Whitney Olley Email & Phone Number

Omaha, Nebraska

• Conduct detailed, timely and objective comprehensive investigations suspected of FWA.
• Identify, investigate, analyze, and evaluate potential fraudulent and/or abusive billing and coding practices.
• Analyze historic claims to determine if patterns are indicative of potential FWA.
• Generate and send education, corrective action plans, and settlement letters to providers based on medical review findings utilizing BCBSNE policies, CMS policies and AMA… Show more
• Generate and send education, corrective action plans, and settlement letters to providers based on medical review findings utilizing BCBSNE policies, CMS policies and AMA guidelines.
• Collaborates with law enforcement agencies pertaining to the investigation findings.

Omaha, NE

As a Program Integrity Analyst II with the Remedy Team, I do the following:*Performs thoroughly investigations of potential healthcare fraud investigations involving fraud, waste and abuse to Medicare & Medicaid Program.*Drafts administrative action request(s) and submit to CMS on providers/suppliers whom abuse the Medicare & Medicaid programs.*Maintains.

Omaha, Nebraska

As a Program Integrity Supervisor, I did the following:*Provide direction to program integrity staff within bi-weekly matrix reviews in order to meet our customer’s goals and expectations pertaining to identification, development, and resolution of Medicare fraud complaints, investigations, and cases.*Mentored and succeeded in collaborating with.

Omaha, NE

As a Program Integrity Analyst, I did the following:*Performed thorough investigations of potential healthcare fraud investigations involving fraud, waste and abuse to the Medicare program. *Completed necessary procedures to recoup payments made in error to physicians/facilities by Medicare. *Made potential fraud determinations by utilizing a variety of.

Omaha, NE

NCI/AdvanceMed is a provider of healthcare program integrity services which enables government agencies to detect and prevent fraud, waste, and abuse in their benfit programs. NCI/AdvanceMed provides a full suite of healthcare program integirty support services, including: Healthcare Data Analysis, Fraud Investigation, Medical Review, and Healthcare Data.

Omaha, NE

The Omaha Sports Complex is an indoor sports facility that provides a safe, clean and friendly environment for clientele to excel in their activities and sports.As the Operations & Scheduler Manager, I performed the following:*Maintained monthly staff schedules.*Maintained training schedules for clientele.*Scheduled leagues for all sports.*Trained new.