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Health Insurance Provider Rep Jobs (NOW HIRING)

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Health Insurance Sales Representative

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Health Insurance Provider Rep information

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$25.5K

$65.7K

$83.5K

How much do health insurance provider rep jobs pay per year?

As of Sep 10, 2026, the average yearly pay for health insurance provider rep in the United States is $65,651.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $77,000.00 per year, depending on experience, location, and employer.

What are popular job titles related to Health Insurance Provider Rep jobs?

For Health Insurance Provider Rep jobs, the most frequently searched job titles are:

Infographic showing various Health Insurance Provider Rep job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $65,651 per year, or $31.6 per hour.

Insurance Follow-Up Representative

Allentown, PA • On-site

Lehigh Valley Health Network
Health Care and Social Assistance • 10K+ employees
Learn more about Lehigh Valley Health Networkexternal

$60K - $76K/yr

Full-time

Re-posted 26 days ago

Lehigh Valley Health Network rating

7.1

Company rating: 7.1 out of 10

Based on 284 frontline employees who took The Breakroom Quiz

Job description

Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow-up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider representative for contracting action. Identifies denial and underpayment trends that require computer system modifications and recommends necessary to implement corrective action. Prepares reports for meetings with provider representative and senior leadership, as required.
Job Duties
  • Demonstrates knowledge of insurance carrier reimbursement requirements to evaluate underpayments that are related to insurance carrier clinical and payment policies.
  • Demonstrates the ability to apply LVHN insurance contracts terms to claim payment reviews and the ability to determine if the source of an underpayment is related to a contract management discrepancy, an underpayment, or a line item denial.
  • Conducts a root cause analysis of denials, taking the appropriate corrective action as required, escalating denial trends to management, and routing denials to the appropriate area for resolution.
  • Calculates and submits adjustment and refund requests utilizing the appropriate adjustment code, refund reason, and clearly documents the account history.
  • Identifies the patient out of pocket expense related to non-covered services, co-pays, deductible, and co-insurance allocating the patient responsibility to the patient within the timely filing limit.
  • Demonstrates knowledge of and compliance with established organizational and departmental policies, procedures, objectives and goals.
  • Works collaboratively with management to establish issue logs and account examples for meetings with the insurance carrier provider rep.
  • Responds and reviews all emails and correspondence within 24-48 hours, manages mail received from patients and insurance carriers for appropriate distribution.

Minimum Qualifications
  • High School Diploma/GED
  • 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field.
  • Excellent follow-up and verification skills.
  • Excellent verbal and written communication skills.
  • Knowledge of insurance contracts, and regulations.
  • Proficient with Microsoft Excel, Word, and PowerPoint applications.
  • Strong analytical, mathematical and organizational skills.
  • Successful Completion of DOE and Revenue Cycle Education Training within 3 months of hire.

Preferred Qualifications
  • Associate's Degree in Health Care Science, Business or related field.
  • CPAT - Certified Patient Accounting Technician - State of Pennsylvania

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
https://youtu.be/GD67a9hIXUY
Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Work Shift:
Day Shift
Address:
2100 Mack Blvd
Primary Location:
Mack Building
Position Type:
Onsite
Union:
Not Applicable
Work Schedule:
6-6pm
Department:
1004-13054 CSS-Patient Accounting

What Lehigh Valley Health Network employees say

Pay

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Hours and flexibility

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About Lehigh Valley Health Network

Sourced by ZipRecruiter

LVHN is one of the nation's most advanced health networks, offering comprehensive care in 95 clinical specialties. We are the region's largest employer and the health care provider of choice for more people in the region. Love Where You Work!

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Allentown, PA, US

Year founded

1899

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