Dental Claims Auditor - Express Scripts Canada

Express Scripts Canada

Mississauga, Ontario, Canada
Base: $58,000 – $63,000 annually; bonus/equity: no...
Hybrid
Valid dental assistant or hygienist license
2-5 years recent dental office experience
Working knowledge of dental software and fee codes
The role involves conducting desk and on-site audits across Canada to validate provider compliance with benefit plan design and provincial regulations

Job Summary

  • The role involves conducting desk and on-site audits across Canada to validate provider compliance with benefit plan design and provincial regulations.
  • Candidates must possess a valid license as a dental assistant or dental hygienist with 2-5 years of recent experience in a dental office environment.
  • The position offers competitive compensation ranging from $58,000 to $63,000 annually along with a pension plan and flexible work options.

Matching Summary

The role involves conducting desk and on-site audits across Canada to validate provider compliance with benefit plan design and provincial regulations.

Salary

Base: $58,000 – $63,000 annually; Bonus/Equity: Not specified; Benefits: Competitive compensation, benefits, pension plan, wellness programs

Skills & Requirements

Must-have

  • Valid dental assistant or hygienist license
  • 2-5 years recent dental office experience
  • Working knowledge of dental software and fee codes
  • Valid driver's license for travel across Canada
  • In-depth knowledge of dental benefits and reimbursement

Nice-to-have

  • Previous audit or investigation experience
  • Bilingualism in French and English
  • LOMA or HIAA training certification
  • Strong critical thinking and problem-solving skills
  • Ability to work independently with minimal supervision

Key Requirements

  • Graduate of post-secondary program (Dental Assistant/Hygienist)
  • Valid professional license required
  • 2-5 years recent dental office experience
  • Valid driver's license required
  • Enhanced Reliability Clearance eligibility

Work Rights

Must be eligible for Enhanced Reliability Clearance

Tailored Resume

Cover Letter