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Provider relations specialist vs service specialist

The differences between provider relations specialists and service 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 service specialist. Additionally, a provider relations specialist has an average salary of $44,403, which is higher than the $44,150 average annual salary of a service specialist.

The top three skills for a provider relations specialist include provider relations, medicaid and health plan. The most important skills for a service specialist are patients, social work, and criminal justice.

Provider relations specialist vs service specialist overview

Provider Relations SpecialistService Specialist
Yearly salary$44,403$44,150
Hourly rate$21.35$21.23
Growth rate-4%-4%
Number of jobs70,700207,020
Job satisfaction--
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 53%
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 service specialist do?

A service specialist is responsible for assisting customers with their inquiries and concerns about the services offered by the organization. Service specialists' duties include responding to customers' requests, updating customers of promotional offers and new services, escalating high-level concerns to the appropriate department, and keeping accurate records of clients' issues and resolutions. Service specialists are also in charge of preparing customer surveys to rate their satisfaction and identifying opportunities for service improvement. A service specialist must display excellent customer service and communication skills to address clients' concerns efficiently and accurately.

Provider relations specialist vs service specialist salary

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

Provider Relations SpecialistService Specialist
Average salary$44,403$44,150
Salary rangeBetween $30,000 And $65,000Between $27,000 And $71,000
Highest paying City-Boston, MA
Highest paying state-Massachusetts
Best paying company-Ropes & Gray
Best paying industry-Technology

Differences between provider relations specialist and service specialist education

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

Provider Relations SpecialistService Specialist
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 53%
Most common majorBusinessBusiness
Most common college--

Provider relations specialist vs service specialist demographics

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

Provider Relations SpecialistService Specialist
Average age4040
Gender ratioMale, 22.0% Female, 78.0%Male, 40.1% Female, 59.9%
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, 11.2% Unknown, 5.4% Hispanic or Latino, 20.9% Asian, 7.5% White, 54.2% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider relations specialist and service 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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Service specialist example responsibilities.

  • Achieve personal sales and referral goals by identifying, marketing and cross-selling banking products and services beneficial to customer needs.
  • Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
  • Provide notary service as requested.
  • Respond to medical emergencies, including first aid and CPR.
  • Organize the transition of file transfers of major TRS/NAS clients from FTP to MessageWay.
  • Follow all rules set by FDCPA and state agencies - pass all annual tests.
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Provider relations specialist vs service 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 service specialist skills
  • Patients, 12%
  • Social Work, 10%
  • Criminal Justice, 4%
  • Rehabilitation, 4%
  • Excellent Interpersonal, 4%
  • Product Knowledge, 3%

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