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Provider relations representative vs customer support representative

The differences between provider relations representatives and customer support 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 support representative. Additionally, a provider relations representative has an average salary of $40,957, which is higher than the $37,404 average annual salary of a customer support representative.

The top three skills for a provider relations representative include customer service, provider relations and medicaid. The most important skills for a customer support representative are technical support, windows, and customer inquiries.

Provider relations representative vs customer support representative overview

Provider Relations RepresentativeCustomer Support Representative
Yearly salary$40,957$37,404
Hourly rate$19.69$17.98
Growth rate-4%-4%
Number of jobs203,893243,140
Job satisfaction--
Most common degreeBachelor's Degree, 58%Bachelor's Degree, 50%
Average age4040
Years of experience1212

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 support representative do?

A customer support representative is responsible for answering calls and correspondence, providing customer assistance in various technical issues, concerns, or difficulties. There are also instances when they must make calls to follow-up on the issues, or even sell products and services. Most of the time, a customer support representative has a certain quota to reach and works under a manager's supervision. Furthermore, it is essential to keep accurate records and report to managers or supervisors should there be any problems.

Provider relations representative vs customer support representative salary

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

Provider Relations RepresentativeCustomer Support Representative
Average salary$40,957$37,404
Salary rangeBetween $30,000 And $55,000Between $29,000 And $47,000
Highest paying CityHelena, MTBoston, MA
Highest paying stateMontanaAlaska
Best paying companyParkland HospitalUniversity of California, Berkeley
Best paying industryHealth CareFinance

Differences between provider relations representative and customer support representative education

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

Provider Relations RepresentativeCustomer Support Representative
Most common degreeBachelor's Degree, 58%Bachelor's Degree, 50%
Most common majorBusinessBusiness
Most common college--

Provider relations representative vs customer support representative demographics

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

Provider Relations RepresentativeCustomer Support Representative
Average age4040
Gender ratioMale, 24.2% Female, 75.8%Male, 47.0% Female, 53.0%
Race ratioBlack 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, 10.9% Unknown, 5.5% Hispanic or Latino, 20.1% Asian, 7.3% White, 55.4% American Indian and Alaska Native, 0.8%
LGBT Percentage7%7%

Differences between provider relations representative and customer support 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.
  • Show more

Customer support representative example responsibilities.

  • Manage customer relationships using company CRM system, deliver post sales training on system, and offer additional assistance as needed.
  • Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
  • Coordinate and escalate efforts with adjacent operations and engineering groups to offer end-to-end solutions for customers with complex technical issues.
  • Track and measure all activity demonstrating the impact of CRR involvement.
  • Act as technical liaison and sell product into Telco and LAN markets.
  • Support internal users regarding installation of hardware, software and other windows application issues.
  • Show more

Provider relations representative vs customer support representative skills

Common provider relations representative skills
  • Customer Service, 16%
  • Provider Relations, 9%
  • Medicaid, 9%
  • Patients, 6%
  • Health Plan, 5%
  • PowerPoint, 4%
Common customer support representative skills
  • Technical Support, 10%
  • Windows, 8%
  • Customer Inquiries, 6%
  • Data Entry, 6%
  • Customer Support, 4%
  • Work Ethic, 4%

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