Senior representative vs provider relations representative

The differences between senior representatives and provider 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 senior representative and a provider relations representative. Additionally, a senior representative has an average salary of $56,621, which is higher than the $40,957 average annual salary of a provider relations representative.

The top three skills for a senior representative include excellent negotiation, patients and data entry. The most important skills for a provider relations representative are customer service, provider relations, and medicaid.

Senior representative vs provider relations representative overview

	Senior Representative	Provider Relations Representative
Yearly salary	$56,621	$40,957
Hourly rate	$27.22	$19.69
Growth rate	-4%	-4%
Number of jobs	107,601	203,893
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 58%
Average age	40	40
Years of experience	12	12

What does a senior representative do?

A senior representative is responsible for providing the best customer services for the clients, handling their inquiries and concerns timely and efficiently. Senior representatives are usually also tasked with training new customer service staff, sharing best practices, as well as strategic procedures to maximize productivity and maintain high-quality operations. They assist the management with sales techniques, selling new services and products to the customers by demonstrating features and special offers. A senior representative process orders and payments, as well as replacing items and initiating refunds.

What does a provider relations representative do?

Provider relations specialists are professionals who work for insurance companies as the primary contact for health care providers such as clinics and hospitals. These specialists are required to provide answers about service contracts and billing procedures to health care providers. They must handle the documents of patients to ensure that proper paperwork has been filed for coverage while developing communications with providers about any policy changes. Provider relations specialists must also travel to different health care organizations to provide training to their staff on insurance policies and procedures.

Senior representative vs provider relations representative salary

Senior representatives and provider relations representatives have different pay scales, as shown below.

	Senior Representative	Provider Relations Representative
Average salary	$56,621	$40,957
Salary range	Between $30,000 And $105,000	Between $30,000 And $55,000
Highest paying City	Washington, DC	Helena, MT
Highest paying state	New Jersey	Montana
Best paying company	Brookfield Properties	Parkland Hospital
Best paying industry	-	Health Care

Differences between senior representative and provider relations representative education

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

	Senior Representative	Provider Relations Representative
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 58%
Most common major	Business	Business
Most common college	-	-

Senior representative vs provider relations representative demographics

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

	Senior Representative	Provider Relations Representative
Average age	40	40
Gender ratio	Male, 45.9% Female, 54.1%	Male, 24.2% Female, 75.8%
Race ratio	Black or African American, 11.3% Unknown, 5.4% Hispanic or Latino, 20.1% Asian, 6.9% White, 55.5% American Indian and Alaska Native, 0.7%	Black or African American, 12.1% Unknown, 5.3% Hispanic or Latino, 21.8% Asian, 6.5% White, 53.7% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between senior representative and provider relations representative duties and responsibilities

Senior representative example responsibilities.

Utilize creative PowerPoint presentations that motivate student prospects to attain educational goals.
Conduct in-services on managing patients with chemotherapy-induce anemia to nursing staff at inpatient and outpatient facilities, providing treatment algorithms.
Coach and provide QA improvement.
Create in-store display windows and arrange furniture.
Work with Wal-Greens during CCR project as TL1.
Answer distributors' inquiries and promote company's products and sales events.

Provider relations representative example responsibilities.

Help manage ACO program and review measures with provider offices.
Advise clients on health care and manage care products including POS, PPO and medical management programs.
Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
Review the provider contracts, paid members claims, base on the CPT code & ICD-9 that are submitted.
Review provider claims for CPT and ICD-9 coding accuracy and generate payment of claims base upon current fee schedule.

Senior representative vs provider relations representative skills

Common senior representative skills

Excellent Negotiation, 10%
Patients, 9%
Data Entry, 7%
Financial Services, 7%
Technical Assistance, 5%
PowerPoint, 5%

Common provider relations representative skills

Customer Service, 16%
Provider Relations, 9%
Medicaid, 9%
Patients, 6%
Health Plan, 5%
PowerPoint, 4%

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Senior Representative
Senior Representative vs Provider Relations Representative

Updated January 8, 2025

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