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Prior Authorization Jobs in Delaware (NOW HIRING)

RecruitWell

Dermatology Physician

Wilmington, DE

$168.27 - $264.42/hr

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

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 ...

Pharmacy Careers

MTM Pharmacist

Dover, DE · On-site

$46.25 - $55.50/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 ...

Pharmacy Careers

Medication Access Pharmacist

Wilmington, DE · On-site

$56.50 - $68/hr

Manage prior authorizations and appeal processes. * Coordinate with insurance companies, providers, and support staff. * Enroll patients in manufacturer copay and patient assistance programs.

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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 9, 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 74% Full Time, 24% Part Time, and 2% Contract. Highlights an 91% In-person, 2% Hybrid, and 7% Remote job distribution, with an average salary of $43,497 per year, or $20.9 per hour.

Dermatology Physician

RecruitWell

Wilmington, DE

$168.27 - $264.42/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

Part-Time or Full-Time - Wilmington, Delaware, Dermatology Job
  • Clinical Role:
    • Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!
    • Seeking a board certified or truly board eligible dermatologist
    • Permanent position
    • Join a thriving private practice with high patient volume
    • State-of-the-art dermatology office
    • Work alongside dermatologists and/or other APPs
    • Outpatient only
    • EMR: eClinicalWorks
    • Training Provided
    • Census: 30-35 patients a day (10 hour days)
    • Full-time or part-time options
    • Full time is four 10-hour days
    • Open to part time (anything less than 3 days is part time)
    • Work as little as 1 day a week
    • Site is open weekends and evenings
    • Site is open 9am - 7pm (open to other options, for example 8am-6pm)
    • Visa candidates welcome to apply
  • Organization Information:
    • Salary range is $350k - $550k, plus incentive programs
    • Malpractice and tail provided
    • Benefits include medical, dental, vision, short/long term disability, 401k
    • Must work 30 hours a week or more to get benefits
    • Paid Holidays and PTO
    • Possible sign on and relocation
    • Join a full-service dermatology practice with multiple locations
    • 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
  • RecruitWell's Core Values:
    • Open communication
    • Sense of urgency
    • Teamwork
    • Accountability
    • Driven to win
    • Higher consciousness
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About RecruitWell

Sourced by ZipRecruiter

RecruitWell is a prestigious entity operating in the recruitment and staffing industry, based out of Boynton Beach, FL, US. Its main focus is on global recruitment, providing both temporary and permanent staffing solutions. The company's primary mission is to provide the right talent to healthcare facilities while ensuring the satisfaction of healthcare professionals. Established with a vision to change the recruitment landscape for healthcare professionals, RecruitWell has been successful in establishing itself as a trusted name in the industry.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Boynton Beach, FL, US

Year founded

2019

Social media

Facebook

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