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Prior Authorization Jobs in Delaware (NOW HIRING)

Pharmacy Careers

MTM Pharmacist

Newark, DE · On-site

$57.25 - $68.75/hr

Competitive pay, benefits, and opportunities to expand into roles like prior authorization, clinical review, or population health. About Us We partner with health plans, PBMs, and healthcare ...

Bayhealth

Patient Access Specialist I

Dover, DE · On-site

$13.75 - $18.25/hr

Complies with EMTALA regulation when creating the quick registration account (when applicable). 6. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to ...

Bayhealth

Patient Access Specialist I

Dover, DE · On-site

$17.25 - $23/hr

Complies with EMTALA regulation when creating the quick registration account (when applicable). 6. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to ...

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Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in Delaware

Prior Authorization information

See Delaware salary details

$13

$20

$32

How much do prior authorization jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for prior authorization in Delaware is $20.91, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs

What are the most commonly searched types of Prior Authorization jobs in Delaware?

The most popular types of Prior Authorization jobs in Delaware are:

What are popular job titles related to Prior Authorization jobs in Delaware?

For Prior Authorization jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Prior Authorization jobs in Delaware look for?

The top searched job categories for Prior Authorization jobs in Delaware are:

What cities in Delaware are hiring for Prior Authorization jobs?

Cities in Delaware with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Delaware as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 24% Part Time, and 2% Contract. Highlights an 92% In-person, 2% Hybrid, and 6% Remote job distribution, with an average salary of $43,497 per year, or $20.9 per hour.

Dermatologist opening Wilmington, DE - full/part-time available, equity stake-230937

Britt Medical Search

Wilmington, DE

$360 - $410K/day

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

Seeking BE/BC Dermatologist to join talented group. Join a thriving practice with high patient volume and hit the ground running – utilizing state-of-the-art dermatology equipment and advanced modalities.
Details:
  • Full time and part time positions available
  • Normal schedule is 4 (10 hour days), weekend work available if desired
  • Primarily General and medical dermatology performed with some cosmetics.
  • You can choose to perform certain procedures/cases more as desired.
  • Supported by 1-2 MAs
  • New grads welcome!

Compensation & Benefits:
  • Salary dependent on full or part-time schedule
  • MD/DO- $360-$410K Full time salary; 1 day a week is paid $100K salary
  • Base plus 20% collections paid out quarterly
  • Physician backed capital practice - have equity in the group you are helping to grow
  • Flexible hours and scheduling
  • Dermatology Specific EMR
  • Clinical Support Team
  • Malpractice and Tail provided
  • Benefits include medical, dental, vision, short/long term disability, 401k
  • Paid Holidays and PTO
  • Quarterly journal clubs for best practice, new technologies, case studies, evidence-based medicine
  • Your local support staff: Team of MAs, local office manager, and front desk reception
  • Your central support staff: Prior Authorization Department, In-House Lab, In-House Pathology, In-House Plastics, Research Center, Call Center, Billing, Medical and Facility Operations, Provider Relations and Patient Liaison

APPLY NOW or TEXT Job #EC230937 and email address to 636-628-2412.
Search all of our provider opportunities here: brittmedical DOT com
Britt Medical Search logo

About Britt Medical Search

Sourced by ZipRecruiter

Britt Medical Search, headquartered in Saint Charles, MO, US, is a highly reputed firm specialized in the healthcare recruitment industry. The company provides high-quality recruitment services for various healthcare facilities and hospitals across the nation. Established with a primary objective to bridge the gap between healthcare providers and medical facilities in need of professional staffing, Britt Medical Search works diligently to place highly skilled healthcare professionals into positions where they can truly make a difference. The company's mission is centered on delivering optimal recruitment services that surpass client expectations, along with consolidating the American healthcare system by ensuring each facility has the right professionals in the right place at the right time.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Saint Charles, MO, US

Year founded

2016

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