Provider services representative vs customer care representative

The differences between provider services representatives and customer care representatives 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 services representative and a customer care representative. Additionally, a provider services representative has an average salary of $33,858, which is higher than the $32,912 average annual salary of a customer care representative.

The top three skills for a provider services representative include customer service, data entry and patients. The most important skills for a customer care representative are customer care, customer service, and work ethic.

Provider services representative vs customer care representative overview

	Provider Services Representative	Customer Care Representative
Yearly salary	$33,858	$32,912
Hourly rate	$16.28	$15.82
Growth rate	-4%	-4%
Number of jobs	252,118	214,835
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 41%	Bachelor's Degree, 37%
Average age	40	40
Years of experience	12	12

What does a provider services representative do?

A provider services representative is responsible for supporting, developing, and maintaining service relationships with involved participants, including providers, physicians, and administrators. Your duties typically include responding to direct and electronic questions from clients about rates, policies, referrals, and eligibility, handling telephone calls for the provider and member inquiries, and resolving complaints by the member and member representative. In addition, you will be assisting in collecting supporting data and documentation about the member's care. You are also expected to conduct research to be able to provide a well-informed answer to members' inquiries.

What does a customer care representative do?

A customer care representative is responsible for providing resolution with the customer's concerns, following the business' procedures and strategic processes. Customer care representatives must have exceptional customer service skills to address their clients' concerns efficiently and accurately, as well as having extensive knowledge of the products and services their company offer. Duties of a customer care representative also include managing client's complaints, offering alternative products and refunds as needed, calculating fees for special requests, updating customer's account information, documenting actions taken, and escalating special case concerns to the supervisor.

Provider services representative vs customer care representative salary

Provider services representatives and customer care representatives have different pay scales, as shown below.

	Provider Services Representative	Customer Care Representative
Average salary	$33,858	$32,912
Salary range	Between $24,000 And $46,000	Between $26,000 And $40,000
Highest paying City	New York, NY	Urban Honolulu, HI
Highest paying state	New York	Hawaii
Best paying company	Oracle	Philadelphia Corporation for Aging
Best paying industry	Health Care	Automotive

Differences between provider services representative and customer care representative education

There are a few differences between a provider services representative and a customer care representative in terms of educational background:

	Provider Services Representative	Customer Care Representative
Most common degree	Bachelor's Degree, 41%	Bachelor's Degree, 37%
Most common major	Business	Business
Most common college	-	-

Provider services representative vs customer care representative demographics

Here are the differences between provider services representatives' and customer care representatives' demographics:

	Provider Services Representative	Customer Care Representative
Average age	40	40
Gender ratio	Male, 22.2% Female, 77.8%	Male, 32.0% Female, 68.0%
Race ratio	Black or African American, 11.5% Unknown, 5.1% Hispanic or Latino, 20.4% Asian, 6.4% White, 55.9% American Indian and Alaska Native, 0.7%	Black or African American, 11.7% Unknown, 5.3% Hispanic or Latino, 20.0% Asian, 6.5% White, 55.8% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between provider services representative and customer care representative duties and responsibilities

Provider services representative example 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.
Help providers with all information about CPT codes such as authorizations, restrictions, fee schedules, and correct diagnosis codes.
Register patients for surgery in computer system.

Customer care representative example responsibilities.

Manage and plan escalations; assure HIPPA guidelines are followed for confidentially and privacy.
Answer incoming calls from clients, ATP's, therapists, and medical offices.
Maintain schedules for multiples ATP's and technicians to assist clients with scheduling therapy evaluations, and delivery of equipment.
Design a web-base CRM tool integrate with many other systems to provide technicians one-page panel the most relevant information and actions.
Navigate windows environment and comprehend technical information.
Used multiple navigation windows while changing account information and processing orders.

Provider services representative vs customer care representative skills

Common provider services representative skills

Customer Service, 24%
Data Entry, 6%
Patients, 5%
Medicaid, 5%
Health Insurance, 4%
Appeals, 3%

Common customer care representative skills

Customer Care, 21%
Customer Service, 9%
Work Ethic, 7%
Strong Work Ethic, 7%
Data Entry, 4%
Excellent Organizational, 4%

Provider Services Representative vs. similar jobs

Provider Services Representative related careers

Provider Services Representative related jobs

What similar roles do

Zippia Careers
Office and Administrative Industry
Provider Services Representative
Provider Services Representative vs Customer Care Representative

Updated January 8, 2025

Browse office and administrative jobs