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Medicare Agent Jobs in Delaware (NOW HIRING)

Bayhealth

Denials And Appeals PFS Supervisor

Dover, DE · On-site

The ideal candidate is an agent for change who manages workflows in an agile manner to adapt to ... Medicare Advantage, CMS, DOH). Review A/R analysis and all high dollar accounts with balances ...

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Medicare Agent information

See Delaware salary details

$10

$23

$42

How much do medicare agent jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for medicare agent in Delaware is $23.81, according to ZipRecruiter salary data. Most workers in this role earn between $17.38 and $27.09 per hour, depending on experience, location, and employer.

What does a Medicare agent do?

As a Medicare agent, you review your clients’ health care plan and help them evaluate their needs against the services and coverage they are eligible to receive. You make recommendations about obtaining supplemental insurance and help people understand their options for prescription drug, vision, and dental policies. You visit clients in their own homes or in long-term care facilities, and your responsibilities include educating, answering questions, and handling discussions and transactions in an ethical, professional manner. Additionally, you undertake sales-related duties, such as prospecting, networking, marketing, and relationship management, and you are responsible for achieving a set quota and implementing member retention strategies.

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

To thrive as a Medicare Agent, you need a comprehensive understanding of Medicare products, insurance regulations, and a valid state insurance license. Familiarity with CRM software, quoting tools, and certification through the America’s Health Insurance Plans (AHIP) program are typically required. Exceptional interpersonal skills, active listening, and the ability to explain complex information simply help agents build trust and effectively guide clients. These skills and qualifications are vital for ensuring clients make informed decisions and receive appropriate coverage, fostering satisfaction and compliance.

What are some common challenges Medicare agents face when helping clients choose the right plan?

Medicare Agents often encounter clients who are overwhelmed by the variety of plan options, complex regulations, and frequent changes in Medicare policies. A key challenge is ensuring clients fully understand the differences between Original Medicare, Medicare Advantage, and supplemental plans, as well as network restrictions and prescription drug coverage. Agents must stay updated on annual changes and be able to explain them clearly, while also managing tight enrollment periods. Building trust and maintaining compliance with CMS guidelines are crucial to providing effective guidance and support.

Do Medicare agents get paid?

Medicare agents typically earn commissions based on the insurance policies they sell, such as Medicare Advantage or Part D plans. They may also receive ongoing renewal commissions and sometimes a base salary, depending on their employment arrangement. Compensation structures vary by employer and state regulations, and agents often need to be licensed and certified to sell Medicare plans.

Is being a Medicare agent worth it?

Medicare agents sell health insurance plans to clients eligible for Medicare, often earning commissions based on sales. The role requires knowledge of Medicare policies, strong communication skills, and licensing, with income potential varying by experience and sales performance. Many find it a rewarding career due to flexible schedules and helping seniors, but success depends on effort and market demand.

What do you need to be a Medicare agent?

To become a Medicare agent, you typically need to obtain a state insurance license, complete Medicare-specific training, and pass a licensing exam. Many agents also pursue certification through the National Association of Insurance Commissioners or similar organizations to enhance credibility and knowledge.
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What are popular job titles related to Medicare Agent jobs in Delaware?

For Medicare Agent jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Medicare Agent jobs in Delaware look for?

The top searched job categories for Medicare Agent jobs in Delaware are:

Medicare Agent jobs near you
Infographic showing various Medicare Agent job openings in Delaware as of August 2026, with employment types broken down into 63% Full Time, 20% Part Time, and 17% Contract. Highlights an 40% In-person, and 60% Remote job distribution, with an average salary of $49,519 per year, or $23.8 per hour.

DE - Patient Financial Services AR Manager - Dover

Conflux Systems

Dover, DE • On-site

Full-time

Posted 2 days ago

New

Job description

Location: Kent Campus Hospital Status: Full Time 80 Hours Shift: Days SALARY RANGE: 82,950.40 - 128,564.80YEARLY General Summary: Responsible for directing, coordinating, and planning of staff for insurance AR, to ensure efficient and proper billing, account follow-up, account collections, and reconciliation of patient accounts. Must work collaboratively with Employed Physician Practices, Revenue Cycle, and other relevant departments to ensure compliant billing. Adhere to internal controls for applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans. Leads by example, upholding all Bayhealth values and holding team members and payers accountable. Ability to work independently and meet established deadlines, develop reports, and quantify denial issues impacting AR performance. Excellent communicator and agent for change. Responsibilities: 1. Supervises the assigned team and team members engaged in the department. This includes interviewing, hiring, performance evaluation, training and disciplining all system support personnel. Delegates tasks as determined appropriate. 2. Provides a goal-oriented work environment, establishing clear and concise work procedures expectations. Develops and plans goals and objectives for the department with PFS Leadership Team. Measures financial and operational performance, maintains monitoring and reporting systems. Audit, trend and benchmark billing/collection functions. 3. Manage Accounts Receivable for all insurance AR billed in the Epic HB and PB modules to minimize financial losses to Bayhealth. Ensures adherence to all governmental and commercial payor rules, regulations, and Bayhealth Corporate policies and procedures. Ensures that accounts receivable activities are meeting productivity, quality, reimbursement goals and all reimbursement options have been exhausted. Monitors vendor performance, as appropriate for any insurance AR vendors. Review and respond to patient complaints, legal documents following appropriate customer services, and internal policies. 4. Complete monthly rounding on direct reports; maintain individual rounding logs and stop light reports to facilitate communication. Promotes employee engagement for individual teams and the department striving for continues improvement. 5. Responsible for monitoring performance and resolution of all insurance credit balances. 6. Reviews quality assurance review results with staff providing as necessary education/training to address opportunities for improvement. 7. Contributes to development of education materials for new hire and annual training competencies 8. Monthly reporting requirements: AR performance for large payers, physician practices, and vendors. Communicates performance issues and actions being taking to resolve the issues. As appropriate escalates to State and Federal agencies when payers are not adhering to regulations. 9. As applicable, maintains all Epic ARCR certifications in good standing. 10. Reviews all requests for system changes to determine the impact on payers and processes under the position's span of control. Ensures supporting research and documentation supporting the change request are accurate and have been properly validated. 11. Responsible for access requests and maintenance including, but not limited to Medicare Novitasphere and Medicaid portals. 12. All other duties as assigned within the scope and range of job responsibilities. Required Education, Credential(s) and Experience: Education: Bachelor Degree ; Business ; In lieu of a bachelor's degree, will accept a High School Diploma or GED with eight (8) years of Revenue Cycle Progressive leadership experience (Four years of experience for a verified associate's degree.) Credential(s): None Required ; Experience: Required: Five years in patient accounting, third-party reimbursement, or related field, to include a minimum of three (3) years of experience in a supervisor or leadership role. Preferred: Seven years in patient accounting, third-party reimbursement, or related field, to include a minimum of five (5) years of experience in a supervisor or leadership role. Preferred Education, Credential(s) and Experience: Education: Credential(s): Certified Patients Account Manager Certified Revenue Cycle Representative
Shift: Days, Full Time
Specialty Type: Accounting
Sub Specialties: Senior Staff Accountant
General Certifications: N/A
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