Provider relations representative vs client representative

The differences between provider relations representatives and client 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 provider relations representative and a client representative. Additionally, a client representative has an average salary of $41,785, which is higher than the $40,957 average annual salary of a provider relations representative.

The top three skills for a provider relations representative include customer service, provider relations and medicaid. The most important skills for a client representative are customer service, phone calls, and client accounts.

Provider relations representative vs client representative overview

	Provider Relations Representative	Client Representative
Yearly salary	$40,957	$41,785
Hourly rate	$19.69	$20.09
Growth rate	-4%	-4%
Number of jobs	203,893	238,735
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 61%
Average age	40	40
Years of experience	12	12

What does a provider relations representative do?

Provider relations specialists are professionals who work for insurance companies as the primary contact for health care providers such as clinics and hospitals. These specialists are required to provide answers about service contracts and billing procedures to health care providers. They must handle the documents of patients to ensure that proper paperwork has been filed for coverage while developing communications with providers about any policy changes. Provider relations specialists must also travel to different health care organizations to provide training to their staff on insurance policies and procedures.

What does a client representative do?

Client Representatives are professionals who work on behalf of their clients. They coordinate with external parties with which their clients are involved. They represent their clients during meetings and appointments when their clients are not available. Client Representatives should have a background related to the business that their clients are involved in. This would help them catch up with conversations. They are expected to act as if they are the client themselves. They must act within the client's best interest at all times. As such, they should be familiar with their clients' interests and needs.

Provider relations representative vs client representative salary

Provider relations representatives and client representatives have different pay scales, as shown below.

	Provider Relations Representative	Client Representative
Average salary	$40,957	$41,785
Salary range	Between $30,000 And $55,000	Between $28,000 And $60,000
Highest paying City	Helena, MT	New York, NY
Highest paying state	Montana	New York
Best paying company	Parkland Hospital	IBM
Best paying industry	Health Care	Technology

Differences between provider relations representative and client representative education

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

	Provider Relations Representative	Client Representative
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 61%
Most common major	Business	Business
Most common college	-	-

Provider relations representative vs client representative demographics

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

	Provider Relations Representative	Client Representative
Average age	40	40
Gender ratio	Male, 24.2% Female, 75.8%	Male, 40.6% Female, 59.4%
Race ratio	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%	Black or African American, 11.2% Unknown, 5.3% Hispanic or Latino, 21.2% Asian, 7.6% White, 54.0% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between provider relations representative and client representative duties and responsibilities

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.

Client representative example responsibilities.

Experience in managing pipeline, progressing opportunity through sales stages & using CRM tools to reflect pipeline accurately.
Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
Utilize research tools and CRM package to sustain consistent pipeline of prospective clients.
Present program via Microsoft PowerPoint to potential clients and attend conventions for prospective clients.
Complete daily teller routine such as night drop, servicing the ATM and transactions.
Train, troubleshoot, and interact with clients using financial software in trust departments.

Provider relations representative vs client representative skills

Common provider relations representative skills

Customer Service, 16%
Provider Relations, 9%
Medicaid, 9%
Patients, 6%
Health Plan, 5%
PowerPoint, 4%

Common client representative skills

Customer Service, 24%
Phone Calls, 7%
Client Accounts, 6%
Product Knowledge, 6%
Customer Satisfaction, 6%
Problem Resolution, 5%

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Office and Administrative Industry
Provider Relations Representative
Provider Relations Representative vs Client Representative

Updated January 8, 2025

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