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Provider services representative vs service center representative

The differences between provider services representatives and service center 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 service center representative. Additionally, a provider services representative has an average salary of $33,858, which is higher than the $33,420 average annual salary of a service center representative.

The top three skills for a provider services representative include customer service, data entry and patients. The most important skills for a service center representative are patients, HR, and customer calls.

Provider services representative vs service center representative overview

Provider Services RepresentativeService Center Representative
Yearly salary$33,858$33,420
Hourly rate$16.28$16.07
Growth rate-4%-4%
Number of jobs252,118196,101
Job satisfaction--
Most common degreeBachelor's Degree, 41%Bachelor's Degree, 56%
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 service center representative do?

A service center representative is responsible for providing the highest customer satisfaction by responding to the customers' inquiries and concerns and resolving complaints. Service center representatives may also sell products and services to the customers according to their needs and specifications. They also handle orders and payments, process replacements, and issue refunds as necessary. A service center representative must have excellent communication and organizational skills, especially in utilizing various computer applications to log customer information and create resolution reports for reference.

Provider services representative vs service center representative salary

Provider services representatives and service center representatives have different pay scales, as shown below.

Provider Services RepresentativeService Center Representative
Average salary$33,858$33,420
Salary rangeBetween $24,000 And $46,000Between $26,000 And $41,000
Highest paying CityNew York, NYAlameda, CA
Highest paying stateNew YorkCalifornia
Best paying companyOracleCisco
Best paying industryHealth CareInsurance

Differences between provider services representative and service center representative education

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

Provider Services RepresentativeService Center Representative
Most common degreeBachelor's Degree, 41%Bachelor's Degree, 56%
Most common majorBusinessBusiness
Most common college--

Provider services representative vs service center representative demographics

Here are the differences between provider services representatives' and service center representatives' demographics:

Provider Services RepresentativeService Center Representative
Average age4040
Gender ratioMale, 22.2% Female, 77.8%Male, 30.6% Female, 69.4%
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, 10.8% Unknown, 5.2% Hispanic or Latino, 20.1% Asian, 6.5% White, 56.7% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider services representative and service center 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

Service center representative example responsibilities.

  • Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
  • Ensure that all telephone calls and pages are promptly handle in the best interest of Dartmouth-Hitchcock internal and external patients.
  • Maintain resident and guest confidentiality with strong understanding of HIPAA and privacy laws.
  • Assist participants with the benefit enrollment process by explaining types of insurance policies and IRS regulate spending accounts.
  • Instruct active and terminate participants with withdrawal options, process hardships and loans while also explaining IRS 1099R information.
  • Assist participants with inquiries relating to administration of healthcare reimbursement plans (FSA, HRA/HSA, and VEBA).
  • Show more

Provider services representative vs service center representative skills

Common provider services representative skills
  • Customer Service, 24%
  • Data Entry, 6%
  • Patients, 5%
  • Medicaid, 5%
  • Health Insurance, 4%
  • Appeals, 3%
Common service center representative skills
  • Patients, 14%
  • HR, 6%
  • Customer Calls, 5%
  • Phone Calls, 4%
  • Data Entry, 4%
  • Multitasking, 4%

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