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Provider services representative vs customer relations representative

The differences between provider services representatives and customer relations 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 relations representative. Additionally, a customer relations representative has an average salary of $38,632, which is higher than the $33,858 average annual salary of a provider services representative.

The top three skills for a provider services representative include customer service, data entry and patients. The most important skills for a customer relations representative are customer relations, customer complaints, and team-oriented environment.

Provider services representative vs customer relations representative overview

Provider Services RepresentativeCustomer Relations Representative
Yearly salary$33,858$38,632
Hourly rate$16.28$18.57
Growth rate-4%-4%
Number of jobs252,118235,295
Job satisfaction--
Most common degreeBachelor's Degree, 41%Bachelor's Degree, 51%
Average age4040
Years of experience1212

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 relations representative do?

A customer relations representative is responsible for providing the highest customer service by interacting with customers to respond to their inquiries and concerns, process their requests, and resolve their complaints. Customer relations representatives assist the customers with their needs by offering products and services according to their requirements and budget limitations. They may also sell newly launched products to the customers, discuss features and usability, and generate payments and delivery details. A customer relations representative must have excellent communication and organizational skills to maintain healthy business relationships with the customers to achieve the company's long-term goals and objectives.

Provider services representative vs customer relations representative salary

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

Provider Services RepresentativeCustomer Relations Representative
Average salary$33,858$38,632
Salary rangeBetween $24,000 And $46,000Between $29,000 And $50,000
Highest paying CityNew York, NYNew York, NY
Highest paying stateNew YorkNew Jersey
Best paying companyOracleCook Children's Medical Center
Best paying industryHealth CareFinance

Differences between provider services representative and customer relations representative education

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

Provider Services RepresentativeCustomer Relations Representative
Most common degreeBachelor's Degree, 41%Bachelor's Degree, 51%
Most common majorBusinessBusiness
Most common college--

Provider services representative vs customer relations representative demographics

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

Provider Services RepresentativeCustomer Relations Representative
Average age4040
Gender ratioMale, 22.2% Female, 77.8%Male, 29.8% Female, 70.2%
Race ratioBlack 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, 11.5% Unknown, 5.4% Hispanic or Latino, 20.3% Asian, 6.3% White, 55.8% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider services representative and customer relations 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.
  • Show more

Customer relations representative example responsibilities.

  • Lead upselling program initiatives that elevate company revenue.
  • Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
  • Monitor and coach CRA'S on calls to meet the clients expectations.
  • Demonstrate superb organizational and multitasking abilities
  • Work closely with QA to develop use cases, review test cases and track feature bugs.
  • Assist as needed maintaining meeting minutes, working with QA to identify and track bugs and other projects as assigned.
  • Show more

Provider services representative vs customer relations representative skills

Common provider services representative skills
  • Customer Service, 24%
  • Data Entry, 6%
  • Patients, 5%
  • Medicaid, 5%
  • Health Insurance, 4%
  • Appeals, 3%
Common customer relations representative skills
  • Customer Relations, 10%
  • Customer Complaints, 8%
  • Team-Oriented Environment, 7%
  • Propane, 6%
  • Customer Retention, 6%
  • Schedule Appointments, 5%

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