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Claims resolution specialist vs client relations specialist

The differences between claims resolution specialists and client relations specialists 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 resolution specialist and a client relations specialist. Additionally, a client relations specialist has an average salary of $39,902, which is higher than the $38,432 average annual salary of a claims resolution specialist.

The top three skills for a claims resolution specialist include patients, medical terminology and insurance claims. The most important skills for a client relations specialist are client relations, customer service, and data entry.

Claims resolution specialist vs client relations specialist overview

Claims Resolution SpecialistClient Relations Specialist
Yearly salary$38,432$39,902
Hourly rate$18.48$19.18
Growth rate-4%-4%
Number of jobs55,413200,766
Job satisfaction--
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 64%
Average age4040
Years of experience1212

What does a claims resolution specialist do?

Claims resolution specialists are in charge of outstanding claims follow-ups, submitting appeals, and corresponding to work claims. To be good at this job, they find different techniques to resolve outstanding patient claims. When performing their duties, these specialists make sure that they work with professionalism and high detail quality. They should be comfortable with navigating computerized claims and various platforms while assisting their clients over the phone. These types of specialists also always maintain the confidentiality of their members' data.

What does a client relations specialist do?

A client relations specialist is primarily in charge of building positive relationships with clients by providing optimal services. Although the extent of their responsibilities depends on their company of employment, it typically includes handling customer calls and correspondence, offering products or services, discussing promotions or product specifications, answering inquiries, arranging appointments, resolving issues and concerns, and processing payments or refunds. Moreover, a client relations specialist conducts market research and analysis to identify the current trends and practices, aiming for client satisfaction.

Claims resolution specialist vs client relations specialist salary

Claims resolution specialists and client relations specialists have different pay scales, as shown below.

Claims Resolution SpecialistClient Relations Specialist
Average salary$38,432$39,902
Salary rangeBetween $30,000 And $47,000Between $27,000 And $58,000
Highest paying City-Washington, DC
Highest paying state-New Jersey
Best paying company-McKinsey & Company Inc
Best paying industry-Real Estate

Differences between claims resolution specialist and client relations specialist education

There are a few differences between a claims resolution specialist and a client relations specialist in terms of educational background:

Claims Resolution SpecialistClient Relations Specialist
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 64%
Most common majorBusinessBusiness
Most common college--

Claims resolution specialist vs client relations specialist demographics

Here are the differences between claims resolution specialists' and client relations specialists' demographics:

Claims Resolution SpecialistClient Relations Specialist
Average age4040
Gender ratioMale, 26.0% Female, 74.0%Male, 30.3% Female, 69.7%
Race ratioBlack or African American, 11.4% Unknown, 5.1% Hispanic or Latino, 20.6% Asian, 6.2% White, 56.0% American Indian and Alaska Native, 0.6%Black or African American, 11.5% Unknown, 5.3% Hispanic or Latino, 20.3% Asian, 6.5% White, 55.7% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between claims resolution specialist and client relations specialist duties and responsibilities

Claims resolution specialist example responsibilities.

  • Manage expedition of appeals via problem solving and collaboration with other departments.
  • Assist provider with ICD-9, CPT and revenue codes, DME, coordination of benefits, efficiently train on HIPPA.
  • Process medical claims submit to Kansas Medicaid using establish guidelines and policies.
  • Ensure compliance with HIPAA regulations and requirements.
  • Determine the types of claims using submit diagnoses, CPT, and HCPS codes.
  • Communicate with claimants and insure individuals alike while ensuring privacy and HIPPA laws are maintain.
  • Show more

Client relations specialist example responsibilities.

  • Manage calendars; compile account records; create PowerPoint presentations for vendors, customers and investors.
  • Transition reporting and document storage process to an online SharePoint workspace for increase efficiency.
  • Participate in training of new representatives by composing training manuals and PowerPoint presentations.
  • Perform collection follow-up duties on specific financial classifications such as commercial insurance, Medicare and Medicaid claims.
  • Educate clients regarding proper distributions according to IRS regulations.

Claims resolution specialist vs client relations specialist skills

Common claims resolution specialist skills
  • Patients, 13%
  • Medical Terminology, 7%
  • Insurance Claims, 6%
  • Patient Accounts, 5%
  • Medicaid, 5%
  • CPT, 5%
Common client relations specialist skills
  • Client Relations, 24%
  • Customer Service, 8%
  • Data Entry, 7%
  • Client Facing, 6%
  • Inbound Calls, 4%
  • Client Support, 4%

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