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 various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations

Job Summary

  • The role involves conducting various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations.
  • Candidates must be able to travel 20-30% of the time to conduct on-site audits at provider locations throughout Canada.
  • The position offers competitive compensation, a pension plan, career development opportunities, and a hybrid work arrangement with two days on-site per week.

Matching Summary

The role involves conducting various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations.

Salary

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

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 as dental assistant or hygienist
  • Valid license required
  • 2-5 years recent experience in dental office
  • Valid driver's license
  • Enhanced Reliability Clearance from Federal Government

Work Rights

Not specified

Tailored Resume

Cover Letter