Hybrid Dental Claims Auditor Role

Become a crucial part of Express Scripts Canada as a Dental Claims Auditor, providing essential oversight in a hybrid working environment. Your role helps ensure compliance and improves healthcare outcomes for clients across Canada.
This permanent full-time position in Mississauga involves auditing dental claims and educating providers on compliance. Use your investigative skills to analyze claims and identify potential fraud, delivering value to both clients and the healthcare system. Join a team that values collaboration and innovation.
Key Responsibilities:
• Perform detailed audits of claims across multiple healthcare benefits
• Gather information from providers for accurate audits
• Evaluate provider documentation for compliance with agreements
• Calculate necessary adjustments for claim transactions
• Prepare and present comprehensive audit reports
Requirements:
• Diploma from a dental assistance or hygiene program
• 2-5 years of dental office experi...