Deidre Monique Oliver
Santee,US
Summary
Experienced Health and Human Services Professional worker dedicated, organized, professional, and self-driven. Specialized in insurance verification, prior authorization, and coding and billing. Expert in Medicare and Medicaid policy and procedures. Helping children and adults receive healthcare coverage.
Highly skilled Fraud Investigator with solid background in preventing, identifying and investigating fraudulent activities. Strengths include strong analytical skills, keen attention to detail and ability to work under pressure. Have contributed significantly to creating robust fraud prevention strategies and maintaining high security standards at previous workplaces. Experienced in conducting thorough investigations, compiling detailed reports and collaborating effectively with law enforcement agencies.
Overview
33
33
years of professional experience
Work History
Medicaid Fraud Investigator
South Carolina Department of Health and Human Services
Columbia, SC
06.2016 - Current
- Primarily investigates healthcare providers suspected of fraudulent activity within the Medicaid program, including billing for unnecessary services, overcharging for procedures, or providing false patient information, aiming to protect vulnerable Medicaid recipients from abuse and financial exploitation
- Question healthcare providers, patients, and witnesses to gather information regarding suspected fraudulent activity
- Collect relevant documents like medical records, patient files, invoices, and financial statements to build a case against the suspect
Medical Assistant
Palmetto Primary Care
Orangeburg, SC
05.2003 - 05.2016
- Verify insurance to authorize procedures, referrals to other physicians, prior authorization for medications, and procedures
- Give injections, vitals signs, assist physicians with medical procedures, schedule appointments, answering phone call, drawing labs, entering medical history in systems, educated patients about diagnosis, and treatment, perform x-rays
- Work 40 hours a week
- Salary $28,500/Year
Medical Assistant
Family Diagnostic Care
Holly Hill, SC
01.1992 - 04.2003
- Call patients back in room to do vitals, stock exam room, perform hearing test, call in medications to pharmacy, x-rays, draw blood, verify insurance, assist physicians with procedures, billing and coding, answer call and respond to message left on machine
- Work 40 hours a week
Education
Bachelor’s degree -
Purdue Universal Global
10.2023
Associate degree - Human Services
Purdue University Global
01.2016
Nursing Assistant Certificate -
Orangeburg Calhoun Technical College
01.2000
High School Diploma -
Lake Marion High School
06.1989
Skills
- Leadership
- Consumer Service
- Computer and Technology
- Problem Solving
- Patience
- Reliable
- Teamwork
- Quality Assurance and Control
- Anti-money laundering
- Financial fraud
- Criminal investigations
- Evidence collection
- Telephone etiquette
- Partnering and relationships
- Report filing
- Investigative techniques
- Fraud prevention
- Case assignment oversight
- Interviewing capability
- Records research
References
- Sonia King, Program Coordinator, South Carolina Department of Health and Human Services, 803-460-1684
- Caroline Yerich, FNP, Family Nurse Practitioner, Palmetto Primary Care Physicians, 80-971-9535
- Daniel Dewalt, Program Coordinator, South Carolina Department of Health and Human Services, 202-834-8169
Personal Information
Citizenship: US Citizens
Timeline
Medicaid Fraud Investigator
South Carolina Department of Health and Human Services
06.2016 - Current
Medical Assistant
Palmetto Primary Care
05.2003 - 05.2016
Medical Assistant
Family Diagnostic Care
01.1992 - 04.2003
Bachelor’s degree -
Purdue Universal Global
Associate degree - Human Services
Purdue University Global
Nursing Assistant Certificate -
Orangeburg Calhoun Technical College
High School Diploma -
Lake Marion High School