Employee benefits specialist vs provider enrollment specialist

The differences between employee benefits specialists and provider enrollment specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both an employee benefits specialist and a provider enrollment specialist. Additionally, an employee benefits specialist has an average salary of $45,893, which is higher than the $39,494 average annual salary of a provider enrollment specialist.

The top three skills for an employee benefits specialist include RFP, health benefits and cobra. The most important skills for a provider enrollment specialist are data entry, patients, and CAQH.

Employee benefits specialist vs provider enrollment specialist overview

	Employee Benefits Specialist	Provider Enrollment Specialist
Yearly salary	$45,893	$39,494
Hourly rate	$22.06	$18.99
Growth rate	7%	7%
Number of jobs	18,644	42,271
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 46%
Average age	45	45
Years of experience	6	6

What does an employee benefits specialist do?

Document clerks are employees who are responsible for tracking and controlling technical documents according to the business standards of an organization. These clerks are required to scan and photocopy business-related documents such as client files, correspondence, and company records. They must work with database systems to maintain digital files while removing and destroying outdated or obsolete files. Document clerks must also verify information in company documents to ensure that the information of clients is correct and resent in all documents.

What does a provider enrollment specialist do?

A provider enrollment specialist is in charge of handling application procedures in a company or facility. Their responsibilities typically revolve around gathering information, reviewing and verifying requirements, processing applications, and liaising with clients. They may also maintain and update databases, assist during complicated procedures, and ensure that all requirements are complete and accurate. Furthermore, as a provider enrollment specialist, it is essential to discuss terms and conditions to clients, helping them understand the company's policies and regulations, including its vision and mission.

Employee benefits specialist vs provider enrollment specialist salary

Employee benefits specialists and provider enrollment specialists have different pay scales, as shown below.

	Employee Benefits Specialist	Provider Enrollment Specialist
Average salary	$45,893	$39,494
Salary range	Between $31,000 And $67,000	Between $28,000 And $54,000
Highest paying City	Parsippany-Troy Hills, NJ	Oakland, CA
Highest paying state	New Jersey	Alaska
Best paying company	RSM US	McKinsey & Company Inc
Best paying industry	Professional	Technology

Differences between employee benefits specialist and provider enrollment specialist education

There are a few differences between an employee benefits specialist and a provider enrollment specialist in terms of educational background:

	Employee Benefits Specialist	Provider Enrollment Specialist
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 46%
Most common major	Business	Business
Most common college	University of Pennsylvania	University of Pennsylvania

Employee benefits specialist vs provider enrollment specialist demographics

Here are the differences between employee benefits specialists' and provider enrollment specialists' demographics:

	Employee Benefits Specialist	Provider Enrollment Specialist
Average age	45	45
Gender ratio	Male, 28.1% Female, 71.9%	Male, 19.6% Female, 80.4%
Race ratio	Black or African American, 11.4% Unknown, 3.7% Hispanic or Latino, 14.8% Asian, 7.7% White, 62.1% American Indian and Alaska Native, 0.4%	Black or African American, 12.5% Unknown, 3.6% Hispanic or Latino, 15.6% Asian, 7.5% White, 60.4% American Indian and Alaska Native, 0.3%
LGBT Percentage	9%	9%

Differences between employee benefits specialist and provider enrollment specialist duties and responsibilities

Employee benefits specialist example responsibilities.

Manage submission process of all documents to the IRS for approval.
Manage newly trusteed and terminate pension plans to ensure termination complies with ERISA.
Manage payroll deductions, responsible for monthly insurance premium payments, and coordinate/communicate annual open enrollment.
Account coordinator for health, dental, fsa, hsa, supplemental coverages.
Process and maintain FSA, HSA, and HRA contributions, deductions, and reimbursements.
Create new HIPAA privacy compliance plan.

Provider enrollment specialist example responsibilities.

Manage federal and state-mandate physician credentialing activities; act as NCQA committee liaison.
Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
Review provider enrollment applications to ensure the credentials and licenses meet all requirements for participation in the Medicare program.
Verify provider is eligible to participate in Medicare according to CMS guidelines.
Verify claim information using ICD-9 and medical terminology and CHAMPUS/ TRICARE guidelines .!
Complete require forms and application for changes or updates in billing systems including EFT and or notification of Athena.

Employee benefits specialist vs provider enrollment specialist skills

Common employee benefits specialist skills

RFP, 13%
Health Benefits, 10%
Cobra, 6%
Human Resources, 6%
HIPAA, 5%
HRIS, 4%

Common provider enrollment specialist skills

Data Entry, 12%
Patients, 12%
CAQH, 9%
Medicare, 7%
Medicaid, 7%
Provider Enrollment Applications, 6%

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Employee Benefits Specialist
Employee Benefits Specialist vs Provider Enrollment Specialist

Updated January 8, 2025

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