Tamika Hollis-Smart
Westerville,OH
Summary
Results-driven Senior Auditor at The Ohio State University with a proven track record in enhancing compliance and internal controls. Skilled in Workday, and effective communication. I excel in audit preparation and fostering team collaboration, ensuring actionable recommendations lead to improved operational efficiency and compliance across health care processes.
Overview
13
13
years of professional experience
Work History
SENIOR AUDITOR
The Ohio State University
Columbus, Ohio
04.2022 - Current
- Furnishing analyses, appraisals, recommendations, counsel, and information concerning activities reviewed.
- Performs OSUMC audits in accordance with audit plans.
- Assess compliance with OSUMC policies and procedures.
- Reviews OSUMC's IT systems management and access.
- Assesses HIPAA compliance.
- Analyzes multiple financial activities, including but not limited to financial reporting, billing, and reimbursement activities throughout the Health System, contract management, all levels of expenditure activities and approvals, segregation of duties, etc.
- Obtains documentation, analyzes, and appraises evidential data as a basis to form an opinion on the adequacy of internal controls, and compliance with policies and procedures, laws, and regulations.
- Prepares oral and written presentations, as well as written reports; discusses observations and recommendations with the OSUMC partners.
- Performs follow-up reviews 90 days after the initial audit to ensure recommendations are satisfied.
- Skills include Workday, IHIS, Tableau, and other OSUMC systems.
ASSOCIATE INTERNAL AUDITOR
Ohio Public Employees Retirement System
Columbus, Ohio
04.2022 - Current
- Audits health care updates performed by Health Care Processors
- Provides constant feedback to management for system and process improvements
- Requests, gathers, and reviews all necessary information to determine recipient's eligibility for health care products including Medicare and Medicare reimbursement
- Adds, changes, updates or terminates health care coverage for benefit recipient's and eligible dependents in all health plans
- Determines and calculates health care premium overpayments and underpayments
- Resolves written correspondence through templates and/or custom correspondence to send to recipients as necessary
- Provides education regarding health care coverage, prescription drug coverage, health care premiums, Medicare reimbursement, health care eligibility and claims to members, retirees and other OPERS staff
- Acts as a resource to Member Services Center personnel and other OPERS staff as it pertains to ensuring the provision of timely and accurate health care coverage information to members and beneficiaries
- Aids in creation, development and maintenance of methodologies within the health care unit with improve internal and external customer service efficiency
HEALTH CARE PROCESSOR
Ohio Public Employees Retirement System
Columbus, Ohio
01.2014 - 02.2017
- Requests, gathers, and reviews all necessary information to determine recipient's eligibility for health care products including Medicare and Medicare reimbursement
- Adds, changes, updates or terminates health care coverage for benefit recipient's and eligible dependents in all health plans
- Resolves written correspondence through templates and/or custom correspondence to send to recipients as necessary
- Coordinates with health care vendors to reconcile eligibility information
- Provides education regarding health care coverage, prescription drug coverage, health care premiums, Medicare reimbursement, health care eligibility and claims to members, retirees and other OPERS staff
- Acts as a resource to Member Services Center personnel and other OPERS staff as it pertains to ensuring the provision of timely and accurate health care coverage information to members and beneficiaries
- Aids in creation, development and maintenance of methodologies within the health care unit with improve internal and external customer service efficiency
MEMBER SERVICES REPRESENTATIVE
Ohio Public Employees Retirement System
Columbus, Ohio
02.2012 - 01.2014
- Educate member's over-the-phone of their retirement options
- Partner with internal departments to determine solutions to complex issues
- Follow-up with member's via phone or email when necessary
- Mentor to new Member Services Trainees
Education
Bachelor of Science - Business Management
University of Phoenix Online
Columbus, OH11-2006
Associate of Science - Business Management
Ohio Dominican University
Columbus, OH10-2001
Skills
- Effective and professional communication
- Flexible and adaptable
- Attention to detail
- Positive, team player
- Audit preparation
- Work organization and prioritization
Timeline
SENIOR AUDITOR
The Ohio State University
04.2022 - Current
ASSOCIATE INTERNAL AUDITOR
Ohio Public Employees Retirement System
04.2022 - Current
HEALTH CARE PROCESSOR
Ohio Public Employees Retirement System
01.2014 - 02.2017
MEMBER SERVICES REPRESENTATIVE
Ohio Public Employees Retirement System
02.2012 - 01.2014
Bachelor of Science - Business Management
University of Phoenix Online
Associate of Science - Business Management
Ohio Dominican University