Claims account specialist vs collections representative

The differences between claims account specialists and collections representatives can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a claims account specialist and a collections representative. Additionally, a claims account specialist has an average salary of $37,054, which is higher than the $34,015 average annual salary of a collections representative.

The top three skills for a claims account specialist include customer service, medical terminology and patient accounts. The most important skills for a collections representative are payment arrangements, customer service, and delinquent accounts.

Claims account specialist vs collections representative overview

	Claims Account Specialist	Collections Representative
Yearly salary	$37,054	$34,015
Hourly rate	$17.81	$16.35
Growth rate	-8%	-8%
Number of jobs	90,491	85,275
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	High School Diploma, 33%
Average age	46	46
Years of experience	12	12

Claims account specialist vs collections representative salary

Claims account specialists and collections representatives have different pay scales, as shown below.

	Claims Account Specialist	Collections Representative
Average salary	$37,054	$34,015
Salary range	Between $31,000 And $43,000	Between $26,000 And $42,000
Highest paying City	-	San Ramon, CA
Highest paying state	-	California
Best paying company	-	University of California, Berkeley
Best paying industry	-	Finance

Differences between claims account specialist and collections representative education

There are a few differences between a claims account specialist and a collections representative in terms of educational background:

	Claims Account Specialist	Collections Representative
Most common degree	Bachelor's Degree, 48%	High School Diploma, 33%
Most common major	Business	Business
Most common college	-	-

Claims account specialist vs collections representative demographics

Here are the differences between claims account specialists' and collections representatives' demographics:

	Claims Account Specialist	Collections Representative
Average age	46	46
Gender ratio	Male, 26.0% Female, 74.0%	Male, 30.6% Female, 69.4%
Race ratio	Black or African American, 14.6% Unknown, 4.0% Hispanic or Latino, 16.6% Asian, 3.6% White, 60.8% American Indian and Alaska Native, 0.5%	Black or African American, 12.2% Unknown, 3.9% Hispanic or Latino, 18.9% Asian, 3.4% White, 61.1% American Indian and Alaska Native, 0.5%
LGBT Percentage	8%	8%

Differences between claims account specialist and collections representative duties and responsibilities

Claims account specialist example responsibilities.

Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
Review HMO insurance vouchers and resubmitted if necessary.
Utilize excellent communication and negotiation skills to resolve credit card delinquency favorable to company and card member.

Collections representative example responsibilities.

Protect A/R assets by managing a portfolio of accounts to maximize gainful sales and reduce debt losses.
Maintain effective communication and utilize negotiation skills with internal and external customers to effect collections while maintaining customer good will.
Submit all reconsideration and appeals if need.
Conduct periodic data cleaning of queues balances deny with deny appeals.
Resolve valid or authorize NSF charges due to decline credit cards or ACH transactions.
Collect and count inventories, reconcile purchases and scan UPC's and inputting price information.

Claims account specialist vs collections representative skills

Common claims account specialist skills

Customer Service, 28%
Medical Terminology, 13%
Patient Accounts, 9%
Medical Treatment, 7%
Process Payments, 7%
Medicaid, 7%

Common collections representative skills

Payment Arrangements, 14%
Customer Service, 13%
Delinquent Accounts, 9%
Past Due Accounts, 6%
Customer Accounts, 4%
Debt Repayment, 4%

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Claims Account Specialist
Claims Account Specialist vs Collections Representative

Updated January 8, 2025

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