Explore jobs
Find specific jobs
Explore careers
Explore professions
Best companies
Explore companies
The differences between provider relations specialists and resolution 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 resolution specialist. Additionally, a provider relations specialist has an average salary of $44,403, which is higher than the $38,984 average annual salary of a resolution specialist.
The top three skills for a provider relations specialist include provider relations, medicaid and health plan. The most important skills for a resolution specialist are patients, phone calls, and appeals.
| Provider Relations Specialist | Resolution Specialist | |
| Yearly salary | $44,403 | $38,984 |
| Hourly rate | $21.35 | $18.74 |
| Growth rate | -4% | -4% |
| Number of jobs | 70,700 | 152,590 |
| Job satisfaction | - | - |
| Most common degree | Bachelor's Degree, 59% | Bachelor's Degree, 45% |
| Average age | 40 | 40 |
| Years of experience | 12 | 12 |
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.
A Resolution Specialist is responsible for investigating claims and analyzing supporting documents to resolve complaints. Resolution Specialists may work for clients' disputes or employee relations, requiring them to have extensive knowledge of labor laws and regulatory policies. They conduct cross-examinations, administer negotiations, and discuss processes with the clients for high-level violations. A Resolution Specialist must have excellent communication and organizational skills, especially in representing the client and the company and coming up with the resolution that would work for both's best interests.
Provider relations specialists and resolution specialists have different pay scales, as shown below.
| Provider Relations Specialist | Resolution Specialist | |
| Average salary | $44,403 | $38,984 |
| Salary range | Between $30,000 And $65,000 | Between $26,000 And $57,000 |
| Highest paying City | - | Ewing, NJ |
| Highest paying state | - | Connecticut |
| Best paying company | - | IBM |
| Best paying industry | - | Finance |
There are a few differences between a provider relations specialist and a resolution specialist in terms of educational background:
| Provider Relations Specialist | Resolution Specialist | |
| Most common degree | Bachelor's Degree, 59% | Bachelor's Degree, 45% |
| Most common major | Business | Business |
| Most common college | - | - |
Here are the differences between provider relations specialists' and resolution specialists' demographics:
| Provider Relations Specialist | Resolution Specialist | |
| Average age | 40 | 40 |
| Gender ratio | Male, 22.0% Female, 78.0% | Male, 36.8% Female, 63.2% |
| Race ratio | Black 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, 11.4% Unknown, 5.3% Hispanic or Latino, 19.7% Asian, 7.0% White, 55.8% American Indian and Alaska Native, 0.7% |
| LGBT Percentage | 7% | 7% |