Policy services representative vs provider services representative

The differences between policy services representatives and provider services 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 services representative. Additionally, a policy services representative has an average salary of $57,231, which is higher than the $33,858 average annual salary of a provider services 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 services representative are customer service, data entry, and patients.

Policy services representative vs provider services representative overview

	Policy Services Representative	Provider Services Representative
Yearly salary	$57,231	$33,858
Hourly rate	$27.51	$16.28
Growth rate	-4%	-4%
Number of jobs	152,844	252,118
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 41%
Average age	40	40
Years of experience	12	12

Policy services representative vs provider services representative salary

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

	Policy Services Representative	Provider Services Representative
Average salary	$57,231	$33,858
Salary range	Between $42,000 And $76,000	Between $24,000 And $46,000
Highest paying City	-	New York, NY
Highest paying state	-	New York
Best paying company	-	Oracle
Best paying industry	-	Health Care

Differences between policy services representative and provider services representative education

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

	Policy Services Representative	Provider Services Representative
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 41%
Most common major	Business	Business
Most common college	-	-

Policy services representative vs provider services representative demographics

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

	Policy Services Representative	Provider Services Representative
Average age	40	40
Gender ratio	Male, 28.7% Female, 71.3%	Male, 22.2% Female, 77.8%
Race ratio	Black 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, 11.5% Unknown, 5.1% Hispanic or Latino, 20.4% Asian, 6.4% White, 55.9% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between policy services representative and provider services 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 services representative example responsibilities.

Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
Proof reading contracts in order to adjust claims according to proper DRG, ICD-9, and CPT codes.
Complete the surgery schedule and ensure all patients are aware of their financial responsibility prior to the surgery date.
Help providers with all information about CPT codes such as authorizations, restrictions, fee schedules, and correct diagnosis codes.
Register patients for surgery in computer system.

Policy services representative vs provider services 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 services representative skills

Customer Service, 24%
Data Entry, 6%
Patients, 5%
Medicaid, 5%
Health Insurance, 4%
Appeals, 3%

Policy Services Representative vs. similar jobs

Policy Services Representative related careers

Policy Services Representative related jobs

What similar roles do

Zippia Careers
Office and Administrative Industry
Policy Services Representative
Policy Services Representative vs Provider Services Representative

Updated January 8, 2025

Browse office and administrative jobs