Allison T. Email & Phone Number
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.
Email format at Blue Cross NC
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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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Allison T. work experience
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Special Investigator
Part-Time Registered Dental Hygienist
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.
Provider Compliance Fraud Investigator/Dental Hygienist
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.
Registered Dental Hygienist
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.
Colleagues at Blue Cross NC
Other employees you can reach at azblue.com. View company contacts for 1376 employees →
Perez Connie
Colleague at Blue Cross NcGlendale, Arizona, United States
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Kathleen Marley
Colleague at Blue Cross NcGilbert, Arizona, United States
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Aimee Silver
Colleague at Blue Cross NcGreater Phoenix Area, United States
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Britni Williams
Colleague at Blue Cross NcGreater Phoenix Area, United States
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Sumitra Poudel
Colleague at Blue Cross NcPhoenix, Arizona, United States
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Ramandeep Kaur
Colleague at Blue Cross NcGreater Melbourne Area, Australia
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Ysabel Butterfield
Colleague at Blue Cross NcTempe, Arizona, United States
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Chuck Sowers
Colleague at Blue Cross NcGreater Phoenix Area, United States
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Braden Macdonald
Colleague at Blue Cross NcGreater Phoenix Area, United States
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Debbie Wesolowski
Colleague at Blue Cross NcGreater Phoenix Area, United States
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Allison T. education
Bachelor'S Degree, Dental Hygiene
Associate'S Degree, Dental Hygiene/Hygienist
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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