Enrollment specialist vs enrollment representative

The differences between enrollment specialists and enrollment representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become an enrollment specialist, becoming an enrollment representative takes usually requires 6-12 months. Additionally, an enrollment specialist has an average salary of $39,666, which is higher than the $31,463 average annual salary of an enrollment representative.

The top three skills for an enrollment specialist include customer service, patients and data entry. The most important skills for an enrollment representative are home health, customer service, and data entry.

Enrollment specialist vs enrollment representative overview

	Enrollment Specialist	Enrollment Representative
Yearly salary	$39,666	$31,463
Hourly rate	$19.07	$15.13
Growth rate	7%	-4%
Number of jobs	25,464	185,567
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 47%	Bachelor's Degree, 52%
Average age	45	40
Years of experience	6	12

What does an enrollment specialist do?

Typically the responsibilities of an enrollment specialist revolve around gathering information from clients, explaining policies and regulations, obtaining requirements, and determining whether the clients are eligible for the program or service. They also process and verify applications, maintain records and database of information, and handle any issues and concerns. There are also instances where they must manage billing and even process payments. Furthermore, an enrollment specialist must adhere to the company's policies and standards while reaching out to clients.

What does an enrollment representative do?

An enrollment representative directly communicates with clients when it comes to enrollment programs. Although their duties vary on their place or industry of employment, it typically includes helping enrollees understand the program requirements and rules, reaching out to enrollees to provide updates, gathering and processing applications, answering inquiries, and collecting payments when necessary. They also perform clerical tasks such as preparing and processing documents, updating databases, and maintaining records. Moreover, an enrollment representative must maintain an active communication line with staff for a smooth and efficient workflow.

Enrollment specialist vs enrollment representative salary

Enrollment specialists and enrollment representatives have different pay scales, as shown below.

	Enrollment Specialist	Enrollment Representative
Average salary	$39,666	$31,463
Salary range	Between $29,000 And $54,000	Between $25,000 And $38,000
Highest paying City	Trenton, NJ	Temecula, CA
Highest paying state	New Jersey	California
Best paying company	The American Musical and Dramatic Academy	Curry College
Best paying industry	Health Care	Non Profits

Differences between enrollment specialist and enrollment representative education

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

	Enrollment Specialist	Enrollment Representative
Most common degree	Bachelor's Degree, 47%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	University of Pennsylvania	-

Enrollment specialist vs enrollment representative demographics

Here are the differences between enrollment specialists' and enrollment representatives' demographics:

	Enrollment Specialist	Enrollment Representative
Average age	45	40
Gender ratio	Male, 25.0% Female, 75.0%	Male, 29.1% Female, 70.9%
Race ratio	Black or African American, 10.6% Unknown, 3.6% Hispanic or Latino, 15.5% Asian, 7.4% White, 62.6% American Indian and Alaska Native, 0.3%	Black or African American, 9.6% Unknown, 5.4% Hispanic or Latino, 21.8% Asian, 6.6% White, 55.9% American Indian and Alaska Native, 0.7%
LGBT Percentage	9%	7%

Differences between enrollment specialist and enrollment representative duties and responsibilities

Enrollment specialist example responsibilities.

Manage the TRICARE information program by presenting information utilizing available media, group presentations, or mailings.
Manage customer relations with internal personnel, group administrators, brokers and members as related to HMO commercial insurance.
Maintain records pertaining to eligibility and enrollment by managing CMS reports.
Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Assist medical assistance consumers with choosing HMO's and PCP as well as with HMO and PCP transfers.

Enrollment representative example responsibilities.

Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
Audit all tickets for proper labs, correct ICD-9 coding and CPT coding.
Learned ICD-9 codes and medical billing to insure prompt and accurate processing of claims.
Resolve claims by verifying CPT and ICD-9 coding and the expected reimbursement per contractual agreements with varying insurance providers.
Proofread any errors than may occur, fax, file, track all PCP forms
Adhere to all key audit controls and comply with all establish standards associate with HIPAA, SOX and SAS70.

Enrollment specialist vs enrollment representative skills

Common enrollment specialist skills

Customer Service, 20%
Patients, 12%
Data Entry, 8%
Health Insurance, 7%
Enrollment Process, 6%
Outbound Calls, 5%

Common enrollment representative skills

Home Health, 22%
Customer Service, 18%
Data Entry, 10%
Patients, 6%
CMS, 4%
Enrollment Process, 4%

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Enrollment Specialist
Enrollment Specialist vs Enrollment Representative

Updated January 8, 2025

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