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What is a provider services representative and how to become one
A provider services representative works for a health care agency and is the primary liaison between their organization and health care providers, such as medical doctors and dentists. As a provider relations representative, your specific job duties vary, depending on your employer. Generally, in this role, you answer questions from health care providers about service contracts, available in-network services, and billing procedures.
It will help if you have a high school diploma and a certain degree of higher education. However, most employers prefer candidates who uphold an associate's or bachelor's degree in a healthcare-related field. Additionally, you may also need six months to one year of previous industry experience.
The BLS reports that graduates who gravitate toward this field end up laying claim to annual earnings that top out at $50,837. The current median pay for a provider services representative ranges from $48,689 to $54,585 in the US. However, this figure can vary significantly depending upon your experience, skills, or organization.
Avg. Salary $33,858
Avg. Salary $59,228
Growth rate -4%
Growth rate 0.3%
American Indian and Alaska Native 0.66%
Asian 6.39%
Black or African American 11.49%
Hispanic or Latino 20.40%
Unknown 5.12%
White 55.94%
Genderfemale 77.80%
male 22.20%
Age - 39American Indian and Alaska Native 3.00%
Asian 7.00%
Black or African American 14.00%
Hispanic or Latino 19.00%
White 57.00%
Genderfemale 47.00%
male 53.00%
Age - 39Stress level is manageable
7.1 - high
Complexity level is challenging
7 - challenging
Work life balance is good
6.4 - fair
Provider services representative career paths
Key steps to become a provider services representative
Explore provider services representative education requirements
Start to develop specific provider services representative skills
Skills Percentages Customer Service 24.33% Data Entry 6.37% Patients 5.34% Medicaid 5.11% Health Insurance 3.64% Complete relevant provider services representative training and internships
Accountants spend an average of 6-12 months on post-employment, on-the-job training. New provider services representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a provider services representative based on U.S. Bureau of Labor Statistics data and data from real provider services representative resumes.Research provider services representative duties and responsibilities
- Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
- Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
- Proof reading contracts in order to adjust claims according to proper DRG, ICD-9, and CPT codes.
- Complete the surgery schedule and ensure all patients are aware of their financial responsibility prior to the surgery date.
Prepare your provider services representative resume
When your background is strong enough, you can start writing your provider services representative resume.
You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a provider services representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.
Choose from 10+ customizable provider services representative resume templates
Build a professional provider services representative resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your provider services representative resume.
Apply for provider services representative jobs
Now it's time to start searching for a provider services representative job. Consider the tips below for a successful job search:
- Browse job boards for relevant postings
- Consult your professional network
- Reach out to companies you're interested in working for directly
- Watch out for job scams
How did you land your first provider services representative job
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Average provider services representative salary
The average provider services representative salary in the United States is $33,858 per year or $16 per hour. Provider services representative salaries range between $24,000 and $46,000 per year.
What am I worth?
How do provider services representatives rate their job?
Provider services representative reviews
I enjoyed the satisfaction of assisting customers and solving problems
Updated January 8, 2025
