Dental Claims Auditor for Fraud Prevention (Mississauga)

Dental Claims Auditor for Fraud Prevention (Mississauga)

31 Jul
|
Express Scripts Pharmacy Benefit Services
|
Mississauga

31 Jul

Express Scripts Pharmacy Benefit Services

Mississauga

Enhance your career with a challenging Dental Claims Auditor role at Express Scripts Canada in Mississauga. This hybrid position focuses on auditing and compliance across healthcare advantages.
The role involves working in the Fraud, Waste, and Abuse department, conducting thorough audits of dental and other healthcare claims throughout Canada. You will utilize your investigative skills to ensure providers meet benefit regulations, while engaging in direct education with them. Your insights will help shape the company’s risk management approach.
Key Responsibilities:
• Conduct audits for dental and healthcare claims
• Review provider documentation for compliance level
• Communicate findings and educate providers effectively




• Analyze audits and produce detailed reports
• Identify trends and recommend adjustments for audits
Requirements:
• Licensed dental assistant or hygienist degree
• 2–5 years relevant experience in dental practice
• Comprehensive knowledge of dental regulations
• Valid driver’s license for travel
• Excellent communication and problem-solving skills
Capitalize on your auditing and dental expertise in a role that contributes to provider education and risk management.
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📌 Dental Claims Auditor for Fraud Prevention (Mississauga)
🏢 Express Scripts Pharmacy Benefit Services
📍 Mississauga

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