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Audit Specialist for Dental Claims

Company

Express Scripts Pharmacy Benefit Services

Location

mississauga, Canada

Type

Full-time

Join Express Scripts Canada as a Dental Claims Auditor, where your role involves critical analysis of claims within a flexible hybrid work setup. Enhance healthcare integrity while supporting a diverse team dedicated to patient care.
Located in Mississauga, this permanent position in the Fraud, Waste, and Abuse department requires an individual passionate about compliance and healthcare standards. Your duties entail performing audits, communicating findings, and delivering actionable insights to stakeholders. Use your dental knowledge and auditing skills to prevent fraud and manage risks effectively.
Key Responsibilities:
• Conduct audits for various healthcare benefit claims
• Educate providers on submission practices and audit results
• Analyze documentation for adherence to agreements
• Create detailed reports summarizing audit activities
• Identify trends and recommend audit strategy adjustments
Requirements:
• Graduated as a dental hygienist or assistant...

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