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Insurance Outsourcing Provider Jobs in Delaware (NOW HIRING)

Ensemble Health Partners

Patient Access Specialist

Lewes, DE · On-site

$17 - $18.15/hr

  • Medical

  • Retirement

... compliance checks, providing proper patient instructions, collecting insurance information ... Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 * 22 Healthcare ...

Bearing Construction, Inc.

Payroll Coordinator

Seaford, DE

$25 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... insurance, short-term disability, and other supplemental options. As an employee of Bearing ... Provide ongoing guidance and reminders to support accuracy and timely submission * Coordinate with ...

Kelly Services

Associate Scientist

Newark, DE

$22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Associate Scientist Kelly Outsourcing Consulting Group Kelly OCG, a managed solution provider and ... term life, whole life, accident insurance, critical illness, a legal plan, and short-term ...

Citigroup, Inc.

AVP, Security Technology Analyst

New Castle, DE · On-site

$96K - $144K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provides evaluative judgment based on analysis of factual information in complicated and unique ... insurance; and wellness programs. Citi also offers paid time off packages, including planned time ...

Kelly Services

Agriculture Technician

Newark, DE

$25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Agricultural Technician Kelly Outsourcing Consulting Group Kelly OCG, a managed solution provider ... term life, whole life, accident insurance, critical illness, a legal plan, and short-term ...

Firstsource

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

We are a leading provider of transformational outsourcing solutions and services spanning the ... Afterwards, we work with patients to identify insurance eligibility, help them navigate their ...

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Insurance Outsourcing Provider information

What is an insurance outsourcing provider?

Insurance outsourcing providers are companies that offer specialized services to insurance firms by handling certain business processes or functions on their behalf. These services can include claims processing, policy administration, customer support, underwriting, IT solutions, and more. Outsourcing allows insurance companies to focus on their core business activities, reduce operational costs, increase efficiency, and access skilled expertise. Commonly outsourced functions help insurers adapt quickly to market changes and improve customer service. The outsourcing provider typically operates under strict data security and compliance standards to protect sensitive information.

What are the key skills and qualifications needed to thrive as an insurance outsourcing provider, and why are they important?

To thrive as an Insurance Outsourcing Provider, expertise in insurance processes, regulatory compliance, and risk assessment is essential, often supported by a background in insurance or business administration. Familiarity with insurance management systems, claims processing software, and data security protocols is typically required. Strong client communication, problem-solving abilities, and attention to detail help build trust and ensure service quality. These skills and qualifications are important to efficiently manage outsourced processes, maintain compliance, and deliver value to insurance clients.

What are some common challenges faced by insurance outsourcing providers when working with multiple clients?

Insurance outsourcing providers often navigate challenges such as managing varying client expectations, adapting to different workflows, and ensuring compliance with diverse regulatory requirements. Balancing the unique processes and communication styles of each client requires strong organizational and interpersonal skills. Additionally, providers must maintain data security and confidentiality across all accounts, which demands robust protocols and ongoing staff training.

What is the difference between Insurance Outsourcing Provider vs Insurance Claims Adjuster?

AspectInsurance Outsourcing ProviderInsurance Claims Adjuster
CredentialsVaries; often includes industry certifications and company-specific trainingState licensing, certifications like AIC or CPCU often required
Work EnvironmentTypically works for third-party companies, often remotely or in office settingsWorks for insurance companies, handling claims on-site or remotely
Employer & Industry UsageServes multiple insurance companies, providing outsourced servicesEmployed directly by insurance companies to assess claims
Search & Comparison IntentUnderstanding outsourcing services for insurance claims processingEvaluating claims adjusters for claims assessment and settlement

The main difference is that an Insurance Outsourcing Provider offers third-party services to insurance companies, managing claims processing at a broader level, while an Insurance Claims Adjuster directly evaluates individual claims for an insurer. The provider focuses on delivering outsourced solutions, whereas the adjuster handles specific claims assessments.

What are popular job titles related to Insurance Outsourcing Provider jobs in Delaware?

For Insurance Outsourcing Provider jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Insurance Outsourcing Provider jobs in Delaware look for?

The top searched job categories for Insurance Outsourcing Provider jobs in Delaware are:

What cities in Delaware are hiring for Insurance Outsourcing Provider jobs?

Cities in Delaware with the most Insurance Outsourcing Provider job openings:

Insurance Outsourcing Provider jobs near you
Infographic showing various Insurance Outsourcing Provider job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Patient Access Specialist FT Shft 8:30-5:00pm Monday-Friday with Rotating weekends

Ensemble Health Partners, Inc.

Rehoboth Beach, DE • On-site

$19.05 - $19.90/hr

Full-time

Medical, Retirement

Re-posted 26 days ago

Ensemble Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 244 frontline employees who took The Breakroom Quiz

140th of 150 rated financial services

Job description

Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
  • Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
  • This position pays between $19.05 - 19.90 hr based on experience

***This position is an onsite role, and candidates must be able to work on-site at Beebe In REHOBOTH BEACH
We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Job Responsibilities:
  • Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.
  • Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable.
  • They are to adhere to policies, and provide excellent customer service in these interactions with the appropriate level of compassion.
  • Patient Access staff will be held accountable for point of service goals as assigned.
  • Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
  • Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
  • The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
  • Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
  • Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.

Experience We Love:
  • 1+ years of customer service experience
  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Minimum Education:
• High School Diploma/GED Required
Certifications:
• CRCR Required within 6 months of hire (Company Paid)
Join an award-winning company
Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
  • Innovation
  • Work-Life Flexibility
  • Leadership
  • Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
  • Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
  • Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
  • Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
Employment Disclaimers - Ensemble

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