Allison T.
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Allison T. Email & Phone Number

Senior Fraud Investigations Analyst Medicare and Medicare Advantage at Blue Cross NC
Location: Greater Phoenix Area, United States 5 work roles 2 schools
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✓ Verified Jul 2026 3 data sources Profile completeness 86%

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Role
Senior Fraud Investigations Analyst Medicare and Medicare Advantage
Location
Greater Phoenix Area, United States
Company size

Who is Allison T.? Overview

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Allison T. is listed as Senior Fraud Investigations Analyst Medicare and Medicare Advantage at Blue Cross NC, a with 1376 employees, based in Greater Phoenix Area, United States. AeroLeads shows a matched LinkedIn profile for Allison T..

Allison T. previously worked as Special Investigator at Blue Cross Blue Shield Of Arizona and Part-Time Registered Dental Hygienist at Stacy Zittel, Dds. Allison T. holds Bachelor'S Degree, Dental Hygiene from Northern Arizona University.

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Email format at Blue Cross NC

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Blue Cross NC

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Profile bio

About Allison T.

With a robust background in healthcare compliance, fraud investigation, and dental hygiene, I bring over two decades of professional enterprise to the table. As a certified E&M Auditor (CEMA), and Certified Professional Coder (CPC), I specialize in identifying and addressing fraud, waste, and abuse within Medicare Advantage, Medicaid and Commercial health plans. Currently serving as a Medicare Advantage/Commercial Investigator for Blue Cross Blue Shield of Arizona’s Special Investigations Unit, I leverage my extensive auditing, data mining, and compliance skills to drive results.

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Blue Cross NC
Blue Cross Nc
Senior Fraud Investigations Analyst Medicare and Medicare Advantage
Phoenix, AZ, US
Website
Employees
1376
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5 roles

Allison T. work experience

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Senior Fraud Investigations Analyst Medicare And Medicare Advantage

Phoenix, Az, Us

Part-Time Registered Dental Hygienist

Stacy Zittel, Dds

Phoenix, Arizona

I currently work as a Registered Dental Hygienist in a General Dental practice on Fridays. I am passionate about helping people with their healthcare, which many people don't realize how important oral hygiene can be to one's health. I am lucky to be able to get a total of one hour with all my patients, allowing me time to assess properly, do a thorough cleaning and still have time to educate. I get great satisfaction when a patient tells me "that was the best cleaning I ever had." I truly Enjoy making my patients feel good.

Feb 2019 - Sep 2019

Provider Compliance Fraud Investigator/Dental Hygienist

Ahcccs Office Of Inspector General

Phoenix, Arizona

I am currently a fraud investigator in the Provider Compliance Unit for AHCCCS Office of Inspector General. As an investigator, I identify fraud, waste and abuse by AHCCCS providers. I handle a caseload of 60-70 active cases at the same time. I specialize in the dental cases because of my background experience, but also work behavioral health, medical, homecare, durable medical equipment and pharmacy cases. I am a Certified Professional Coder (CPC) and Certified Program Integrity Professional (CPIP) from the Medicaid Integrity Institute in Columbia, South Carolina. My skills as a fraud investigator include auditing medical/dental records, timesheets, financial documents and ad hoc reports. I interview providers and witnesses, as well as educate and inform providers on compliance and policy. I work with both outside and in-house legal counsel and have experience testifying in court. I research policy and I am knowledgeable on Medicaid, CMS and State/Federal policy, rules and statues. I communicate with health plan compliance officers on a regular basis and have joint cases that I work with the FBI and Attorney General's Medical Fraud Control Unit (MFCU). I do a lot of data analysis in our software system identifying outliers or red flags among AHCCCS providers. I'm extremely detailed and organized with my cases and have a review every 60-days with my supervisor. I am experienced with excel, CLEAR, Lexis Nexis and ACJIS. I finalize my investigations with writing a report of investigation or case closure depending on the final results. I have almost 2 years experience as a supervisor of a team of 9 investigators. I delegated work among the team and conducted case reviews every 60-days. I reviewed team's reports and gave directions on case steps needed. I was responsible for team timecards and time off requests. I sat in interview panels for new employees and helped in the training when hired.

Jul 2012 - Sep 2019

Registered Dental Hygienist

Phoenix,Arizona

As a registered dental hygienist I took radiographs and performed prophys and scaling and root planing with anesthesia and/or nitrous oxide on dental patients. I did patient assessments, including oral cancer screenings, full mouth perio probing and charting. I performed laser decontamination treatment and antimicrobial irrigation. I applied preventative sealant material on pediatric patients and provided oral education for all my patients. I have experience with pediatric, special needs and geriatric patients. I have Dentrix software knowledge and experience as well as dental coding and some front office duties.

Aug 2005 - Jul 2012
Team & coworkers

Colleagues at Blue Cross NC

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2 education records

Allison T. education

Bachelor'S Degree, Dental Hygiene

Northern Arizona University

Associate'S Degree, Dental Hygiene/Hygienist

Cerritos College
FAQ

Frequently asked questions about Allison T.

Quick answers generated from the profile data available on this page.

What company does Allison T. work for?

Allison T. works for Blue Cross NC.

What is Allison T.'s role at Blue Cross NC?

Allison T. is listed as Senior Fraud Investigations Analyst Medicare and Medicare Advantage at Blue Cross NC.

Where is Allison T. based?

Allison T. is based in Greater Phoenix Area, United States while working with Blue Cross NC.

What companies has Allison T. worked for?

Allison T. has worked for Blue Cross Nc, Blue Cross Blue Shield Of Arizona, Stacy Zittel, Dds, Ahcccs Office Of Inspector General, and Desert Dentistry.

Who are Allison T.'s colleagues at Blue Cross NC?

Allison T.'s colleagues at Blue Cross NC include Perez Connie, Kathleen Marley, Aimee Silver, Britni Williams, and Sumitra Poudel.

How can I contact Allison T.?

You can use AeroLeads to view verified contact signals for Allison T. at Blue Cross NC, including work email, phone, and LinkedIn data when available.

What schools did Allison T. attend?

Allison T. holds Bachelor'S Degree, Dental Hygiene from Northern Arizona University.

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