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72 Commonspirit Health Insurance Follow Up Representative Jobs Hiring Near You

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What are the key skills and qualifications needed to thrive as an Insurance Follow Up Representative, and why are they important?

To thrive as an Insurance Follow Up Representative, you need a solid understanding of medical billing, insurance claims processes, and often a high school diploma or equivalent. Familiarity with healthcare billing software, EHR systems, and payer portals is typically required, and certifications like Certified Revenue Cycle Specialist (CRCS) can be advantageous. Strong attention to detail, persistence, and effective communication skills help you resolve claim denials and collaborate with insurance companies. These skills ensure timely reimbursement, minimize revenue loss, and maintain accurate patient billing records.

What are some common challenges faced by Insurance Follow Up Representatives in managing claim denials and how can they be addressed?

Insurance Follow Up Representatives often encounter challenges such as frequent claim denials, delayed payments, and complex payer requirements. To address these, representatives must stay updated on insurance policies, document interactions meticulously, and communicate effectively with both patients and insurance companies. Developing strong problem-solving skills and leveraging claim management software can help streamline the process and reduce errors. Collaboration with billing teams and maintaining up-to-date knowledge of payer rules also play a key role in overcoming these challenges.

What are Insurance Follow Up Representatives?

Insurance Follow Up Representatives are professionals who work in healthcare or insurance organizations to ensure that insurance claims are processed, followed up on, and paid in a timely manner. They review outstanding claims, communicate with insurance companies to resolve issues or denials, and update patient accounts accordingly. Their role is essential for maintaining the financial health of healthcare providers by minimizing delays and maximizing reimbursement from insurance carriers.

What is the difference between Insurance Follow Up Representative vs Claims Processor?

AspectInsurance Follow Up RepresentativeClaims Processor
CredentialsHigh school diploma; some roles may prefer insurance certificationsHigh school diploma; insurance or claims certifications beneficial
Work EnvironmentOffice setting, interacting with insurance companies and clientsOffice setting, reviewing and processing insurance claims
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Primary FocusFollowing up on unpaid or delayed claims, ensuring paymentReviewing claim details, approving or denying claims

The main difference is that Insurance Follow Up Representatives focus on contacting insurance companies to resolve unpaid claims, while Claims Processors handle the initial review and decision-making on claims. Both roles require knowledge of insurance policies and strong communication skills, but their responsibilities differ in the claims lifecycle.

Do workers at CommonSpirit Health get paid breaks?

Sometimes. Only some people get paid breaks.
59% of people say they don’t get paid breaks.
Based on data from 96 people who took the Breakroom Quiz between November 2025 and May 2026.

Does CommonSpirit Health pay people when they’re sick?

Sometimes. Only some people get paid when they’re sick.
42% of people say they wouldn’t get paid if they were sick but scheduled to work.
Based on data from 118 people who took the Breakroom Quiz between November 2025 and May 2026.

At CommonSpirit Health, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
84% of people say they have to use vacation days when they’re out sick.
Based on data from 120 people who took the Breakroom Quiz between November 2025 and May 2026.

Do part-time workers get paid time off at CommonSpirit Health?

Only some people who work part-time get paid time off.
45% of people who work part-time say they don’t get paid time off
Based on data from 22 people who took the Breakroom Quiz between June 2025 and May 2026.

Is the health insurance from CommonSpirit Health affordable enough for their workers?

Most people say the health insurance costs are okay.
86% of people say the health insurance costs are okay
Based on data from 110 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people get paid time off at CommonSpirit Health?

Most people get paid time off work.
94% of people say they get paid time off.
Based on data from 134 people who took the Breakroom Quiz between November 2025 and May 2026.

How far ahead of time do people find out their work schedule?

Only some people find out their schedule four weeks ahead of time.
  • 13% of people with changing schedules find out their shifts one week or less ahead of time.
  • 12% of people with changing schedules find out their shifts two weeks ahead of time.
  • 17% of people with changing schedules find out their shifts three weeks ahead of time.
  • 58% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 125 people who took the Breakroom Quiz between May 2025 and May 2026.

Do workers at CommonSpirit Health worry about hours?

Most people don’t worry about getting enough hours.
76% of people report they don’t worry about getting enough hours.
Based on data from 171 people who took the Breakroom Quiz between May 2025 and May 2026.

Do CommonSpirit Health workers get to choose the shifts they work?

Most people get to choose which shifts they work.
81% report that they have enough control over which shifts they work.
Based on data from 137 people who took the Breakroom Quiz between May 2025 and May 2026.

How easy is it for CommonSpirit Health workers to change shifts?

Some people find it hard to change shifts.
44% of people report that it’s hard to change shifts if they need to.
Based on data from 120 people who took the Breakroom Quiz between May 2025 and May 2026.

How easy is it to get time off at CommonSpirit Health?

Most people find it easy to get time off.
70% of people report it’s easy to get time off.
Based on data from 105 people who took the Breakroom Quiz between November 2025 and May 2026.

Do CommonSpirit Health managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
90% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 167 people who took the Breakroom Quiz between May 2025 and May 2026.

Do workers at CommonSpirit Health do extra work that they don't get paid for?

Rarely. Most people don’t do unpaid extra work.
84% of people report that they don’t do extra unpaid work.
Based on data from 167 people who took the Breakroom Quiz between May 2025 and May 2026.

How easy is it to take sick days at CommonSpirit Health?

Most people find it easy to take sick days.
72% of people report that it’s easy to take time off if they are sick.
Based on data from 123 people who took the Breakroom Quiz between November 2025 and May 2026.

Is a CommonSpirit Health job good for students?

Most students say this is a good place to work if you’re studying.
68% of students report this is a good place to work if you’re studying.
Based on data from 31 people who took the Breakroom Quiz between May 2025 and May 2026.

Is working at CommonSpirit Health good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
77% of people who care for a child or other relative report this is a good place to work.
Based on data from 108 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CommonSpirit Health feel treated with respect by their managers?

Most people feel treated with respect by their managers.
78% of people say they’re treated with respect by their managers.
Based on data from 114 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people at CommonSpirit Health get to take their breaks without interruption?

Most people get breaks without interruption.
68% of people report that they get to take their breaks without interruption.
Based on data from 101 people who took the Breakroom Quiz between November 2025 and May 2026.

Is it stressful to work at CommonSpirit Health?

Most people feel stressed out here.
75% of people say they often feel stressed out at work.
Based on data from 132 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people at CommonSpirit Health enjoy their jobs?

Most people enjoy their job.
77% of people report they enjoy their job.
Based on data from 114 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people at CommonSpirit Health recommend working with their team?

Only some people recommend working with their team.
49% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 135 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people get enough training when they start at CommonSpirit Health?

Most people got enough training when they started.
68% of people report they got enough training when they started working here.
Based on data from 131 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people get support to advance at CommonSpirit Health?

Only some people are given support to advance their career here.
In the last year, 50% of people report not being given support to advance their career here.
Based on data from 113 people who took the Breakroom Quiz between November 2025 and May 2026.

Do people think CommonSpirit Health’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
88% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 121 people who took the Breakroom Quiz between November 2025 and May 2026.

Do workers feel well informed about how CommonSpirit Health is doing?

Only some people feel well informed about how the company is doing.
49% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 118 people who took the Breakroom Quiz between November 2025 and May 2026.
What other companies are hiring for Insurance Follow Up Representative jobs?
What are the most popular jobs at Commonspirit Health?
What are the most popular categories at Commonspirit Health?
Infographic showing various Insurance Follow Up Representative job openings at Commonspirit Health in the United States as of May 2026, with employment types broken down into 4% As Needed, 86% Full Time, and 10% Part Time. Highlights an 97% Physical, and 3% Remote job distribution.
Insurance Follow-Up Representative

Insurance Follow-Up Representative

Lehigh Valley Health Network

Allentown, PA • On-site

$60.20K - $76K/yr

Full-time

Posted 11 days ago

Lehigh Valley Health Network rating

7.1

Company rating: 7.1 out of 10

Based on 269 frontline employees who took The Breakroom Quiz

369th of 864 rated healthcare providers

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:
6am-6pm
Department:
1004-13054 CSS-Patient Accounting

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About Lehigh Valley Health Network

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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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