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Medicare correspondence representative vs patient care representative

The differences between medicare correspondence representatives and patient care representatives 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 a patient care representative. Additionally, a medicare correspondence representative has an average salary of $37,896, which is higher than the $33,709 average annual salary of a patient care representative.

The top three skills for a medicare correspondence representative include patients, appeals and customer issues. The most important skills for a patient care representative are patients, patient care, and home health.

Medicare correspondence representative vs patient care representative overview

Medicare Correspondence RepresentativePatient Care Representative
Yearly salary$37,896$33,709
Hourly rate$18.22$16.21
Growth rate-4%-4%
Number of jobs28,554133,317
Job satisfaction--
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 39%
Average age4040
Years of experience44

Medicare correspondence representative vs patient care representative salary

Medicare correspondence representatives and patient care representatives have different pay scales, as shown below.

Medicare Correspondence RepresentativePatient Care Representative
Average salary$37,896$33,709
Salary rangeBetween $29,000 And $49,000Between $27,000 And $41,000
Highest paying City-Boston, MA
Highest paying state-Alaska
Best paying company-Massachusetts General Hospital
Best paying industry-Technology

Differences between medicare correspondence representative and patient care representative education

There are a few differences between a medicare correspondence representative and a patient care representative in terms of educational background:

Medicare Correspondence RepresentativePatient Care Representative
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 39%
Most common majorBusinessBusiness
Most common collegeStanford UniversityUniversity of Pennsylvania

Medicare correspondence representative vs patient care representative demographics

Here are the differences between medicare correspondence representatives' and patient care representatives' demographics:

Medicare Correspondence RepresentativePatient Care Representative
Average age4040
Gender ratioMale, 24.6% Female, 75.4%Male, 17.1% Female, 82.9%
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, 12.5% Unknown, 5.1% Hispanic or Latino, 20.3% Asian, 6.3% White, 55.2% American Indian and Alaska Native, 0.6%
LGBT Percentage7%7%

Differences between medicare correspondence representative and patient care representative 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

Patient care representative example responsibilities.

  • Manage cash and co-payments accurately and discharge patients providing them with proper medical notes and information before exiting.
  • Verify insurance, Medicaid, Medicare, register patients, and code proper ICD-9 and CPT codes on encounters.
  • Utilize medical terminology, CPT, HCPC and ICD-9 and patient information into new authorizations.
  • Interview patients to gather information pertinent to their Medicaid application.
  • Screen, identify, and enter ICD-9 coding from treatment record forms.
  • Maintain patient confidentiality and follow HIPAA rules.
    • Show more

Medicare correspondence representative vs patient care representative skills

Common medicare correspondence representative skills
  • Patients, 18%
  • Appeals, 9%
  • Customer Issues, 8%
  • CMS, 7%
  • Medicaid, 6%
  • Inbound Calls, 6%
Common patient care representative skills
  • Patients, 25%
  • Patient Care, 13%
  • Home Health, 7%
  • Cash Management, 5%
  • Phone Calls, 4%
  • CPT, 3%

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Updated January 8, 2025

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