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Provider services representative vs customer support representative

The differences between provider services representatives and customer support 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 support representative. Additionally, a customer support representative has an average salary of $37,404, 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 support representative are technical support, windows, and customer inquiries.

Provider services representative vs customer support representative overview

Provider Services RepresentativeCustomer Support Representative
Yearly salary$33,858$37,404
Hourly rate$16.28$17.98
Growth rate-4%-4%
Number of jobs252,118243,140
Job satisfaction--
Most common degreeBachelor's Degree, 41%Bachelor's Degree, 50%
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 support representative do?

A customer support representative is responsible for answering calls and correspondence, providing customer assistance in various technical issues, concerns, or difficulties. There are also instances when they must make calls to follow-up on the issues, or even sell products and services. Most of the time, a customer support representative has a certain quota to reach and works under a manager's supervision. Furthermore, it is essential to keep accurate records and report to managers or supervisors should there be any problems.

Provider services representative vs customer support representative salary

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

Provider Services RepresentativeCustomer Support Representative
Average salary$33,858$37,404
Salary rangeBetween $24,000 And $46,000Between $29,000 And $47,000
Highest paying CityNew York, NYBoston, MA
Highest paying stateNew YorkAlaska
Best paying companyOracleUniversity of California, Berkeley
Best paying industryHealth CareFinance

Differences between provider services representative and customer support representative education

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

Provider Services RepresentativeCustomer Support Representative
Most common degreeBachelor's Degree, 41%Bachelor's Degree, 50%
Most common majorBusinessBusiness
Most common college--

Provider services representative vs customer support representative demographics

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

Provider Services RepresentativeCustomer Support Representative
Average age4040
Gender ratioMale, 22.2% Female, 77.8%Male, 47.0% Female, 53.0%
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, 10.9% Unknown, 5.5% Hispanic or Latino, 20.1% Asian, 7.3% White, 55.4% American Indian and Alaska Native, 0.8%
LGBT Percentage7%7%

Differences between provider services representative and customer support 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 support representative example responsibilities.

  • Manage customer relationships using company CRM system, deliver post sales training on system, and offer additional assistance as needed.
  • Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
  • Coordinate and escalate efforts with adjacent operations and engineering groups to offer end-to-end solutions for customers with complex technical issues.
  • Track and measure all activity demonstrating the impact of CRR involvement.
  • Act as technical liaison and sell product into Telco and LAN markets.
  • Support internal users regarding installation of hardware, software and other windows application issues.
  • Show more

Provider services representative vs customer support representative skills

Common provider services representative skills
  • Customer Service, 24%
  • Data Entry, 6%
  • Patients, 5%
  • Medicaid, 5%
  • Health Insurance, 4%
  • Appeals, 3%
Common customer support representative skills
  • Technical Support, 10%
  • Windows, 8%
  • Customer Inquiries, 6%
  • Data Entry, 6%
  • Customer Support, 4%
  • Work Ethic, 4%

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