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Claims support specialist vs patient care specialist

The differences between claims support specialists and patient care specialists can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a claims support specialist, becoming a patient care specialist takes usually requires 2-4 years. Additionally, a claims support specialist has an average salary of $37,033, which is higher than the $34,157 average annual salary of a patient care specialist.

The top three skills for a claims support specialist include data entry, dictation and claims support. The most important skills for a patient care specialist are patients, patient care, and data entry.

Claims support specialist vs patient care specialist overview

Claims Support SpecialistPatient Care Specialist
Yearly salary$37,033$34,157
Hourly rate$17.80$16.42
Growth rate-4%-4%
Number of jobs120,650146,861
Job satisfaction--
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 40%
Average age4040
Years of experience124

What does a claims support specialist do?

Claims support specialists are the ones who make sure that the right amount of reimbursement rates is paid based on their client's contracts. Their job includes processing medical record requests and reviewing the secondary and tertiary claims for legitimacy. Working with physician and billing office employees to find resolutions for outstanding claim issues is a part of their responsibilities as claim support specialists. They also make follow up calls about unprocessed or denied insurance claims. And having good communication skills and knowledge in healthcare receivables and collections will help them succeed.

What does a patient care specialist do?

A patient service or care specialist works at different medical facilities. Primary responsibilities include checking patients in and out, scheduling follow-up appointments as well as checking patient eligibility for services or programs. Patient service specialists should maintain a systematic referral log to correlate patient referrals to other specialists. Applicants for the job should have the basic computer knowledge to effectively manage data of patient's files, knowledge of medical terminologies, and possess good interpersonal and customer service skills.

Claims support specialist vs patient care specialist salary

Claims support specialists and patient care specialists have different pay scales, as shown below.

Claims Support SpecialistPatient Care Specialist
Average salary$37,033$34,157
Salary rangeBetween $28,000 And $47,000Between $20,000 And $55,000
Highest paying CityRancho Cordova, CABoston, MA
Highest paying stateMassachusettsMassachusetts
Best paying companyW. R. BerkleyKPG
Best paying industryInsuranceHealth Care

Differences between claims support specialist and patient care specialist education

There are a few differences between a claims support specialist and a patient care specialist in terms of educational background:

Claims Support SpecialistPatient Care Specialist
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 40%
Most common majorBusinessBusiness
Most common college-University of Pennsylvania

Claims support specialist vs patient care specialist demographics

Here are the differences between claims support specialists' and patient care specialists' demographics:

Claims Support SpecialistPatient Care Specialist
Average age4040
Gender ratioMale, 22.3% Female, 77.7%Male, 20.3% Female, 79.7%
Race ratioBlack or African American, 11.3% Unknown, 4.9% Hispanic or Latino, 18.3% Asian, 6.8% White, 58.1% American Indian and Alaska Native, 0.6%Black or African American, 11.7% Unknown, 5.2% Hispanic or Latino, 21.1% Asian, 6.3% White, 55.0% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between claims support specialist and patient care specialist duties and responsibilities

Claims support specialist example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • Key in DC Medicaid claims for processing.
  • Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.
  • Review and process HMO facility and professional claims determining benefits due in accordance to plan/policy provisions.

Patient care specialist example responsibilities.

  • Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
  • Utilize software applications to document call interactions using medical terminology and responsible for initially engaging patients by explaining the services.
  • Verify CPT codes along with diagnosis code for guarantee payment for surgeries.
  • Process daily fee tickets and correctly enter office visit ICD 9 and CPT codes into the system for billing.
  • Adhere to HIPPA confidentiality guidelines.
  • Track Medicaid eligibility of clients.
  • Show more

Claims support specialist vs patient care specialist skills

Common claims support specialist skills
  • Data Entry, 21%
  • Dictation, 10%
  • Claims Support, 9%
  • Loss Reports, 6%
  • Customer Service, 6%
  • Office Equipment, 5%
Common patient care specialist skills
  • Patients, 33%
  • Patient Care, 17%
  • Data Entry, 5%
  • Medical Terminology, 4%
  • CPT, 2%
  • CPR, 2%

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