with EHR Coordinator • Contact pharmaceutical representatives for sample medications • Obtain prior authorizations for medications and durable medical equipment • Handle new, renewal, and/or refill prescriptions for providers via EMR... 
    Suggested
    Full time
    Work at office

    Brandywine Urology Consultants

    New Castle, DE
    7 days ago

  • Remote Prior Authorization Pharmacist

     ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe... 
    Suggested
    Remote work
    Work from home
    Flexible hours

    Pharmacy Careers

    Dover, DE
    3 days ago

  • Nurse, Virtual RN *$5000 Signing Bonus*

     ...assessment, health education and utilization management services across the life span Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care Provide telephonic triage for patients seeking care with multiple... 
    Suggested
    Work experience placement
    Remote work
    Relocation package

    Westside Family Healthcare

    New Castle, DE
    1 day ago

  • Medical Assistant/Medical Receptionist

     ...Collecting co-pays and co-insurance payments Updating demographics and insurance information in the EMR Obtaining prior authorizations and referrals when necessary Obtaining appropriate Release of Information signatures as needed Answering the phone... 
    Suggested
    Full time

    SaVida Health

    Wilmington, DE
    6 days ago

  • Patient Access Manager

     ...reviewing the performance of patient access functions across the department including pre-registration, insurance verification, prior authorization, financial clearance, financial counseling, and registration and payment collections for hospital and clinic services.... 
    Suggested
    Full time
    Shift work

    We Care Staffing

    Dover, DE
    3 days ago

  • Project Manager

    $110k - $120k

     ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such... 
    Suggested
    Contract work
    For contractors
    For subcontractor
    Work at office
    Night shift

    Allan Myers

    Dover, DE
    5 days ago

  • Senior Coordinator, Benefits Eligibility & Authorization

    $16.75 - $21.75 per hour

     ...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health ?Benefits Eligibility and...  ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables... 
    Suggested
    Hourly pay
    Temporary work
    Local area
    Immediate start
    Remote work
    Flexible hours

    Cardinal Health

    Dover, DE
    3 days ago

  • Bilingual Patient Service Representative

    $15 - $17 per hour

     ...Healthcare Coordinator plays a critical role in managing referrals, authorizations, and ensuring patients can follow through on their care plans....  ...patient referrals and coordinate with providers Manage prior authorizations for services Communicate with patients by... 
    Suggested
    Casual work
    Local area
    Monday to Friday

    Addison Group

    Wilmington, DE
    3 days ago

  • Prior Authorization Imaging Specialist

    $20 - $23 per hour

    Overview Responsible for all facets of office and hospital based surgical prior authorization management including charge entry, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Responsible... 
    Suggested
    Hourly pay
    Contract work
    Private practice
    Work at office

    Brandywine Urology

    New Castle, DE
    4 days ago

  • Physician (MD/DO) - Family Practice - $277,000 to $550,000 per year in Dover, DE

    $277k

     ...‑driven team at a newly launching Direct Primary Care clinic Non‑insurance, membership‑based model with no billing codes or prior authorizations Average physician quality of life panel 300‑400 Panel size uncapped with APPs to maximize earning potential Scope includes adult... 
    Full time
    Flexible hours

    Mary Dickson

    Newark, DE
    3 days ago

  • Clinical Pharmacist Specialist | Center for Weight Management | Hybrid Position

    $65.25 - $104.41 per hour

     ...populations, emphasizing safety, care transitions, and long‑term outcomes Provide clinical oversight and leadership related to prior authorization strategy, benefits navigation, utilization management, and adherence interventions, ensuring alignment with evidence‑based,... 
    Hourly pay
    Full time
    Local area
    Remote work
    2 days per week

    ChristianaCare

    Wilmington, DE
    32 minutes ago

  • Loss Mitigation, Underwriter l

    $23 - $26 per hour

    Come join our amazing team and work remote from home! The Loss Mitigation Underwriter I will be responsible for underwriting Loan Modifications applications in accordance with Treasury, Company and Investor guidelines while following company’s policies and procedures under...
    Hourly pay
    Extra income
    Remote work
    Work from home

    Carrington

    Dover, DE
    5 days ago

  • Senior Underwriter

    $53.3k - $100.7k

     ...The Senior Underwriter will demonstrate strong risk evaluation, selection and retention of profitable business within assigned authority limits. This also requires a strong ability to partner with Company sales teams, brokers and all internal partners. Principal Duties... 
    Temporary work
    Worldwide
    Flexible hours

    Unum Group

    Dover, DE
    4 days ago

  • Lowbed Driver

    $27 - $35 per hour

     ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such... 
    Hourly pay
    Contract work
    Immediate start
    Flexible hours
    Night shift
    Weekend work
    Afternoon shift
    Early shift

    Allan Myers

    Dover, DE
    3 days ago

  • Coordinator, UM Intake

    $18 - $20 per hour

     ...'ll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements. Collaboration... 
    Immediate start
    Remote work

    Evolent

    Dover, DE
    5 days ago

  • Insurance Representative

    $21 - $23 per hour

    Insurance Representative Donegal Insurance Group has an opening for an Insurance Representative in our Resource Center. The Insurance Representative will be responsible for handling inbound calls on select property/casualty insurance personal lines products for multiple...
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Work experience placement

    Donegal Insurance Group

    Wilmington, DE
    3 days ago

  • nsurance Underwriter

    $150k - $180k

     ...conduct visits to assigned agencies, and underwrite new and renewal business. • Solicit, quote, and bind submissions according to authority level. • Evaluate underwriting risks to determine appropriate and profitable pricing while retaining a competitive edge in the marketplace... 
    Contract work
    Relocation package

    Diedre Moire

    Wilmington, DE
    4 days ago

  • Sr Underwriter Consultant - GRP Employee Benefits

    $78.16k - $117.24k

    Sr UW Reg Acct - UO08IE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our...
    Temporary work
    Work at office
    Remote work
    3 days per week

    The Hartford

    Dover, DE
    6 days ago

  • Resource/Care Coordinator

     ...include but not be limited to: appointment setting, referrals and linkages to services, coordination of DME, and coordination of prior authorizations as needed to support the member's timely access to services in the community Assist in closing social determinants of... 
    Hourly pay
    Work experience placement

    Global Force

    Newark, DE
    7 days ago

  • Lead Pharmacy Technician

     ...inquiries. Perform refill reminder calls under the supervision of a pharmacist. Resolve insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance. Ensure appropriate documentation in all required... 
    Work at office
    Local area

    Shields Health Solutions LLC

    Wilmington, DE
    3 days ago

  • Oral Oncology Medical Assistant

     ...healthcare providers, pharmacies, and insurance companies; b. Process authorizations and appeals for specialty and retail pharmacy services; c....  ...Management by reviewing clinical details, completing prior authorizations, and submitting prescriptions to designated specialty... 
    Full time
    Work at office
    Shift work

    Bayhealth

    Dover, DE
    7 days ago

  • Executive Underwriter or AVP, Underwriting Director - Group Captives

    $100k - $215k

    Executive Underwriter or AVP, Underwriting Director - Group Captives 132487 Zurich is currently hiring an Executive Underwriter or AVP, Underwriting Director - Group Captives for our Schaumburg HQ! While it is preferred that this position works a hybrid schedule of...
    Full time
    Temporary work
    Apprenticeship
    Currently hiring
    Work at office
    Local area
    Remote work
    Visa sponsorship
    Flexible hours
    3 days per week

    Zurich NA

    Dover, DE
    5 days ago

  • Senior Pharmacist - Strategy

    $118.4k

     ...monographs for committee review; develop and implement the organization's management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review... 
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Dover, DE
    5 days ago

  • Primary Care Medical Assistant

     ...clean and organized manner. Handle patient phone calls, messages, and prescription refill requests. Coordinate referrals, prior authorizations, and follow-up appointments. Document all clinical interactions accurately in the electronic health record (EHR).... 
    Full time
    Monday to Friday

    Integrated Health Services

    Middletown, DE
    3 days ago