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Provider relations specialist vs specialist

The differences between provider relations specialists and specialists can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a provider relations specialist, becoming a specialist takes usually requires 1-2 years. Additionally, a specialist has an average salary of $58,013, which is higher than the $44,403 average annual salary of a provider relations specialist.

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

Provider relations specialist vs specialist overview

Provider Relations SpecialistSpecialist
Yearly salary$44,403$58,013
Hourly rate$21.35$27.89
Growth rate-4%10%
Number of jobs70,700358,433
Job satisfaction--
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 49%
Average age4042
Years of experience122

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 specialist do?

Specialists are employees who are responsible for specific tasks or activities in the department they are assigned to. The actions or tasks they work on are related to their educational background or work experiences. They are usually highly skilled in specializations related to the work they are assigned to. Specialists are also highly trained on the competencies that are required of their specialty. As such, they are focused on the skills and competencies that are needed to enhance their experience in their specific field further.

Provider relations specialist vs specialist salary

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

Provider Relations SpecialistSpecialist
Average salary$44,403$58,013
Salary rangeBetween $30,000 And $65,000Between $32,000 And $104,000
Highest paying City-Jersey City, NJ
Highest paying state-New Jersey
Best paying company-The Citadel
Best paying industry--

Differences between provider relations specialist and specialist education

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

Provider Relations SpecialistSpecialist
Most common degreeBachelor's Degree, 59%Bachelor's Degree, 49%
Most common majorBusinessBusiness
Most common college-Stanford University

Provider relations specialist vs specialist demographics

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

Provider Relations SpecialistSpecialist
Average age4042
Gender ratioMale, 22.0% Female, 78.0%Male, 47.5% Female, 52.5%
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, 5.4% Hispanic or Latino, 16.4% Asian, 10.5% White, 55.9% American Indian and Alaska Native, 0.4%
LGBT Percentage7%11%

Differences between provider relations specialist and 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

Specialist example responsibilities.

  • Create, manage, and assist users with SharePoint sites.
  • Manage an on-site IRB and company good clinical practice (GCP) inspection.
  • Manage SharePoint sites by creating, editing, and customizing company sites, libraries and security.
  • Manage the building of accounts, assigning of static IP's, and scheduling of business class installations.
  • Convert servers from UNIX to Linux, all hardware diagnostics and repair including printers/plotters/desktops etc.
  • Follow safety procedures such as maintenance of all equipment (Telxon scanners, terminals and ladders).
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Provider relations specialist vs 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 specialist skills
  • Patients, 15%
  • Customer Service, 11%
  • Work Ethic, 5%
  • Patient Care, 4%
  • Exceptional Client, 4%
  • Troubleshoot, 4%

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