Average salary: $125,000 /yearly

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  • 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
    4 days ago

  • UM BH Registered Nurse

     .... You 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
    3 days ago

  • Front Office Specialist - New Castle

     ...messages. Ensures messages are received by the appropriate party.Must have experience checking insurance eligibility, obtaining prior authorizations and collecting copays.Responsible for accepting payments and recording in the Kipu system. Oversees daily cash report... 
    Suggested
    Work at office
    Monday to Friday
    Flexible hours

    ARS Treatment Centers

    Wilmington, DE
    4 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
    8 days ago

  • Case Management Pharmacist (Remote)

     ...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

  • Front Desk

     ...arrive with a friendly demeanorSchedule, cancel and reschedule patient appointmentsPrint out electronic orders for patientsSubmit prior authorization requestsScan and upload documents to the patient's electronic medical recordAbility to competently handle patient calls... 
    Suggested
    Full time
    Work at office
    Local area

    Nephrology Associates P.A

    Dover, DE
    3 days ago

  • Patient Qualification Specialist

    $15.9 - $17 per hour

     ...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally....  ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee... 
    Suggested
    Hourly pay
    Temporary work
    Work at office
    Local area
    Immediate start
    Remote work
    Home office
    Flexible hours

    Accendra Health

    Dover, DE
    4 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
    4 days ago

  • Rollback 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... 
    Suggested
    Hourly pay
    Contract work
    Immediate start
    Relocation package
    Flexible hours
    Night shift
    Weekend work
    Afternoon shift
    Early shift

    Allan Myers

    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... 
    Suggested
    Hourly pay
    Contract work
    Immediate start
    Relocation package
    Flexible hours
    Night shift
    Weekend work
    Afternoon shift
    Early shift

    Allan Myers

    Dover, DE
    2 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
    4 days 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
    7 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,... 
    Suggested
    Hourly pay
    Full time
    Local area
    Remote work
    2 days per week

    ChristianaCare

    Wilmington, DE
    17 hours 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... 
    Suggested
    Full time
    Flexible hours

    Mary Dickson

    Newark, DE
    4 days ago

  • Pharmacy Technician II | Specialty Pharmacy | Hybrid Position

    $21.03 - $31.54 per hour

     ...coordination activities. This role is responsible for facilitating patient access to therapy, including benefits investigation, prior authorization, appeals coordination, and financial assistance navigation. Working collaboratively with pharmacists, technicians, and... 
    Suggested
    Hourly pay
    Work at office
    Local area
    Work from home
    Monday to Friday
    2 days per week

    ChristianaCare

    Newark, DE
    17 hours ago

  • Nurse Navigator

    $30 per hour

     ...liaison between patients, providers, insurance companies and pharmacies, and assists the Nurse Care Manager with obtaining Prior Authorizations Follows individuals enrolled in treatment to ensure compliance and a smooth process through treatment, provides education... 
    Full time
    Monday to Friday

    Brandywine Counseling and Community Services, Inc

    Milford, DE
    1 day 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
    4 days ago

  • Pharmacy Coordinator

    $19.01 per hour

     ...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication... 
    For contractors
    Local area

    Highmark Health

    Dover, DE
    9 hours agonew

  • Medical Assistant

    $17 - $19 per hour

     ...obtain the records. Fits patients for durable medical equipment (DME) and completes all applicable paperwork. Obtains prior-authorizations for radiology and/or prescriptions, as needed. Keeps rooms clean and stocked with supplies. Maintains stock of medicines... 
    Temporary work
    Work at office
    Work from home
    Flexible hours

    Clearway Pain Solutions Institute

    Seaford, DE
    4 days ago

  • Fine Grade Dozer Operator

    $27 - $34 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
    Night shift

    Allan Myers

    Seaford, DE
    4 days ago

  • Personal Lines CSR

    Job Description Personal Lines Customer Service Representative (CSR) Job Summary Seeking a dedicated and detail-oriented Personal Lines Customer Service Representative (CSR) to serve as the primary point of contact for clients, delivering exceptional support with their...
    Work at office

    The Jonus Group

    Harrington, DE
    4 days ago

  • Commercial Underwriter - Renewable Energy

    $89.8k - $148.3k

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover...
    Local area

    Travelers Insurance

    Dover, DE
    1 day ago

  • FT Nurse Practitioner (NP)

     ...and cross-functional teams to enhance care coordination. Support Operations and Training – Assist in inventory management, prior authorizations, and regulatory adherence. Flexibility and Adaptability – Work at multiple facilities within a designated market as... 
    Temporary work
    Local area
    Monday to Thursday
    Flexible hours

    IVX Health

    Wilmington, DE
    17 hours ago

  • Healthcare Coordinator

     ...Collaborate with available community programs or internal departments to provide assistance to patients # Process necessary prior authorizations and insurance referrals as assigned # Maintain surveillance ticklers and/or work with Health Information Technology to... 
    Temporary work
    Work experience placement
    Work at office

    Westside Family Healthcare

    Wilmington, DE
    3 days ago

  • Senior Product Manager, Healthcare AI & Revenue Cycle Solutions

    $91.4k - $187k

     ...products, healthcare providers, payers, revenue cycle vendors, clearinghouses, or interoperability platforms. Experience with prior authorization, claims management, eligibility verification, remittance processing, referrals, attachments, or related revenue cycle... 
    Temporary work
    Worldwide
    Flexible hours

    Oracle

    Dover, DE
    5 days ago

  • Future Opening: Insurance Staff Position - State Farm Agent Team Member

    $30k - $40k

    State Farm Insurance Agent Position State Farm Insurance Agent located in Georgetown, DE is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Mark Penuel - State Farm Agent, you will build and develop customer relationships...
    For contractors

    Mark Penuel - State Farm Agent

    Georgetown, DE
    1 day ago

  • Insurance Staff Position - State Farm Agent Team Member

    $30k - $40k

    Position Overview State Farm Insurance Agent located in Georgetown, DE is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Mark Penuel - State Farm Agent, you will build and develop customer relationships within...
    For contractors

    State Farm

    Georgetown, DE
    2 days ago

  • Virtual Reimbursement Manager

     ...and a consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The...  ...criteria, insurance forms & procedures, benefits investigation, prior authorization, and appeals Educate offices using approved... 
    Work at office
    Flexible hours

    Syneos Health, Inc.

    Wilmington, DE
    1 day ago

  • Commercial Banking Underwriter I — SBA & Growth Path

    M&T Bank is seeking an experienced candidate for the evaluation of commercial loan and lease applications in Wilmington, Delaware. Responsibilities include assessing financial conditions, processing credit requests, and ensuring adherence to company policies. A Bachelor...

    M&T Bank

    Wilmington, DE
    3 days ago

  • Insurance Producer

    $19.23 - $24.03 per hour

    Insurance Producer Step into a dynamic, client-focused role at HomeServices Insurance (HSI)—a trusted name under the HomeServices of America family—where your expertise in personal and commercial insurance becomes a powerful asset in protecting what matters most. As...
    Hourly pay
    Work experience placement
    Work at office
    Flexible hours

    HomeServices of America Inc

    Bethany Beach, DE
    3 days ago