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Policy services representative vs provider relations representative

The differences between policy services representatives and provider relations representatives can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a policy services representative and a provider relations representative. Additionally, a policy services representative has an average salary of $57,231, which is higher than the $40,957 average annual salary of a provider relations representative.

The top three skills for a policy services representative include customer service, auto insurance policies and inbound calls. The most important skills for a provider relations representative are customer service, provider relations, and medicaid.

Policy services representative vs provider relations representative overview

Policy Services RepresentativeProvider Relations Representative
Yearly salary$57,231$40,957
Hourly rate$27.51$19.69
Growth rate-4%-4%
Number of jobs152,844203,893
Job satisfaction--
Most common degreeBachelor's Degree, 53%Bachelor's Degree, 58%
Average age4040
Years of experience1212

Policy services representative vs provider relations representative salary

Policy services representatives and provider relations representatives have different pay scales, as shown below.

Policy Services RepresentativeProvider Relations Representative
Average salary$57,231$40,957
Salary rangeBetween $42,000 And $76,000Between $30,000 And $55,000
Highest paying City-Helena, MT
Highest paying state-Montana
Best paying company-Parkland Hospital
Best paying industry-Health Care

Differences between policy services representative and provider relations representative education

There are a few differences between a policy services representative and a provider relations representative in terms of educational background:

Policy Services RepresentativeProvider Relations Representative
Most common degreeBachelor's Degree, 53%Bachelor's Degree, 58%
Most common majorBusinessBusiness
Most common college--

Policy services representative vs provider relations representative demographics

Here are the differences between policy services representatives' and provider relations representatives' demographics:

Policy Services RepresentativeProvider Relations Representative
Average age4040
Gender ratioMale, 28.7% Female, 71.3%Male, 24.2% Female, 75.8%
Race ratioBlack or African American, 10.5% Unknown, 5.2% Hispanic or Latino, 21.0% Asian, 6.6% White, 56.0% American Indian and Alaska Native, 0.7%Black or African American, 12.1% Unknown, 5.3% Hispanic or Latino, 21.8% Asian, 6.5% White, 53.7% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between policy services representative and provider relations representative duties and responsibilities

Policy services representative example responsibilities.

  • Manage customer relations with internal personnel, group administrators, brokers and members as related to Medicare insurance.
  • Adapt communication to age-specific patients and ensure appropriate HIPPA guidelines are followed in patient communication and record keeping.
  • Adapt communication to age-specific patients and ensure appropriate HIPPA guidelines are followed in patient communication and record keeping.

Provider relations representative example responsibilities.

  • Help manage ACO program and review measures with provider offices.
  • Advise clients on health care and manage care products including POS, PPO and medical management programs.
  • Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
  • Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
  • Review the provider contracts, paid members claims, base on the CPT code & ICD-9 that are submitted.
  • Review provider claims for CPT and ICD-9 coding accuracy and generate payment of claims base upon current fee schedule.
    • Show more

Policy services representative vs provider relations representative skills

Common policy services representative skills
  • Customer Service, 34%
  • Auto Insurance Policies, 8%
  • Inbound Calls, 6%
  • Policy Holders, 6%
  • Underwriting Guidelines, 5%
  • Insurance Coverage, 4%
Common provider relations representative skills
  • Customer Service, 16%
  • Provider Relations, 9%
  • Medicaid, 9%
  • Patients, 6%
  • Health Plan, 5%
  • PowerPoint, 4%

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Updated January 8, 2025

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