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Medicare correspondence representative vs authorization specialist

The differences between medicare correspondence representatives and authorization specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a medicare correspondence representative and an authorization specialist. Additionally, a medicare correspondence representative has an average salary of $37,896, which is higher than the $36,518 average annual salary of an authorization specialist.

The top three skills for a medicare correspondence representative include patients, appeals and customer issues. The most important skills for an authorization specialist are patients, customer service, and insurance verification.

Medicare correspondence representative vs authorization specialist overview

Medicare Correspondence RepresentativeAuthorization Specialist
Yearly salary$37,896$36,518
Hourly rate$18.22$17.56
Growth rate-4%-4%
Number of jobs28,55471,831
Job satisfaction--
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 33%
Average age4040
Years of experience44

Medicare correspondence representative vs authorization specialist salary

Medicare correspondence representatives and authorization specialists have different pay scales, as shown below.

Medicare Correspondence RepresentativeAuthorization Specialist
Average salary$37,896$36,518
Salary rangeBetween $29,000 And $49,000Between $28,000 And $47,000
Highest paying City-Milford, MA
Highest paying state-Massachusetts
Best paying company-Guidehouse
Best paying industry-Health Care

Differences between medicare correspondence representative and authorization specialist education

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

Medicare Correspondence RepresentativeAuthorization Specialist
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 33%
Most common majorBusinessBusiness
Most common collegeStanford UniversityUniversity of Pennsylvania

Medicare correspondence representative vs authorization specialist demographics

Here are the differences between medicare correspondence representatives' and authorization specialists' demographics:

Medicare Correspondence RepresentativeAuthorization Specialist
Average age4040
Gender ratioMale, 24.6% Female, 75.4%Male, 15.4% Female, 84.6%
Race ratioBlack or African American, 10.4% Unknown, 4.9% Hispanic or Latino, 21.2% Asian, 6.2% White, 56.6% American Indian and Alaska Native, 0.6%Black or African American, 10.8% Unknown, 5.5% Hispanic or Latino, 22.6% Asian, 6.9% White, 53.6% American Indian and Alaska Native, 0.8%
LGBT Percentage7%7%

Differences between medicare correspondence representative and authorization specialist duties and responsibilities

Medicare correspondence representative example responsibilities.

  • Manage CMS communications throughout the organization.
  • Follow specific HIPAA guidelines as set forth by company regulations.
  • Maintain, update, and review member files adhering to strict HIPPA guidelines.
  • Send high volume of written correspondence/affirmation letters to providers and patients.
  • Provide professional and confidentiality with patient information due to HIPPA regulations.
  • Assist with data reports by comparing enrollment error reports against system information along with CMS records to validate information accuracy.
    • Show more

Authorization specialist example responsibilities.

  • Demonstrate knowledge of HIPAA by appropriately managing patient confidentiality.
  • Utilize CMS and InterQual criteria to establish authorizations for members requiring medical services for a Medicare advantage insurance company.
  • Build authorization, match ICD-10 codes with there procedure codes
  • Provide patients with patient registration forms in order to follow up on patient check-in and check-out utilizing a proprietary management system.
  • Obtain verification of insurance coverage and authorizations for clinical visits and surgical procedures for patients.
  • Perform all components of the office registration including arrival, check-in and future appointments.
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Medicare correspondence representative vs authorization specialist skills

Common medicare correspondence representative skills
  • Patients, 18%
  • Appeals, 9%
  • Customer Issues, 8%
  • CMS, 7%
  • Medicaid, 6%
  • Inbound Calls, 6%
Common authorization specialist skills
  • Patients, 20%
  • Customer Service, 10%
  • Insurance Verification, 6%
  • Medical Terminology, 6%
  • Insurance Eligibility, 4%
  • Veterans, 4%

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Updated January 8, 2025

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