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Provider relations specialist vs retention specialist

The differences between provider relations specialists and retention 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 retention specialist. Additionally, a provider relations specialist has an average salary of $44,403, which is higher than the $37,175 average annual salary of a retention specialist.

The top three skills for a provider relations specialist include provider relations, medicaid and health plan. The most important skills for a retention specialist are customer service, outbound calls, and powerpoint.

Provider relations specialist vs retention specialist overview

Provider Relations SpecialistRetention Specialist
Yearly salary$44,403$37,175
Hourly rate$21.35$17.87
Growth rate-4%-4%
Number of jobs70,700199,631
Job satisfaction--
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 40%
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 retention specialist do?

A retention specialist is responsible for devising strategies to maintain a healthy relationship with clients. They are primarily in charge of negotiating and securing contract renewals, handling issues and corrective measures for customer satisfaction, utilizing feedback to improve services, and maintaining a healthy rapport to strengthen the client base. Furthermore, as a retention specialist, it is essential to perform calls and correspondence, keep records of all transactions, and coordinate with work-staff.

Provider relations specialist vs retention specialist salary

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

Provider Relations SpecialistRetention Specialist
Average salary$44,403$37,175
Salary rangeBetween $30,000 And $65,000Between $28,000 And $48,000
Highest paying City-Los Angeles, CA
Highest paying state-California
Best paying company-Adobe
Best paying industry-Finance

Differences between provider relations specialist and retention specialist education

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

Provider Relations SpecialistRetention Specialist
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 40%
Most common majorBusinessBusiness
Most common college--

Provider relations specialist vs retention specialist demographics

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

Provider Relations SpecialistRetention Specialist
Average age4040
Gender ratioMale, 22.0% Female, 78.0%Male, 37.0% Female, 63.0%
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, 11.4% Unknown, 5.3% Hispanic or Latino, 20.6% Asian, 6.0% White, 55.9% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider relations specialist and retention 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.
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Retention specialist example responsibilities.

  • Save customer relationship by managing and exceeding TWC goals.
  • Prepare proposals and analysis for county Medicaid facilitators to educate regarding available manage care programs.
  • Increase revenue through up-selling and cross-selling video, HSI, wireless, and telephony services to existing customers.
  • Provide advance troubleshooting of wireless broadband, IP services, PC's, wireless routers.
  • Process payments via CSG and ICOMS.
  • Provide rep support, assist with account flow, escalation, reschedule, expedites, construction/survey.
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Provider relations specialist vs retention 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 retention specialist skills
  • Customer Service, 26%
  • Outbound Calls, 11%
  • PowerPoint, 5%
  • Customer Satisfaction, 5%
  • Customer Accounts, 4%
  • Billing Issues, 3%

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