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Authorization Processor Jobs in Delaware (NOW HIRING)

Mountaire Farms

Employment Specialist

Millsboro, DE

Ensures that all applicants that do not meet all requirements of the position, specifically employment authorization and legal age requirements, will not be allowed to continue in the hiring process.

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Authorization Processor information

What is the difference between Authorization Processor vs Claims Processor?

AspectAuthorization ProcessorClaims Processor
Required CredentialsHigh school diploma or equivalent; certifications like Certified Healthcare Access Associate (CHAA) are commonHigh school diploma or equivalent; certifications like Certified Claims Professional (CCP) are common
Work EnvironmentHealthcare facilities, insurance companies, or third-party administratorsInsurance companies, healthcare providers, or third-party claims processing centers
Job FocusReviewing and authorizing patient services or insurance coverageProcessing and adjudicating insurance claims for reimbursement
Common TasksVerifying coverage, obtaining authorizations, communicating with providersExamining claim details, coding, approving or denying claims

While both roles involve working within healthcare and insurance settings, Authorization Processors focus on approving patient services and verifying coverage, whereas Claims Processors handle the processing and adjudication of insurance claims for reimbursement. Understanding these differences helps in choosing the right career path or job search focus.

What are Authorization Processors?

Authorization Processors are professionals responsible for reviewing, verifying, and processing requests for access, permissions, or approvals, often in banking, insurance, or healthcare industries. Their main duties include checking documentation, ensuring compliance with company policies and regulations, and facilitating the approval or denial of authorization requests. They play a crucial role in preventing unauthorized transactions and maintaining the integrity of sensitive processes. Attention to detail, strong organizational skills, and a solid understanding of regulatory requirements are essential for this position.

What are the key skills and qualifications needed to thrive as an Authorization Processor, and why are they important?

To thrive as an Authorization Processor, you need a keen attention to detail, knowledge of insurance policies, and experience with healthcare or financial authorization processes, often supported by a high school diploma or equivalent. Familiarity with claims management systems, electronic health records (EHR), and insurance verification software is typically required. Strong organizational skills, clear communication, and problem-solving abilities help you efficiently manage requests and collaborate with clients and internal teams. These competencies ensure accurate, timely processing of authorizations, which is critical for preventing delays in patient care or financial transactions.

What are the most common challenges faced by Authorization Processors, and how can applicants prepare for them?

Authorization Processors often face challenges such as managing a high volume of requests, staying current with shifting insurance policies, and ensuring accuracy under tight deadlines. To prepare, applicants should develop strong organizational skills, attention to detail, and the ability to quickly learn new software or procedures. It's also helpful to familiarize yourself with healthcare terminology and payer requirements, as this knowledge will make it easier to navigate complex authorization cases and communicate effectively with providers and insurance representatives.
What are popular job titles related to Authorization Processor jobs in Delaware? For Authorization Processor jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Authorization Processor jobs in Delaware look for? The top searched job categories for Authorization Processor jobs in Delaware are:
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Authorization Processor jobs near you

Speech Pathologist Float

Nemours Children's Hospital Orlando

Wilmington, DE • On-site

$38 - $51.50/hr

Other

Posted 14 days ago

Job description

Speech Pathologist Float

Nemours Children's Hospital, Delaware is hiring a full-time Speech Pathologist Float to work at all Therapy Services locations in New Jersey, Pennsylvania and Delaware. Schedule is Monday-Friday, 40 hours per week. A weekend rotation may be required.

$5,000 sign on bonus offered (external applicants only)

This is a great opportunity to join a busy and growing Therapy team. We provide evaluation and treatment for speech and language, feeding, and AAC needs for patients with a wide variety of diagnoses, ranging in age from birth to 18. We are also an early intervention partner with Child Development Watch, providing clinic-based services.

  • Demonstrates proficiency in the care of all ages: pediatric and adolescent patients. Demonstrates proficiency in the care of neonates as required by assignment.
  • Able to provide speech and feeding therapy services to a variety of patient types with recognition of his/her own limitations while seeking appropriate mentorship as needed.
  • Completes timely documentation as required by departmental policy, Joint Commission, and CARF standards.
  • Attends meetings related to patient treatment and contributes to discussion as an interdisciplinary team member.
  • Maintains knowledge of and familiarity with insurance referral/authorization process and documentation requirements related to therapy services.
  • Completes all mandatory training; may include, but not limited to safety, infection control, corporate compliance, HIPAA, bioterrorism, CPR and program specific respiratory training.

Job Requirements

  • Master's Degree in Speech-Language Pathology or its equivalent from an ASHA accredited university required.
  • Minimum of three (3) to six (6) months experience required. New graduates will be considered based on educational experiences
  • State of Delaware Speech-Language Pathology License or provisional/temporary license required upon hire.
  • All clinical staff are required to hold additional licenses in PA and NJ (in addition to DE license). For this position, both PA and NJ licenses are required, however licensure process can be initiated during the onboarding or orientation process.
  • Pennsylvania clearances are required upon hire.
  • American Heart Association BLS certification required within 6 months of date of hire and must be maintained for duration of employment.
  • ASHA Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP), or Clinical Fellowship Year (CFY) in-process with goal of achieving CCC-SLP within 10-12 months required.
  • Member of professional specialty organizations (ASHA, State Speech and Hearing Assoc) preferred
  • Pediatric experience is required.
  • Experience in feeding and swallowing is preferred.

Learn More about Therapy Services at Nemours

Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.

Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.

Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.

Learn more at Nemours.org.

Job Identification 18820

Job Category Therapy Services

Degree Level Master's Degree

Job Schedule Full time

Locations 1600 Rockland Road, Wilmington, DE, 19803, US (On-site)

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