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Provider services representative vs service representative

The differences between provider services representatives and service 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 representative. Additionally, a provider services representative has an average salary of $33,858, which is higher than the $33,692 average annual salary of a service representative.

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

Provider services representative vs service representative overview

Provider Services RepresentativeService Representative
Yearly salary$33,858$33,692
Hourly rate$16.28$16.20
Growth rate-4%-4%
Number of jobs252,118210,671
Job satisfaction-5
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 service representative do?

Service representatives handle customer inquiries, requests, complaints, and other general feedback. They are usually the first point of contact with the company's customers. Service representatives are expected to be familiar with all of the company's products so that they can answer all inquiries made by the customers. They should also be familiar with company policies and guidelines on sales and customer handling so that they can address concerns and feedback. They are usually the ones who try to resolve customer complaints by sending issues to applicable departments and ensuring that customers are satisfied with the company's products and services.

Provider services representative vs service representative salary

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

Provider Services RepresentativeService Representative
Average salary$33,858$33,692
Salary rangeBetween $24,000 And $46,000Between $24,000 And $45,000
Highest paying CityNew York, NYNew York, NY
Highest paying stateNew YorkNew York
Best paying companyOracleNorthern Trust
Best paying industryHealth CareGovernment

Differences between provider services representative and service representative education

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

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

Provider services representative vs service representative demographics

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

Provider Services RepresentativeService Representative
Average age4040
Gender ratioMale, 22.2% Female, 77.8%Male, 39.6% Female, 60.4%
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, 11.0% Unknown, 5.3% Hispanic or Latino, 20.6% Asian, 6.8% White, 55.7% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between provider services representative and service 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 representative example responsibilities.

  • Utilize QuickBooks to manage patient's payment for hearing aids and various equipment.
  • Join online marketplace specializing in local deals to manage customer engagements while providing industry-best service.
  • Manage customer relations with internal personnel, group administrators, brokers and members as related to Medicare insurance.
  • Involve great interpersonal skills and upselling.
  • Provide excellent customer service via ZenDesk e-mail platform.
  • Counsele individuals who are applying for or receiving TANF.
  • Show more

Provider services representative vs service representative skills

Common provider services representative skills
  • Customer Service, 24%
  • Data Entry, 6%
  • Patients, 5%
  • Medicaid, 5%
  • Health Insurance, 4%
  • Appeals, 3%
Common service representative skills
  • Customer Service, 9%
  • Client Service, 8%
  • Patients, 7%
  • PET, 5%
  • Front Desk, 5%
  • Veterans, 5%

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