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Provider relations specialist vs client relations specialist

The differences between provider relations specialists and client relations 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 relations specialist. Additionally, a provider relations specialist has an average salary of $44,403, which is higher than the $39,902 average annual salary of a client relations specialist.

The top three skills for a provider relations specialist include provider relations, medicaid and health plan. The most important skills for a client relations specialist are client relations, customer service, and data entry.

Provider relations specialist vs client relations specialist overview

Provider Relations SpecialistClient Relations Specialist
Yearly salary$44,403$39,902
Hourly rate$21.35$19.18
Growth rate-4%-4%
Number of jobs70,700200,766
Job satisfaction--
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 64%
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 relations specialist do?

A client relations specialist is primarily in charge of building positive relationships with clients by providing optimal services. Although the extent of their responsibilities depends on their company of employment, it typically includes handling customer calls and correspondence, offering products or services, discussing promotions or product specifications, answering inquiries, arranging appointments, resolving issues and concerns, and processing payments or refunds. Moreover, a client relations specialist conducts market research and analysis to identify the current trends and practices, aiming for client satisfaction.

Provider relations specialist vs client relations specialist salary

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

Provider Relations SpecialistClient Relations Specialist
Average salary$44,403$39,902
Salary rangeBetween $30,000 And $65,000Between $27,000 And $58,000
Highest paying City-Washington, DC
Highest paying state-New Jersey
Best paying company-McKinsey & Company Inc
Best paying industry-Real Estate

Differences between provider relations specialist and client relations specialist education

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

Provider Relations SpecialistClient Relations Specialist
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 64%
Most common majorBusinessBusiness
Most common college--

Provider relations specialist vs client relations specialist demographics

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

Provider Relations SpecialistClient Relations Specialist
Average age4040
Gender ratioMale, 22.0% Female, 78.0%Male, 30.3% Female, 69.7%
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, 11.5% Unknown, 5.3% Hispanic or Latino, 20.3% Asian, 6.5% White, 55.7% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider relations specialist and client relations 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 relations specialist example responsibilities.

  • Manage calendars; compile account records; create PowerPoint presentations for vendors, customers and investors.
  • Transition reporting and document storage process to an online SharePoint workspace for increase efficiency.
  • Participate in training of new representatives by composing training manuals and PowerPoint presentations.
  • Perform collection follow-up duties on specific financial classifications such as commercial insurance, Medicare and Medicaid claims.
  • Educate clients regarding proper distributions according to IRS regulations.

Provider relations specialist vs client relations 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 relations specialist skills
  • Client Relations, 24%
  • Customer Service, 8%
  • Data Entry, 7%
  • Client Facing, 6%
  • Inbound Calls, 4%
  • Client Support, 4%

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