What does a medical service representative do?
Medical service representative responsibilities
Here are examples of responsibilities from real medical service representative resumes:
- Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
- Review and resolve NCCI and medical necessity edits in compliance with CMS, CPT, ICD-10 and ICD-9 guidelines.
- Utilize ICD-9-CM and CPT coding principles in the assignment and sequencing of diagnostic and procedure billing codes.
- Follow strict medical guidelines and HIPAA patient confidentiality regulations.
- Educate patients and family on the eligibility requirements, application process, and verification requirements for applicable programs.
- Establish relationships with patients and family members while presenting surgical processes and procedures to patients requiring specialize laser spine treatments.
- Examine injure persons and administer first aid or cardiopulmonary resuscitation, if necessary, using training and medical supplies and equipment.
- Provide DX and ICD-9 codes.
- Call on specialists in Otolaryngology and Rheumatology throughout Wisconsin.
Medical service representative skills and personality traits
We calculated that 28% of Medical Service Representatives are proficient in Patients, Insurance Eligibility, and HIPAA. They’re also known for soft skills such as Communication skills, Computer skills, and Listening skills.
We break down the percentage of Medical Service Representatives that have these skills listed on their resume here:
- Patients, 28%
Established relationships with patients and family members while presenting surgical processes and procedures to patients requiring specialized laser spine treatments.
- Insurance Eligibility, 8%
Analyzed insurance eligibility Registered and scheduled patients Performed secretarial duties
- HIPAA, 8%
Followed strict medical guidelines and HIPAA patient confidentiality regulations.
- Medicaid, 7%
Worked with Medicare, Medicaid and commercial insurances to verify insurance information for accuracy and completeness and resolved discrepancies as needed.
- Medical Terminology, 6%
Demonstrate advanced understanding of medical terminology and coding in the assisting of callers.
- Patient Care, 6%
Trained to communicate precise and applicable information with patient care providers to assist effective and proficient patient care.
"patients," "insurance eligibility," and "hipaa" are among the most common skills that medical service representatives use at work. You can find even more medical service representative responsibilities below, including:
Communication skills. To carry out their duties, the most important skill for a medical service representative to have is communication skills. Their role and responsibilities require that "customer service representatives must be able to provide clear information in writing, by phone, or in person." Medical service representatives often use communication skills in their day-to-day job, as shown by this real resume: "maintained current and accurate records of all relevant communications among patients, physicians, and pharmaceutical representatives"
Listening skills. Another skill that relates to the job responsibilities of medical service representatives is listening skills. This skill is critical to many everyday medical service representative duties, as "representatives must listen carefully to ensure that they understand customers in order to assist them." This example from a resume shows how this skill is used: "communicated effectively with customers, patients and health care professionals. "
Patience. For certain medical service representative responsibilities to be completed, the job requires competence in "patience." The day-to-day duties of a medical service representative rely on this skill, as "representatives should be patient and polite, especially when interacting with dissatisfied customers." For example, this snippet was taken directly from a resume about how this skill applies to what medical service representatives do: "exercise patience and control when dealing with escalated calls.assist force-load with attendance, incoming calls and manager callbacks. "
Problem-solving skills. A commonly-found skill in medical service representative job descriptions, "problem-solving skills" is essential to what medical service representatives do. Medical service representative responsibilities rely on this skill because "representatives must determine solutions to customers’ problems." You can also see how medical service representative duties rely on problem-solving skills in this resume example: "consulted with leadership on challenging customer issues to identify optimal solutions. "
Customer-service skills. While "customer-service skills" is last on this skills list, don't underestimate its importance to medical service representative responsibilities. Much of what a medical service representative does relies on this skill, seeing as "representatives help companies retain customers by professionally answering questions and helping to resolve complaints." Here is a resume example of how this skill is used in the everyday duties of medical service representatives: "received inbound calls and made outbound calls to and from sales leads and calls from and to current and potential customers. "
The three companies that hire the most medical service representatives are:
- St. Joseph's Health6 medical service representatives jobs
- Laboratory Corporation of America Holdings3 medical service representatives jobs
- Spaulding Rehabilitation Hospital3 medical service representatives jobs
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Compare different medical service representatives
Medical service representative vs. Medical records clerk
Medical records clerks are employees in hospitals or clinics who manage office records. They are in charge of creating, updating, and filing patient-related medical records and other related documents. They ensure that all documents are correctly filled out and labeled before storing them safely in their respective storage areas. They may also be in charge of digitizing forms for easier access to files and back up purposes. They ensure that medical records are exact and updated. Medical records clerks should be organized and must always be on top of all tasks related to patient or medical records.
There are some key differences in the responsibilities of each position. For example, medical service representative responsibilities require skills like "insurance eligibility," "home health," "epic," and "durable medical equipment." Meanwhile a typical medical records clerk has skills in areas such as "customer service," "basic math," "math," and "english language." This difference in skills reveals the differences in what each career does.
Medical records clerks earn the highest salaries when working in the health care industry, with an average yearly salary of $32,510. On the other hand, medical service representatives are paid more in the insurance industry with an average salary of $29,733.medical records clerks tend to reach similar levels of education than medical service representatives. In fact, medical records clerks are 0.4% more likely to graduate with a Master's Degree and 0.1% less likely to have a Doctoral Degree.Medical service representative vs. Patient service specialist
A patient service representative serves as a patient's primary point of contact in a hospital or clinic, ensuring accuracy and customer satisfaction. They are mainly responsible for gathering a patient's information and medical history, verifying insurance forms, managing accounts, and processing payments, arranging appointments, and even performing reminder calls and correspondence. There are also instances when a patient service representative must discuss situations to patients and their families, and even alert the doctors when a patient displays strange or unlikely behavior.
In addition to the difference in salary, there are some other key differences worth noting. For example, medical service representative responsibilities are more likely to require skills like "epic," "durable medical equipment," "outbound calls," and "medical services." Meanwhile, a patient service specialist has duties that require skills in areas such as "patient service," "physical therapy," "rehabilitation," and "front desk." These differences highlight just how different the day-to-day in each role looks.
Patient service specialists may earn a higher salary than medical service representatives, but patient service specialists earn the most pay in the health care industry with an average salary of $33,449. On the other hand, medical service representatives receive higher pay in the insurance industry, where they earn an average salary of $29,733.Average education levels between the two professions vary. Patient service specialists tend to reach similar levels of education than medical service representatives. In fact, they're 2.2% more likely to graduate with a Master's Degree and 0.1% more likely to earn a Doctoral Degree.Medical service representative vs. Medical clerk
A medical clerk works in the administrative area of a medical facility or hospital. The medical clerk collects all patient information and medical records. The clerk also does all the clinic or hospital paperwork and generates reports of all transactions that transpired in a day's work. The medical clerk also processes admission and discharge papers, medical charts, properly file and safeguard all patient records and secure them from unauthorized access. The medical clerk is expected to be highly organized, capable of handling pressure, and has good communication skills.
The required skills of the two careers differ considerably. For example, medical service representatives are more likely to have skills like "insurance eligibility," "home health," "epic," and "durable medical equipment." But a medical clerk is more likely to have skills like "phone calls," "telephone calls," "appointment scheduling," and "clerical support."
Medical clerks make a very good living in the government industry with an average annual salary of $35,578. On the other hand, medical service representatives are paid the highest salary in the insurance industry, with average annual pay of $29,733.Most medical clerks achieve a similar degree level compared to medical service representatives. For example, they're 1.1% more likely to graduate with a Master's Degree, and 0.8% more likely to earn a Doctoral Degree.Medical service representative vs. Medical scheduler
A medical scheduler typically works with patients to coordinate appointment dates and times with health care professionals. Medical schedulers often work in hospitals, outpatient care centers, and other medical practices. They perform other duties aside from managing patients' schedules that includes providing patients the information they need about the hospital and its policies, providing patient support, and handling and managing questions from patients. Medical schedulers also act as a link between patients, clinical staff, and referral sources.
Types of medical service representative
Updated January 8, 2025
