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Provider relations specialist vs client care specialist

The differences between provider relations specialists and client care specialists 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 specialist and a client care specialist. Additionally, a provider relations specialist has an average salary of $44,403, which is higher than the $29,660 average annual salary of a client care specialist.

The top three skills for a provider relations specialist include provider relations, medicaid and health plan. The most important skills for a client care specialist are client care, PET, and patients.

Provider relations specialist vs client care specialist overview

Provider Relations SpecialistClient Care Specialist
Yearly salary$44,403$29,660
Hourly rate$21.35$14.26
Growth rate-4%-4%
Number of jobs70,700132,935
Job satisfaction--
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 50%
Average age4040
Years of experience1212

What does a provider relations specialist 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 care specialist do?

Client care specialists are employees who manage a company's 24/7 hotline number. Most customer care specialists have call center experience before achieving their positions. This way, they know how to personalize the way they handle different types of clients. They can also impart firsthand knowledge to new call center employees about the job. Their usual responsibilities revolve around presenting the weekly and monthly reports on the teams' performances to the management, documenting customer interactions, reviewing customer complaints and taking appropriate actions, and being updated on their product.

Provider relations specialist vs client care specialist salary

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

Provider Relations SpecialistClient Care Specialist
Average salary$44,403$29,660
Salary rangeBetween $30,000 And $65,000Between $18,000 And $46,000
Highest paying City-Irvine, CA
Highest paying state-Alaska
Best paying company-Bank of America
Best paying industry-Finance

Differences between provider relations specialist and client care specialist education

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

Provider Relations SpecialistClient Care Specialist
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 50%
Most common majorBusinessBusiness
Most common college--

Provider relations specialist vs client care specialist demographics

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

Provider Relations SpecialistClient Care Specialist
Average age4040
Gender ratioMale, 22.0% Female, 78.0%Male, 20.3% Female, 79.7%
Race ratioBlack or African American, 11.6% Unknown, 5.1% Hispanic or Latino, 21.4% Asian, 7.3% White, 53.9% American Indian and Alaska Native, 0.7%Black or African American, 10.7% Unknown, 5.4% Hispanic or Latino, 19.6% Asian, 7.0% White, 56.6% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider relations specialist and client care specialist duties and responsibilities

Provider relations specialist example responsibilities.

  • Design short and long term plans for PCPs to accomplish suggest benchmarks and growth of its membership.
  • Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
  • Organize and analyze CMS changes for distribution to the team.
  • Meet or exceed productivity and quality goals base on CMS guidelines/directives.
  • Establish and maintain positive and productive relations with network providers for Medicaid and Medicare.
  • Assist in IPA profitability through the recruitment and contracting of key physicians, hospitals and ancillary organizations with target membership panels.
  • Show more

Client care specialist example responsibilities.

  • Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
  • Credential new physicians, clinics and triage centers with Medicare/Medicaid and major insurance plans for territory.
  • Assign to cable company supporting cable products, schedule installation appointments and troubleshoot issues with customers in a call center environment
  • Conduct teleconferences, schedule customer reservations and maintain teleconferencing database.

Provider relations specialist vs client care specialist skills

Common provider relations specialist skills
  • Provider Relations, 14%
  • Medicaid, 11%
  • Health Plan, 8%
  • Orientation Materials, 6%
  • Issue Resolution, 6%
  • Claims Submission, 4%
Common client care specialist skills
  • Client Care, 14%
  • PET, 11%
  • Patients, 8%
  • Scheduling Appointments, 8%
  • Customer Service, 7%
  • Excellent Interpersonal, 5%

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