Provider relations representative vs customer relations representative

The differences between provider relations representatives and customer 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 provider relations representative and a customer relations representative. Additionally, a provider relations representative has an average salary of $40,957, which is higher than the $38,632 average annual salary of a customer relations representative.

The top three skills for a provider relations representative include customer service, provider relations and medicaid. The most important skills for a customer relations representative are customer relations, customer complaints, and team-oriented environment.

Provider relations representative vs customer relations representative overview

	Provider Relations Representative	Customer Relations Representative
Yearly salary	$40,957	$38,632
Hourly rate	$19.69	$18.57
Growth rate	-4%	-4%
Number of jobs	203,893	235,295
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 51%
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 customer relations representative do?

A customer relations representative is responsible for providing the highest customer service by interacting with customers to respond to their inquiries and concerns, process their requests, and resolve their complaints. Customer relations representatives assist the customers with their needs by offering products and services according to their requirements and budget limitations. They may also sell newly launched products to the customers, discuss features and usability, and generate payments and delivery details. A customer relations representative must have excellent communication and organizational skills to maintain healthy business relationships with the customers to achieve the company's long-term goals and objectives.

Provider relations representative vs customer relations representative salary

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

	Provider Relations Representative	Customer Relations Representative
Average salary	$40,957	$38,632
Salary range	Between $30,000 And $55,000	Between $29,000 And $50,000
Highest paying City	Helena, MT	New York, NY
Highest paying state	Montana	New Jersey
Best paying company	Parkland Hospital	Cook Children's Medical Center
Best paying industry	Health Care	Finance

Differences between provider relations representative and customer relations representative education

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

	Provider Relations Representative	Customer Relations Representative
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 51%
Most common major	Business	Business
Most common college	-	-

Provider relations representative vs customer relations representative demographics

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

	Provider Relations Representative	Customer Relations Representative
Average age	40	40
Gender ratio	Male, 24.2% Female, 75.8%	Male, 29.8% Female, 70.2%
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, 11.5% Unknown, 5.4% Hispanic or Latino, 20.3% Asian, 6.3% White, 55.8% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between provider relations representative and customer relations 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.

Customer relations representative example responsibilities.

Lead upselling program initiatives that elevate company revenue.
Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
Monitor and coach CRA'S on calls to meet the clients expectations.
Demonstrate superb organizational and multitasking abilities
Work closely with QA to develop use cases, review test cases and track feature bugs.
Assist as needed maintaining meeting minutes, working with QA to identify and track bugs and other projects as assigned.

Provider relations representative vs customer relations representative skills

Common provider relations representative skills

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

Common customer relations representative skills

Customer Relations, 10%
Customer Complaints, 8%
Team-Oriented Environment, 7%
Propane, 6%
Customer Retention, 6%
Schedule Appointments, 5%

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Provider Relations Representative
Provider Relations Representative vs Customer Relations Representative

Updated January 8, 2025

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