Field Cost Report Auditor Resume Example
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FIELD COST REPORT AUDITOR
Skills
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Experience
05/2014 to 06/2017
Field Cost Report AuditorWisconsin Physicians Service Insurance Corporation － Hampton , VA
- Identify and evaluate an organization's risk areas and provide key input into annual risk assessment.
- Assist the Audit Manager with coordinating departmental work schedules to meet deadlines.
- Provide routine updates to the Audit Manager regarding the progress of assigned audit tasks, significant issues identified and completion status.
- Responsible for timely execution of Medicare cost report audits.
- Inspect records, documents, and systems for efficiency, effectiveness, and use of accepted procedures.
- Analyze expense and revenue data for accuracy.
- Review provider pricing policies for consistencies of charges and statistical data.
- Report audit results to senior management and recommend changes in or improvements to operations and financial activities.
- Assume additional duties as they arise, cross train within the department and be responsive to the needs of the entire department.
- Maintain confidentiality of data, materials and information received and or reviewed with business lines.
- Maintain commitments to WPS' Quality Improvement Process and Corporate Values through effective work processes.
- Help establish a corporate culture that results in a positive working environment and customer satisfaction.
12/2011 to 05/2014
Compliance AnalystCastleton Commodities International Llc － Virginia Beach , VA
- Monitored changes in the Federal Student Aid contract and participated in proactively developing strategies to ensure compliance.
- Created statistical reports, electronic publications and Federal Bulletins to present to Senior Management.
- Participated in industry workgroups and committees to monitor operational reviews.
- Responsible for ensuring organization was within guidelines of Federal and Private Loan regulations.
- Draft responses to alleged non-compliances or audit findings and participate in negotiating resolution.
- Coordinated internal reviews of departmental procedures and developed proposals for the Department of Education.
- Worked with Department Management to improves possesses and facilitate updates in regards to policy changes.
05/2010 to 12/2011
Policy and Compliance Specialist
- Reviewed and communicated company policies and procedures to comply with current laws and regulations.
- Provided compliance risk expertise to departments with high risk projects to identify and mitigate regulatory risk in all business activities.
- Evaluated the adequacy and effectiveness of policies, procedures, processes, initiatives, products and internal controls and identifies issues resulting from internal and/or external compliance examinations.
- Consult with Senior Management to develop corrective action plans and effectively manage change to ensure regulatory compliance.
- Responsible for overseeing daily operations of department which included new laws, regulations, standardization initiatives, and Common Manual policy changes.
- Identified training opportunities; designed and coordinated the development of training materials; coordinated training delivery.
- Facilitated meetings, evaluated department statistics and provided quarterly reports to Legal Counsel & Executive Management.
07/2002 to 05/2010
Guarantor Reporting Coordinator
- Responsible for developing, implementing and monitoring risk-based compliance programs to assure compliance with the student loan industry.
- Supervised department and maintained proper workflow of employees.
- Hired, trained & coached new employees.
- Conducted annual performance reviews.
- Established guarantor contacts and worked collectively with team to find solutions and report discrepancies.
- Established, implemented, and tracked quality and quantity standards.
- Revised department procedures to increase efficiency for staff and guarantor reports.
Interests
2003 - Present, Fort Zumwalt West High School, Varsity Assistant Football Coach
*2012 - 2017, YMCA, Volunteer Youth Athletics Coach
*2014 - 2017, St. Louis Crisis Nursery, Volunteer
*2014 - 2017, St. Louis Children's Hospital, Volunteer
*2016 - 2017, St. Louis Foodbank, Volunteer
Education and Training
Bachelor of Arts: Business ManagementCENTRAL METHODIST UNIVERSITY － City, StateBusiness Management
Skills
customer satisfaction, Executive Management, Senior Management, Financial, Inspect, Legal, regulatory compliance, materials, meetings, Excel, Microsoft Office programs, Office, PowerPoint, Word, negotiating, performance reviews, policies, pricing, processes, progress, proposals, publications, quality, Quality Improvement, risk assessment, statistics, training delivery, training materials, workflow
Additional Information
- OTHER EXPERIENCE & SKILLS *2003 - Present, Fort Zumwalt West High School, Varsity Assistant Football Coach *2012 - 2017, YMCA, Volunteer Youth Athletics Coach *2014 - 2017, St. Louis Crisis Nursery, Volunteer *2014 - 2017, St. Louis Children's Hospital, Volunteer *2016 - 2017, St. Louis Foodbank, Volunteer
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Resume Overview
School Attended
- CENTRAL METHODIST UNIVERSITY
Job Titles Held:
- Field Cost Report Auditor
- Compliance Analyst
- Policy and Compliance Specialist
- Guarantor Reporting Coordinator
Degrees
- Bachelor of Arts : Business Management
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