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Florida Agency for Health Care Administration
I review cost reports submitted by nursing homes who participate in the Florida Medicaid program for acceptability for use in rate setting, as well as to identify possible issues for further review and audit. I am assigned to review the audit workpapers of CPA firms who contract with the Agency to audit selected nursing homes, to ensure compliance with the nursing home audit program, as well as compliance with the Medicaid state plan, Medicare principles of reimbursement, and Generally Accepted Accounting Principles. I am also assigned to resolve unresolved audit issues at cost report settlement, which may include testifying at hearings on behalf of the agency.
Centers for Disease Control and Prevention
I
also prepared the quarterly SF 133 Reports on Budget Execution and Budgetary
Resources for my assigned appropriations, and transmitted them to the Treasury
Department through FACTS II, as required under OMB Circular A-11. This
involved analyzing the general ledger trial balance information and preparing
any adjustments necessary to comply with the reporting requirements of the
Chief Financial Officer=s Act of 1990, the U.S. Standard General Ledger, and OMB
Circular A-11.
Environmental Protection Agency
I was
primary certifying officer over all grant payments made by the Dallas region.
I was responsible for reviewing all grant payments to ensure that
the payments were proper, funds were available
to process the payment, and signatures were authorized.
I reviewed and processed obligation documents in EPA=s
Integrated Financial Management System (IFMS), ensuring that documents were in
compliance with federal appropriations law, and that they were complete,
funded, and correctly classified. I
served as the regional resource person for designing specialized reports from
the Management and Accounting Reporting System, which is a report-writing tool
for obtaining specialized reports from IFMS.
I provided training to regional office staff on how to design their own
reports and helped staff troubleshoot problems they encountered with their
reports. I conducted one major
formal review each year, in preparation for EPA=s
year-end financial statements -- a review of unliquidated obligations, to
identify obligations that needed follow-up with vendors and those that could
be deobligated. My other smaller
annual reviews included: security update of persons with access to the
Management and Accounting Reporting System; review of obligations subject to
cancellation at the end of the fiscal year; and update of persons with
authority to certify the availability of funds.
My
miscellaneous duties included: I served as regional point of contact on GPRA
(Government Performance and Results Act of 1993). I developed the methodologies we used for the quarterly
allocation of grants payments to the appropriate program results codes, in
order to properly report expenditures to Congress under the GPRA requirements.
I represented the regional office, with the team leader, on national
grant payment initiatives, such as the Treasury Automated Standard Application
for Payment (ASAP) system. I also
served as the alternate regional agency administrator for the Treasury
Intergovernmental Payment and Collection (IPAC) system.
I
worked extensively with word processing (Word and WordPerfect) and electronic
mail (Lotus Notes) daily; and electronic spreadsheets (Excel and Lotus 123)
regularly. Although I my position
did not involve web editing (FrontPage 2000) or database design (Microsoft
Access), I continued to use these software applications, along with Adobe
Acrobat, in my outside activities.
Health Care Financing Administration
(Now the Centers for Medicare and Medicaid Services)
Payment
and Recovery Specialist (Medicare). In June 1998
I transferred to the Medicare division and through October 2000 was
responsible for identifying and collecting overpayments made to Medicare Part
A providers. I specialized in the
area of providers who had filed for bankruptcy under chapter 7, chapter 11,
and sometimes chapter 13 of the United States Bankruptcy Code.
This position required a good working knowledge of Medicare
reimbursement principles, as well as a knowledge of bankruptcy law (11 USC)
and court procedures, in order to evaluate the unique issues involved with
recovering overpayments from providers in bankruptcy.
My duties included filing proofs of claim with the bankruptcy court; tracking cases through the courts to determine if or when they were dismissed, converted, or discharged; and working closely with the Office of General Counsel (OGC) in preparing motions and other pleadings, and in preparing them for court in adversarial proceedings. I also worked closely with the Medicare fiscal intermediaries to obtain the financial information necessary to prepare proofs of claim and information that our OGC attorneys needed to prepare for court; and provided special instructions on a case-by-case basis for overpayment cases where the provider was in bankruptcy. (The goal was to maximize collections of amounts due the Medicare Hospital Insurance Trust Fund and to minimize additional overpayments to these providers once they become insolvent.) I also reviewed financial information of chapter 11 providers in order to evaluate proposed repayment schedules.
Accountant
(Medicaid).
Previously I spent 9 years in the Medicaid division as an accountant.
I was responsible for overseeing, evaluating, and monitoring the
Medicaid State agency institutional payment policies and procedures and rate
setting methodologies that the states in our region use to reimburse hospitals
and nursing homes for inpatient services provided to Medicaid patients.
I served as a resource person for state Medicaid agencies, regional
office grants and program staff, and central office institutional payment
policy staff. My job involved
three general areas: (1) reviewing state plan changes to established
reimbursement methodologies for compliance with laws, regulations, and
policies; (2) providing guidance, technical assistance, and policy
interpretation regarding institutional reimbursement policies and procedures;
and (3) performing on‑site reviews of states' implementation of their
approved methodologies.
This
position required a comprehensive knowledge of Medicaid institutional
reimbursement and provider cost payment principles, as well as knowledge of
the unique characteristics of each of the five states in the region.
It also required a full operating knowledge of Medicare reimbursement
principles since most state Medicaid institutional reimbursement policies are
based, at least in part, on Medicare principles.
I handled of all the issues involving inpatient hospital and nursing
home services. For three years, I
supervised an associate's work on the nursing home issues.
I
worked extensively with word processing (Word and WordPerfect) and electronic
mail daily; and web editing (Front Page 98) and electronic spreadsheets
(Excel, Lotus) regularly. I also designed databases in Microsoft Access and am
familiar with Lotus Approach.
Federal Savings and Loan Insurance Corporation
Our
office was opened in early 1989 to administer the financial assistance
agreements commonly known as the "Southwest Plan," in which quite a
number of failing savings and loans were "bailed out" and sold to
new investors shortly before the close of 1988.
Under these 10-year assistance agreements, the new owners received
various financial guarantees and tax incentives.
I was
assigned financial responsibility for eight institutions.
I reviewed their quarterly financial reports for compliance with the
terms of their assistance agreements, determined the proper amount of payment
due the institutions, and sent my recommendations to headquarters for payment.
I was required to understand and interpret legal provisions of long,
complex assistance agreements; use independent, professional judgment in
decision making; consult with partners of CPA firms, attorneys, and banking
executives to resolve complex issues; and implement policy for consistency of
processing claims under the Southwest Region assistance agreements.
I used word processing and electronic mail in performing my duties.
U.S. Department of Labor, Office of Inspector General
I was
auditor-in-charge (AIC) of two complex, limited scope, financial-related
grant audits of a block grants awarded to two medium sized cities under the
Job Training Partnership Act. I
was responsible for evaluating the costs claimed under these grants by the
cities and their subcontractors for allowability and allocability, as well as
determining whether the cities complied with the laws and regulations
affecting grant financial reporting. I
was required to meet the governmental auditing standards established by the
Comptroller General of the United States, as well as the auditing standards
recognized by the accounting profession.
I
performed initial audit research and planning, conducted entrance and exit
conferences with state and local officials, supervised audit staff, reviewed
audit working papers, interpreted Federal laws and regulations, presented
audit findings to state and local officials, resolved audit issues, and kept
the assistant regional inspector general (ARIG) informed on the status of the
audit. I also developed several
complex audit issues, which represented over 90 percent of the monetary
findings in the final audit report, and prepared the draft and final audit
reports, tasks which had historically been done by the ARIGs.
I used word processing and electronic spreadsheet computer applications
extensively in preparing the audit reports.
I supervised nine auditors assigned to the audit. I assigned audit areas to the staff, discussed audit approaches, conducted audit team meetings, resolved problems the auditors encountered, identified audit criteria, determined the significance of audit findings, evaluated the relevancy and persuasiveness of audit evidence, prepared specific assignment performance appraisals, approved leave requests, and reviewed travel vouchers for completeness and compliance.
U.S. Department of Defense, Defense Contract Audit Agency
I was
responsible for planning, performing, and reporting on a variety of contract
audit assignments in connection with the procurement and contracting activity
between the Air Force and General Dynamics' Fort Worth Division.
I was assigned to a team that reviewed the contractor's proposals for
overhead rates and factors. I
generally worked on my own, on smaller audits of specific factors.
I was also a team member on a large audit of overhead rates for a
future 5-year period.
I
reviewed the contractor's proposals, its accounting and control systems,
historical (incurred costs) data supporting the proposal, and future cost
projections. I was required to
develop and modify audit and techniques; determine whether costs were
appropriately allocated under the government contract and in compliance with
the Federal cost accounting standards and government contracting regulations;
analyze the adequacy of accounting and costing information; interpret
findings; and develop recommendations which were supportable.
I
performed statistical analyses using agency-developed computer
applications, such as regression analysis and projection models. I also had the opportunity to study dBase III Plus and work
extensively with Lotus 123 and Multimate.
Internal Revenue Service
As an
Internal Revenue Agent, I conducted field examinations which involved tax law,
accounting, and investigative issues of substantial variety and complexity.
This position required a thorough knowledge of a wide range of business
practices and procedures; the ability to evaluate a wide variety of accounting
systems; and a knowledge of accounting principles, auditing, and investigative
techniques. Revenue agents must be
able to interpret and apply the Federal tax laws to each unique fact situation;
develop effective interview and fact finding techniques; meet and deal with the
public in a professional manner; use professional judgment in making independent
decisions; and write clear, comprehensive reports that are often used in legal
proceedings.
I was
responsible for conducting each audit from start to finish, with minimal
supervision, including: selecting which tax returns should be audited; planning,
scheduling, and conducting the audit; researching relevant regulations, rulings,
and court cases; documenting and presenting audit findings in a convincing
manner; and preparing written audit reports.
I conducted audits of sole proprietorships, corporations, partnerships,
investors, and "subchapter S" corporations.
As such, I was required to meet and deal with a wide variety of people
(sometimes hostile) such as small business owners, corporate executives, CPAs,
and attorneys. I also testified as
the government's witness in Tax Court, in a complex case I worked shortly after
I finished my training. The
government won that case and I received a commendation for recognizing such a
complex issue at such an early stage in my career.
I was an
on-the-job instructor for three trainee agents, from February through August
1986. I helped train these trainees
-- during their first two phases of training -- in all the duties of a revenue
agent that are listed above (limited to audits of individuals and sole
proprietorships). I conducted three
on-the-job visits with each trainee (initial interview, work-in-progress, and
closing conference) during each training phase, conducted workload review
conferences, and prepared written evaluations of their work. I also prepared and presented several technical workshops.
Detailed Job Descriptions Before 1982
Available on request
I have very strong computer skills. While at HCFA, I served on the LAN committee. This included installing software, troubleshooting computer problems for users, and serving as a liaison between users and the computer staff. I am proficient in Word, Excel, Access, Microsoft Front Page, Word Perfect, Lotus 123, Groupwise, Lotus Notes, and Microsoft Outlook. I have extensive experience in designing and maintaining Internet websites, both at HCFA and for several professional associations. I have also had training in Power Point and Lotus Approach. Between March 2004 and April 2005 I received extensive training in Oracle U.S. Federal Financials, as our office moved towards implementation of our new Oracle-based Unified Financial Management System in April 22, 2005.
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