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Medical Bookkeeping Jobs in Delaware (NOW HIRING)

White Tiger Connections

Bookkeeper

Wilmington, DE · On-site +1

$80K - $120K/yr

Manage a portfolio of monthly bookkeeping clients (up to 15-20 at capacity over time). * Take each ... Health coverage: Medical, dental, and vision insurance. * Professional development: CPE ...

Stonebridge Companies

Night Audit

Fenwick Island, DE · On-site

$14.50 - $19.25/hr

Proficiency in basic bookkeeping and balancing financial transactions. * Strong communication ... medical condition. All aspects of employment, including recruitment, hiring, advancement ...

Stonebridge Companies

Night Auditor

Rehoboth Beach, DE · On-site

$14.50 - $19.50/hr

Proficiency in basic bookkeeping and balancing financial transactions. * Strong communication ... medical condition. All aspects of employment, including recruitment, hiring, advancement ...

Stonebridge Companies

Night Auditor

Rehoboth Beach, DE · On-site

$14.50 - $19.50/hr

Proficiency in basic bookkeeping and balancing financial transactions. * Strong communication ... medical condition. All aspects of employment, including recruitment, hiring, advancement ...

Stonebridge Companies

Guest Service Agent

Frederica, DE · On-site

$14.50 - $18.50/hr

Perform basic bookkeeping tasks, such as balancing cash accounts. * Issue room keys and provide ... medical condition. All aspects of employment, including recruitment, hiring, advancement ...

Stonebridge Companies

Guest Service Agent

Frederica, DE · On-site

$14.50 - $18.50/hr

Perform basic bookkeeping tasks, such as balancing cash accounts. * Issue room keys and provide ... medical condition. All aspects of employment, including recruitment, hiring, advancement ...

SPRINGHILL SUITES NEWARK

Guest Service Agent

Newark, DE · On-site

$14.75 - $18.75/hr

Team Member Benefits: * Medical, Dental and Vision * Employer Paid Life Insurance * Other ... Perform bookkeeping activities, such as balancing accounts. * Serve food and beverages to guests ...

Mountaire Farms

Accounts Receivable Clerk I

Millsboro, DE

$16.75 - $21/hr

Performs bookkeeping, including posting data or keeping other records concerning the shipment of ... A few examples of our benefits that may be offered to you are: eight paid holidays, Medical Plans ...

White Tiger Connections

Staff Accountant

Wilmington, DE · On-site +1

$80K - $120K/yr

Manage a portfolio of monthly bookkeeping and accounting clients (up to 15-20 at capacity ... Health coverage: Medical, dental, and vision insurance. * Professional development: CPE ...

Capano Management

Leasing Consultant

Claymont, DE · On-site

$16 - $19/hr

... bookkeeping tasks * Collaborate with team members to plan and organize resident events * Will ... which includes: medical, dental, vision, life insurance, and disability benefits, 401(k) Match ...

Capano Management

Leasing Consultant

Wilmington, DE

$16 - $19/hr

... bookkeeping tasks * Collaborate with team members to plan and organize resident events * Will ... which includes: medical, dental, vision, life insurance, and disability benefits, 401(k) Match ...

Capano Management

Residential Leasing Consultant

Claymont, DE · On-site

$16 - $19/hr

... bookkeeping tasks * Collaborate with team members to plan and organize resident events * Will ... which includes: medical, dental, vision, life insurance, and disability benefits, 401(k) Match ...

Capano Management

Leasing Consultant

Claymont, DE · On-site

$16 - $19/hr

... bookkeeping tasks * Collaborate with team members to plan and organize resident events * Will ... which includes: medical, dental, vision, life insurance, and disability benefits, 401(k) Match ...

Capano Management

Leasing Consultant

Wilmington, DE

$16 - $19/hr

... bookkeeping tasks * Collaborate with team members to plan and organize resident events * Will ... which includes: medical, dental, vision, life insurance, and disability benefits, 401(k) Match ...

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All JobsMedical Bookkeeping JobsMedical Bookkeeping Jobs in Delaware

Medical Bookkeeping information

See Delaware salary details

$12

$24

$35

How much do medical bookkeeping jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical bookkeeping in Delaware is $24.34, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.64 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical bookkeeper, and why are they important?

To thrive as a Medical Bookkeeper, you need a solid understanding of accounting principles, medical billing, and healthcare regulations, often supported by experience or coursework in bookkeeping or healthcare administration. Familiarity with medical billing software, electronic health records (EHR) systems, and spreadsheet tools like Excel is typically required. Strong attention to detail, organizational skills, and the ability to maintain confidentiality help you stand out in this position. These skills and qualities are essential to ensure accurate financial records, compliance with healthcare laws, and the smooth financial operation of medical practices.

What qualifications do you need to be a medical bookkeeper?

A medical bookkeeper typically needs a high school diploma or equivalent, along with knowledge of medical billing, coding, and accounting software. Certification such as Certified Medical Bookkeeper (CMB) or similar can enhance job prospects, and strong attention to detail and organizational skills are essential for managing financial records accurately.

What is the difference between Medical Bookkeeping vs Medical Billing?

AspectMedical BookkeepingMedical Billing
Primary RoleMaintains financial records, manages accounts, and handles bookkeeping tasksProcesses insurance claims, submits bills, and follows up on payments
Required SkillsFinancial record keeping, data entry, basic accountingInsurance coding, claim submission, payment posting
Work EnvironmentMedical offices, clinics, healthcare accounting firmsMedical offices, billing companies, healthcare providers
CertificationsBookkeeping or accounting certifications often preferredMedical billing certifications like CPC or CBCS often required

Medical Bookkeeping focuses on maintaining accurate financial records and managing accounts, while Medical Billing specializes in submitting insurance claims and ensuring payments are received. Both roles are essential in healthcare finance but serve different functions within the revenue cycle.

What is medical bookkeeping?

Medical bookkeeping is the process of recording, managing, and reconciling financial transactions for healthcare providers. It involves tasks such as billing, coding, and maintaining patient financial records, often using accounting software like QuickBooks or specialized medical billing systems. Accurate medical bookkeeping ensures proper reimbursement and compliance with healthcare regulations.

How does a medical bookkeeper typically interact with healthcare practitioners and administrative staff?

Medical bookkeepers frequently collaborate with both healthcare practitioners and administrative staff to ensure accurate financial records and compliance with industry regulations. They often communicate with medical billing specialists, office managers, and sometimes directly with physicians to resolve discrepancies, verify insurance payments, and manage patient billing issues. This collaborative environment requires strong communication skills and the ability to translate complex financial information into actionable steps for non-financial team members. Successful medical bookkeepers are proactive in maintaining transparency and streamlining processes between financial and clinical teams.
What are popular job titles related to Medical Bookkeeping jobs in Delaware? For Medical Bookkeeping jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Medical Bookkeeping jobs in Delaware look for? The top searched job categories for Medical Bookkeeping jobs in Delaware are:
What cities in Delaware are hiring for Medical Bookkeeping jobs? Cities in Delaware with the most Medical Bookkeeping job openings:
Medical Bookkeeping jobs near you
Infographic showing various Medical Bookkeeping job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $50,617 per year, or $24.3 per hour.

Bookkeeper

White Tiger Connections

Wilmington, DE • On-site, Remote

$80K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

This is a remote position.

About the Firm

Our client is a well-established wealth management firm with a robust in-house tax practice, built through the acquisition of a large CPA firm and supported by its sister company. The firm is seeking an experienced Bookkeeper to join their professional team.

This position is ideal for a hands-on accounting professional who thrives in a production-focused environment and enjoys managing multiple client engagements with precision and autonomy.

About the Role

The Bookkeeper plays a critical role in managing the firm’s monthly client accounting engagements from start to finish. The ideal candidate is highly detail-oriented, comfortable managing multiple deadlines, and confident working within QuickBooks Desktop and QuickBooks Online at a power-user level.

This role is also a proven growth path into our Staff Accountant position for bookkeepers who want to expand into fuller-cycle accounting and, eventually, tax-adjacent work.

Key Responsibilities

• Manage a portfolio of monthly bookkeeping clients (up to 15–20 at capacity over time).

• Take each client engagement from start to finish on a monthly basis.

• Perform full-cycle bookkeeping, including transaction coding, bank and credit card reconciliations, and general ledger maintenance.

• Prepare and finalize monthly financial statements.

• Review work and ensure accuracy of account classifications and reporting.

• Communicate with clients to gather necessary documentation and clarify transactions (initially limited client-facing responsibility, with opportunity to grow into a more client-facing role over time).

• Maintain organized and accurate financial records in compliance with firm standards and accounting best practices.

• Utilize QuickBooks Desktop and QuickBooks Online extensively as a power user.



Requirements

• 5+ years of bookkeeping experience, preferably within a public accounting environment (candidates with 8–10+ years are encouraged to apply).

• Strong understanding of full-cycle bookkeeping, account reconciliations, journal entries, and financial statement preparation.

• Advanced proficiency in QuickBooks Desktop and QuickBooks Online required.

• Strong organizational skills and ability to manage multiple client deadlines.

• Ability to step into the role with minimal training and operate independently — while still receiving mentorship and support from the team.

• Located in Eastern or Central time zone.



Benefits

• Compensation: Competitive compensation commensurate with experience.

• Work arrangement: Remote or hybrid, depending on proximity to a firm office.

• Paid Time Off: Flexible/unlimited PTO.

• Retirement: 401(k) with company match.

• Health coverage: Medical, dental, and vision insurance.

• Professional development: CPE / professional development budget.

• Growth path: A clear track toward a Staff Accountant role for candidates who want to grow their scope.

• Culture: A collaborative, team-oriented environment that values autonomy, precision, and professional growth.