Payment processor vs service provider

Differences between payment processor and service provider duties and responsibilities

Payment processor example responsibilities.

• Manage and review all incoming discounts and electronic contractual adjustments for accuracy per the negotiated Medicaid and Medicare contracts ;.
• Maintain daily transactions for customer payments and various bank accounts using Quickbooks to track transactions.
• Prepare and print all reports for EDI processing.
• Maintain client customer confidentiality and HIPAA regulations with all data handling and transfers.
• Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.
• Investigate and take corrective action regarding invoices reject by system or through EDI.
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Service provider example responsibilities.

• Develop contracting strategy to build capacity and achieve ongoing compliance with Medicare and Medicaid provider network adequacy requirements.
• Certify to administer first aid, CPR; dispense medication.
• Certify in first aid and CPR programs via company training.
• Ensure contracts comply with HIPAA, fraud and abuse regulations and CMS guidelines.
• Provide assistance to DHS provider staff in order for them to better navigate through the social service systems.
• Exceed company standards for unit cleanliness and client/partner satisfaction.
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