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Medical Billing Collections Jobs in Delaware (NOW HIRING)

A/R Billing

Newark, DE · On-site

$18 - $23.25/hr

Billing Manager Summary/objective The A/R Billing team member manages billing and collections in a medical office, including verifying insurance, submitting claims, following up on unpaid claims, and ...

A/R Billing

Newark, DE · On-site

$18 - $23.25/hr

Billing Manager Summary/objective The A/R Billing team member manages billing and collections in a medical office, including verifying insurance, submitting claims, following up on unpaid claims, and ...

Collections Representative

Newark, DE

$16.50 - $21.50/hr

... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... This person can resolve routine billing inquiries and negotiate payment arrangements to cure ...

Collections Specialist

Newark, DE

$18 - $24.50/hr

... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... This person can resolve routine billing inquiries and negotiate payment arrangements to cure ...

Medical Coder

New Castle, DE · On-site

$18.25 - $24.25/hr

Assists Billing Specialists, Coders, and Patient Accounts Specialists in the ongoing operations of ... advanced collections, reports and ledger inquiry. * Maintain an organized, efficient and ...

Medical Coder

New Castle, DE · On-site

$18.25 - $24.25/hr

Assists Billing Specialists, Coders, and Patient Accounts Specialists in the ongoing operations of ... advanced collections, reports and ledger inquiry. * Maintain an organized, efficient and ...

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Medical Billing Collections information

See Delaware salary details

$12

$20

$27

How much do medical billing collections jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medical billing collections in Delaware is $20.53, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

What is medical billing collections?

Medical billing collections refer to the process of pursuing payments on medical bills from patients and insurance companies. This job involves reviewing accounts, sending invoices, following up on unpaid bills, and working to resolve any discrepancies or denials from payers. Professionals in this field must have a strong understanding of insurance policies, billing codes, and healthcare regulations. Effective communication and negotiation skills are essential to work with both patients and insurers to collect outstanding balances.

What are the key skills and qualifications needed to thrive as a medical billing collections specialist?

To thrive as a Medical Billing Collections Specialist, you need strong knowledge of medical billing procedures, coding systems like ICD-10 and CPT, and a high school diploma or equivalent—often supplemented by specialized certification. Familiarity with billing software, electronic health records (EHRs), and insurance claim management systems is typically required. Excellent communication, attention to detail, and problem-solving abilities help you effectively resolve payment issues and work with patients or insurers. These skills and qualifications are essential to ensure accurate reimbursement, minimize claim denials, and maintain the financial health of healthcare organizations.

What are some common challenges faced by professionals in medical billing collections, and how can they be effectively managed?

Professionals in medical billing collections often encounter challenges such as insurance claim denials, delayed payments, and complex patient inquiries regarding billing statements. Effectively managing these issues requires strong attention to detail, clear communication skills, and up-to-date knowledge of insurance policies and coding procedures. Building positive relationships with patients and insurance representatives, staying organized, and regularly attending industry training can help address these challenges and improve collection rates.

What is the difference between Medical Billing Collections vs Medical Billing?

AspectMedical Billing CollectionsMedical Billing
CertificationsMedical Billing Certification, Collections Certification (optional)Medical Billing Certification (preferred)
Work EnvironmentCollections departments, often in healthcare offices or outsourcing firmsBilling departments within healthcare facilities or billing companies
Primary ResponsibilitiesFollow-up on unpaid claims, recovering overdue paymentsSubmitting claims, coding, and processing payments
Common UsageFocuses on overdue accounts and payment recoveryHandles entire billing cycle from claim submission to payment posting

Medical Billing Collections primarily concentrates on recovering unpaid or overdue patient accounts, while Medical Billing covers the entire process of submitting claims and managing payments. Both roles require similar certifications and work in healthcare billing environments, but their core functions differ in focus and scope.

What does a medical billing collections specialist do?

A medical billing collections specialist is responsible for following up on unpaid or overdue medical bills, contacting patients or insurance companies to collect payments, and ensuring accounts are settled accurately. They often use billing software and have knowledge of healthcare regulations and insurance processes to resolve billing issues efficiently.

What are popular job titles related to Medical Billing Collections jobs in Delaware?

For Medical Billing Collections jobs in Delaware, the most frequently searched job titles are:

Infographic showing various Medical Billing Collections job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $42,709 per year, or $20.5 per hour.

$18 - $23.25/hr

Full-time

Posted 9 days ago


Job description

A/R Billing Clerk
Reports to: Billing Manager
Job Description 
Summary/objective

The A/R Billing team member manages billing and collections in a medical office, including verifying insurance, submitting claims, following up on unpaid claims, and posting payments. They resolve billing issues, communicate with patients about payment plans, and ensure accurate financial records. The role also involves preparing billing reports and ensuring compliance with insurance policies and coding standards. Strong communication, organization, and proficiency in billing software are key for success.
Essential functions
•    Identify the root cause of insurance denials, send appeals to payors, and take appropriate actions to assure prompt payment. 
•    Process claims through clearinghouse, reviews report, identifies denied claims, research, and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer.  
•    Document follow-up appropriately in the practice management system  
•    Perform collection actions, including third-party appeals and resubmitting claims to third party payers via email/website or written inquiries. 
•    Identify and bill secondary or tertiary insurances. Mail out HCFA with EOB 
•    Reconcile carrier submissions, edits, and rejection reports while working aging reports 
•    Resolve incoming patient calls with excellent customer service skills. 
•    Employ tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communication, while always professional and courteous. 
•    Identify, verify, and document adjustments according to established policies and procedures. 
•    Reviews payment postings for accuracy and to ensure correct fee schedule  
•    Works with co-workers to resolve payment and billing errors. 
•    Process patient bills/print/mail statements and post refunds  
•    Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement. 
•    Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers  
•    Follow through on claim denials and rejections on timely basis 
•    Other duties as requested or assigned by direct report

Competencies
•    Ability to thrive in a fast-paced environment
•    Excellent customer service and computer skills
•    Strong verbal and written communication skills
•    Friendly, personable demeanor
•    Detail oriented

Physical demands
Must be able to occasionally lift and / or move up to or more than 25 pounds. Frequent sitting with occasional standing and walking. Utilization of hand and finger dexterity for computer work and the viewing of a computer screen for the majority of the day..
Required education and experience
•    Highschool diploma or GED
Preferred education and experience
•    Medical Billing experienced preferred but not required
•    Preference for specialty medicine billers
Affirmative Action/EEO statement
We are committed to a diverse and inclusive workplace. The Company is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or another legally protected status.
Other duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.