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Patient service representative vs patient care specialist

The differences between patient service representatives and patient care 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 patient service representative and a patient care specialist. Additionally, a patient care specialist has an average salary of $34,157, which is higher than the $32,476 average annual salary of a patient service representative.

The top three skills for a patient service representative include patients, customer service and excellent interpersonal. The most important skills for a patient care specialist are patients, patient care, and data entry.

Patient service representative vs patient care specialist overview

Patient Service RepresentativePatient Care Specialist
Yearly salary$32,476$34,157
Hourly rate$15.61$16.42
Growth rate-4%-4%
Number of jobs165,920146,861
Job satisfaction--
Most common degreeBachelor's Degree, 32%Bachelor's Degree, 40%
Average age4040
Years of experience44

What does a patient service representative do?

A Patient Service Representative is responsible for coordinating with patients, ensuring accuracy and satisfaction at all times. The duties of a Patient Service Representative revolves around greeting and responding to patients, offering assistance in documentation, gathering and maintaining their personal information, and even communicating with the family or guardian. They also have to collect payments and process insurance details, obtain medical history, and even keep the patients updated in various aspects. Aside from this, it is crucial for a Representative coordinate with supervisors or personnel in-charge at all times.

What does a patient care specialist do?

A patient service or care specialist works at different medical facilities. Primary responsibilities include checking patients in and out, scheduling follow-up appointments as well as checking patient eligibility for services or programs. Patient service specialists should maintain a systematic referral log to correlate patient referrals to other specialists. Applicants for the job should have the basic computer knowledge to effectively manage data of patient's files, knowledge of medical terminologies, and possess good interpersonal and customer service skills.

Patient service representative vs patient care specialist salary

Patient service representatives and patient care specialists have different pay scales, as shown below.

Patient Service RepresentativePatient Care Specialist
Average salary$32,476$34,157
Salary rangeBetween $27,000 And $38,000Between $20,000 And $55,000
Highest paying CitySeattle, WABoston, MA
Highest paying stateVermontMassachusetts
Best paying companyUniversity of California, BerkeleyKPG
Best paying industryHealth CareHealth Care

Differences between patient service representative and patient care specialist education

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

Patient Service RepresentativePatient Care Specialist
Most common degreeBachelor's Degree, 32%Bachelor's Degree, 40%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaUniversity of Pennsylvania

Patient service representative vs patient care specialist demographics

Here are the differences between patient service representatives' and patient care specialists' demographics:

Patient Service RepresentativePatient Care Specialist
Average age4040
Gender ratioMale, 11.9% Female, 88.1%Male, 20.3% Female, 79.7%
Race ratioBlack or African American, 10.3% Unknown, 5.3% Hispanic or Latino, 21.5% Asian, 6.3% White, 55.7% American Indian and Alaska Native, 0.7%Black or African American, 11.7% Unknown, 5.2% Hispanic or Latino, 21.1% Asian, 6.3% White, 55.0% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between patient service representative and patient care specialist duties and responsibilities

Patient service representative example responsibilities.

  • Manage the daily release of charges to A/R.
  • Adhere with all state and federal regulations such as EMTALA and HIPPA requirements and appropriately collect co-payments and deductibles from patients.
  • Provide caring and compassion to elderly and developmentally disable patients.
  • Demonstrate respect, compassion and confidentiality for patients and family members.
  • Provide professional and accurate service to schedule patient appointments, check-in and verify insurance eligibility.
  • Provide quality customer service to patients and observe all protocols regarding HIPPA regulations to ensure patient confidentiality.
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Patient care specialist example responsibilities.

  • Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
  • Utilize software applications to document call interactions using medical terminology and responsible for initially engaging patients by explaining the services.
  • Verify CPT codes along with diagnosis code for guarantee payment for surgeries.
  • Process daily fee tickets and correctly enter office visit ICD 9 and CPT codes into the system for billing.
  • Adhere to HIPPA confidentiality guidelines.
  • Track Medicaid eligibility of clients.
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Patient service representative vs patient care specialist skills

Common patient service representative skills
  • Patients, 20%
  • Customer Service, 12%
  • Excellent Interpersonal, 7%
  • Check-In, 7%
  • Patient Service, 6%
  • Excellent Organizational, 6%
Common patient care specialist skills
  • Patients, 33%
  • Patient Care, 17%
  • Data Entry, 5%
  • Medical Terminology, 4%
  • CPT, 2%
  • CPR, 2%

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