Opportunity Description
Express Scripts Canada is seeking a Dental Claims Auditor for a hybrid position in Mississauga. Bring your analytical mindset and investigative skills to enhance compliance in benefit plans nationwide.
This permanent role focuses on conducting audits for dental, vision, and mental health benefits while ensuring adherence to provincial regulations. You'll engage with providers, evaluate documentation, and deliver accurate audit reports. Your insights will shape risk management strategies and optimize claim processes.
Key Responsibilities:
• Conduct on-site audits at provider locations
• Communicate with providers about submission practices
• Ensure compliance with enrollment agreements
• Perform self-reviews to ensure audit quality
• Track and summarize audit activity for reporting
Requirements:
• Graduate as a licensed dental assistant or hygienist
• 2-5 years in a dental office environment
• Ability to travel within Canada (20-30%)
• Knowledge of de...
This permanent role focuses on conducting audits for dental, vision, and mental health benefits while ensuring adherence to provincial regulations. You'll engage with providers, evaluate documentation, and deliver accurate audit reports. Your insights will shape risk management strategies and optimize claim processes.
Key Responsibilities:
• Conduct on-site audits at provider locations
• Communicate with providers about submission practices
• Ensure compliance with enrollment agreements
• Perform self-reviews to ensure audit quality
• Track and summarize audit activity for reporting
Requirements:
• Graduate as a licensed dental assistant or hygienist
• 2-5 years in a dental office environment
• Ability to travel within Canada (20-30%)
• Knowledge of de...
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