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Provider relations specialist vs customer relations specialist

The differences between provider relations specialists and customer 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 customer relations specialist. Additionally, a provider relations specialist has an average salary of $44,403, which is higher than the $37,827 average annual salary of a customer relations specialist.

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

Provider relations specialist vs customer relations specialist overview

Provider Relations SpecialistCustomer Relations Specialist
Yearly salary$44,403$37,827
Hourly rate$21.35$18.19
Growth rate-4%-4%
Number of jobs70,700215,862
Job satisfaction--
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 52%
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 customer relations specialist do?

A customer relations specialist is responsible for providing high-quality services for customers by responding to their inquiries and concerns and resolving complaints about the company's goods and services. Customer relations specialists update customer accounts on the database, recording their transactions accurately, and posting their payments timely. They may also sell new products and services to the clients, demonstrating features and usability, processing orders, and confirming delivery details. A customer relations specialist must have excellent communication and organizational skills to ensure customer satisfaction and maintain healthy business relationships with the customers.

Provider relations specialist vs customer relations specialist salary

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

Provider Relations SpecialistCustomer Relations Specialist
Average salary$44,403$37,827
Salary rangeBetween $30,000 And $65,000Between $27,000 And $52,000
Highest paying City-Columbia, MD
Highest paying state-Massachusetts
Best paying company-Deloitte
Best paying industry-Automotive

Differences between provider relations specialist and customer relations specialist education

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

Provider Relations SpecialistCustomer Relations Specialist
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 52%
Most common majorBusinessBusiness
Most common college--

Provider relations specialist vs customer relations specialist demographics

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

Provider Relations SpecialistCustomer Relations Specialist
Average age4040
Gender ratioMale, 22.0% Female, 78.0%Male, 31.8% Female, 68.2%
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, 11.7% Unknown, 5.3% Hispanic or Latino, 19.5% Asian, 7.5% White, 55.5% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider relations specialist and customer 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

Customer relations specialist example responsibilities.

  • Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
  • Verify insurance eligibility and benefits of patients that are being provide oxygen home and travel units and durable medical equipment.
  • Create Powerpoint company informational videos.
  • Communicate with customers and FedEx to facilitate resolutions of any shipping or delivery issues.

Provider relations specialist vs customer 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 customer relations specialist skills
  • Customer Relations, 37%
  • Data Entry, 10%
  • Work Ethic, 9%
  • Customer Retention, 5%
  • Outbound Calls, 5%
  • Schedule Appointments, 4%

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