Average salary: $125,000 /yearly

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  • Prior Authorization Specialist

     ...this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Prior Authorization Specialist Full Time Clerical Newcastle, WY, US 8 days ago Requisition ID: 1058 Are you detail-oriented, organized, and... 
    Suggested
    Full time
    Work at office
    Local area
    Immediate start
    Free visa

    Wyohospitals

    Newark, DE
    12 hours ago

  • Patient Access Specialist I

     ...identification. Complies with EMTALA regulation when creating the quick registration account (when applicable). 6. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Shift work
    Afternoon shift

    Bayhealth

    Dover, DE
    5 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

  • On-Site Prior Authorization & Patient Access Specialist

    Weston County Health Services (WCHS) is seeking a full-time Pre/Prior Authorization Specialist for its on-site locations in Newcastle, WY. The role coordinates insurance authorizations and pre-certifications to ensure services are approved before delivery, supporting financial... 
    Suggested
    Full time

    Wyohospitals

    Newark, DE
    2 days ago

  • Operations Supervisor

     ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience... 
    Suggested
    Ongoing contract
    Monday to Friday
    Flexible hours

    Teleperformance USA

    Bear, DE
    5 days ago

  • Care Access: Prior Authorization Coordinator (On-Site)

    Weston County Health Services (WCHS) seeks a Full Time Pre/Prior Authorization Specialist to support our team by coordinating insurance authorizations and ensuring services are approved before they are rendered. This on-site position in Newcastle, WY offers growth in a... 
    Suggested
    Full time

    wchs-wy

    Newark, DE
    2 days ago

  • Head of Commercial Learning, US Biopharmaceutical

     ...role boundaries.Healthcare-System and Access Fluency: Build working knowledge of payer and provider dynamics, reimbursement and prior-authorization processes, access barriers, support resources, and appropriate escalation—equipping reps to recognize and sell through... 
    Suggested
    Full time
    Work at office
    Flexible hours
    3 days per week

    AstraZeneca

    Wilmington, DE
    2 days ago

  • Clinical Advisor

    $90k - $115k

     ...Qualifications BS Pharmacy or PharmD is required 5+ years’ experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy. Comprehensive knowledge of both pharmacy and medical benefit utilization management... 
    Suggested
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    Norstella

    Dover, DE
    1 day ago

  • Triage Nurse

     ...Communicates 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 system... 
    Suggested
    Work at office

    Brandywine Urology

    New Castle, DE
    1 day ago

  • Senior Business Intelligence Engineer

    $89k - $121.4k

     ...development of SQL Server Integration Services (SSIS) projects using Microsoft Visual Studio Experience with healthcare systems and prior authorization data Navigate change management processes in a large enterprise environment Experience working with an enterprise... 
    Suggested
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Centerwell

    Dover, DE
    5 days ago

  • Triage Nurse: Expert Phone Triage & In-Clinic Care

     ...behalf of physicians, and coordinating scheduling and documentation. Responsibilities include handling prescriptions, obtaining prior authorizations, performing basic procedures under RN/MA scope, and maintaining sterile exam rooms in compliance with OSHA standards. This... 
    Suggested

    Brandywine Urology

    New Castle, DE
    20 hours ago

  • Medical Assistant

    $17 per hour

     ...instructed by the nurse care manager.Assist the nurse care manager and the project coordinator with collecting information for prior authorizations or other activities as needed.Maintain and inventory clinical supplies and equipment.Ensure essential supplies are ordered... 
    Suggested
    Full time
    Immediate start
    Monday to Friday

    Brandywine Counseling and Community Services, Inc

    Wilmington, DE
    2 days ago

  • Asphalt Plant Technician

    $23 - $30 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
    Local area
    Night shift

    Allan Myers

    Dover, DE
    2 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

    Addison Group

    Wilmington, DE
    3 days ago

  • Front Desk

     ...a friendly demeanor Schedule, cancel and reschedule patient appointments Print out electronic orders for patients Submit prior authorization requests Scan and upload documents to the patient’s electronic medical record Ability to competently handle patient calls coming... 
    Suggested
    Full time
    Work at office
    Local area

    Nephrology Associates P A

    Newark, DE
    4 days ago

  • Rare Disease Field Reimbursement Manager

     ...HCP offices, billing staff, and coordinators on payer policies and coverage criteria. The role requires strong knowledge of prior authorization, denials, and appeals, with a track record of cross-functional collaboration and strategic account planning. #J-18808-Ljbffr... 
    Local area

    Alexion

    Wilmington, DE
    3 days ago

  • Medical Assistant I

     ...lectures to understand trends. Telephone prescriptions to a pharmacy; authorize drug refills as directed. Perform other clinical functions as delegated and supervised by the physician. Prior authorizations. Standing, sitting, walking, stooping, stretching,... 
    Full time
    Work at office

    Atlantic Medical Management

    Wilmington, DE
    3 days ago

  • Business Banking Underwriter I

    $25k

     ...the branch network channel. Adjudicate primarily new credit requests (of $25,000 or less) in accordance with designated approval authority with group credits and/or renewals (up to $100,000). Prepare credit analysis for commercial loan applications and enter credit applications... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    M&T Bank

    Wilmington, DE
    6 hours ago

  • Field Reimbursement Manager - Rare Disease Access

     ...Hematology, and Nephrology therapies. You will educate HCP offices, billing staff, and patient services on reimbursement processes, prior authorizations, and access navigation in a field setting. The role requires strategic account planning, strong communication, and travel up... 

    AstraZeneca

    Wilmington, DE
    2 days ago

  • Field Reimbursement Manager

    $136k - $204k

     ...connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. Partner with case... 
    Summer work
    Work at office
    Local area

    Vertex Pharmaceuticals

    Wilmington, DE
    1 day ago

  • Pharmacy Coordinator

    $19.39 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
    4 days ago

  • Primary Care Medical Assistant

     ...in a 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).Support... 
    Full time
    Monday to Friday

    Integrated Health Services

    Middletown, DE
    2 days ago

  • Medical Assistant

    $17.5 - $20 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... 
    Hourly pay
    Temporary work
    Work at office
    Work from home
    Flexible hours
    Shift work

    Clearway Pain Solutions

    Seaford, DE
    3 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

    Georgetown, DE
    1 day ago

  • Insurance Sales Agent

    $45k

    Insurance Sales AgentAbility to sell through multiple insurance carriersAccess to sell to our millions of AAA members for preferred lead generationCompany paid incentive trips for top performersSales focused with a dedicated Customer Service & Policy Retention teamsOpportunity...
    Work at office
    Local area

    AAA Club Alliance

    Dover, DE
    2 days ago

  • Underwriter

    $62.7k

    Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as a point of contact for sales teams and assigned customers, delivering insights and recommendations to aid customer acquisition and retention while maintaining performance goals. This role...
    Contract work
    For contractors
    Work at office
    Local area

    Highmark Health

    Dover, DE
    1 day ago

  • Part-Time Front Office Receptionist & Medical Assistant - Hockessin, DE

     ...is not in the system. Prepares necessary patient paperwork prior to patient's appointment. Calls "No Show" appointments to reschedule...  ...status and assigns correct payor type. Verifies if prior authorization from insurance is required; notifies Billing Department, if... 
    Part time

    My Derm Recruiter

    Hockessin, DE
    20 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

    Bear, DE
    5 days ago

  • Field Reimbursement Manager

     ...access landscape. This includes medical/pharmacy benefit design, product acquisition, payer policies and coverage criteria, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of assigned Alexion... 
    Work at office
    Local area
    Relocation package
    Shift work
    Night shift

    AstraZeneca

    Wilmington, DE
    1 day ago

  • Lead Commercial Credit Underwriters & Training

    M&T Bank is hiring to lead a team of underwriters and portfolio managers in Rochester, NY. The role focuses on maintaining the quality and efficiency of commercial credit underwriting, mentoring staff, and coordinating with Credit and Sales teams. Qualified candidates will...
    Work at office

    M&T Bank

    Wilmington, DE
    20 hours ago