Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Tiffany M. Paige

Laurel,MD

Summary

Experienced Audit Analyst with a demonstrated history of working in the accounting industry. Skilled in Risk Management, Internal Controls, Process Improvement, Data Analysis, Accounting and Customer Satisfaction. Strong finance professional in process of obtaining Accounting Bachelors degree.

Overview

12
12
years of professional experience

Work History

Staff Internal Auditor

HMSHost
03.2022 - Current
  • Performs operational audits of field locations to determine branch compliance with established policies and procedures and then reports and communicates audit findings to senior management.
  • Performs internal audits for corporate financial and departmental operations, developing risk assessments and conducting process walkthroughs for compliance with documented processes.
  • Evaluates design and effectiveness of internal controls by performing control test work to comply with Law 262 (SOX Equivalent) requirements.
  • Investigates discrepancies discovered during auditing process.
  • Recommends new methods to improve internal controls and operating efficiency.
  • Documents recommendations to improve internal controls and process improvement.
  • Train newly hired employees on company processes, procedures, and deadlines.
  • Evaluates company's policies to determine how well standards adhered to best practices.
  • Develops auditing program to address risks and evaluate regulatory requirements.
  • Participates in special investigations and special assignments as requested by management which may include due diligence procedures related to new company acquisitions, fraud investigations, as well as other requests.

Government Compliance Audit Analyst

ASRC Federal
07.2019 - 03.2022
  • Supported and developed auditing processes to address risks and evaluate regulatory requirements.
  • Analyzed accounting systems for efficiency and effectiveness.
  • Assisted in responding to DCAA, DCMA, and NASA audit requests, internal audit requests, and compiled responses to requests.
  • Assisted in developing and implementing policies and procedures to ensure compliance with company policy, laws, and regulations.
  • Prepared reports summarizing audit findings, reviewed them with management and made recommendations. Interfaced with government and customer auditors as required.
  • Reviewed, researched, analyzed, and resolved issues raised by government auditors.
  • Analyzed Cost Scrubs on various categories to ensure cost allowability.
  • Prepared Cost Scrub reports summarizing audit findings for management review.
  • Assisted with Incurred Cost Submissions as needed.
  • Other duties as assigned.

Internal Controls Auditor

TEKsystems
12.2017 - 07.2019
  • Conducted weekly audits/reporting for internal sponsors.
  • Managed and maintained tax exemptions for clients we conducted business with.
  • Provided training and education based on audit results, as well as continually identifying training/education gaps and best practices to internal customers.
  • Proposed development of new audits as needed to mitigate risk and protect company's assets.
  • Served as liaison for field offices with questions pertaining to regional and national accounts relating to client billing and payment policies.
  • Audited client contracts created through contract management system to ensure data integrity, trigger compliance notifications, and validated that each contract is ratified for each active client.
  • Understanding of data analysis, report management, and communications.
  • Performed internal audits of financial and departmental operations, developing risk assessments and conducting process walkthrough to ensure compliance with documented processes.
  • Produced audit reports which comprised evaluation of internal control systems.
  • Investigated discrepancies that were discovered during auditing process.
  • Trained newly hired employees on company's processes, procedures, and deadlines.

Error Processing Supervisor

Ameritox
12.2016 - 12.2017
  • Developed, coached and supervised team of 5 members for continued training and growth in the Error Processing division.
  • Interviewed, hired and trained employees on new procedures and requirements.
  • Ensured prompt client payment by resolving daily eligibility and other medical related discrepancies.
  • Identified missing medical information from correspondence and other related documents.
  • Worked simultaneously between multiple eligibility databases to obtain current insurance billing information, eligibility, demographic and other pertinent information.
  • Researched, analyzed, and resolved trending issues with challenging payors and / or client accounts.
  • Performed monthly audits to monitor team's progress and adherence to payor requirements pertaining to billing; including company compliance, policies, and procedures.
  • Organized and maintained daily workflow, operations, and team schedule.
  • Reviewed productivity and quality measures with team and management.

Medical Office Assistant

Johns Hopkins Community Physicians
04.2016 - 12.2016
  • Scheduled, rescheduled, and handled canceled appointments for patients on a daily basis.
  • Entered procedure codes and diagnosis codes into medical billing software.
  • Contacted patients regarding 30+ unpaid and underpaid accounts to resolve issues.
  • Efficiently performed insurance verifications, pre-certifications, and pre-authorization functions daily.
  • Performed monthly audits on customer files to verify medical necessity and satisfaction with coverage criteria.
  • Adhered to strict HIPAA guidelines at all times according to company policy.

Reimbursement Specialist

Maxim Healthcare Services
04.2013 - 03.2016
  • Billed and collected for claims submitted on clients' behalf with sales totaling $800K per month.
  • Analyzed and reviewed unpaid accounts for the next appropriate action to ensure full payment.
  • Analyzed, prepared and issued chargeback notices for payment to prevent third-party collection agency involvement.
  • Contacted payers via website, phone, and/or other correspondence for unpaid accounts 30 days or older and following up with the appropriate information to reverse denials or correct claims that processed incorrectly.
  • Performed targeted collections on past due accounts aged over 61-90 days.
  • Reviewed and edited timecards as needed to ensure accuracy before billing and claims submission.
  • Reviewed daily billing edit reports for electronic claims.
  • Efficiently handled cash flow reporting, posted cash receipts and analyzed chargebacks.
  • Applied more than 100 payments per week.

Financial Services Representative

SunTrust Bank
01.2012 - 04.2013
  • Provided financial solutions that met client needs, such as deposit and credit and including all product and service lines.
  • Assisted underwriting with appropriate documentation and calculations needed, such as purchase orders, DTI and LTV ratio, income and employment verification, and other information as needed.
  • Assisted clients with routine and complex issues in person, over the phone, and/or through email.
  • Ensured compliance with internal controls, operational procedures, and risk management procedures.

Education

Accounting

DeVry University
Chicago, IL

Accounting, Psychology

University Of Maryland University College
Adelphi, MD

General Studies/Accounting

PG Community College
Largo, MD

Skills

  • Risk investment analysis
  • Compliance
  • Problem Solving
  • Data Analysis
  • Strong interpersonal skills
  • Risk analysis and management
  • Detail-oriented
  • Analytical thinking
  • Expertise in Excel
  • 90 WPM typing speed
  • Strong verbal/written communication
  • Rapid 10-key data entry
  • Financial analysis
  • Microsoft Office Suite
  • Contract Management
  • Staff training and development

References

PROFESSIONAL AND PERSONAL REFERENCES ARE AVAILABLE UPON REQUEST

Timeline

Staff Internal Auditor

HMSHost
03.2022 - Current

Government Compliance Audit Analyst

ASRC Federal
07.2019 - 03.2022

Internal Controls Auditor

TEKsystems
12.2017 - 07.2019

Error Processing Supervisor

Ameritox
12.2016 - 12.2017

Medical Office Assistant

Johns Hopkins Community Physicians
04.2016 - 12.2016

Reimbursement Specialist

Maxim Healthcare Services
04.2013 - 03.2016

Financial Services Representative

SunTrust Bank
01.2012 - 04.2013

Accounting

DeVry University

Accounting, Psychology

University Of Maryland University College

General Studies/Accounting

PG Community College

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Tiffany M. Paige