Remote Fees Analyst

Dental Care Alliance•Sarasota, FL

36d•Remote

About The Position

Dental Care Alliance (DCA) is seeking an experienced RCM Fees Analyst / Insurance Specialist with strong expertise in dental insurance fee schedules, leased networks, and payer plan configuration. This role is critical to maintaining billing accuracy and reimbursement integrity across 400+ dental practices nationwide.

Requirements

7+ years of experience in dental billing, payer operations, or fee schedule administration
Strong knowledge of leased networks, PPO contracts, plan types, and UCR methodologies
Proficiency in Microsoft Excel (pivot tables, VLOOKUP, data validation)
Hands-on experience with DentalXChange, Denticon and Cloud 9 required
Highly analytical, detail-oriented, and organized
Strong communicator able to translate complex payer data into clear action

Nice To Haves

Experience working in a DSO or multi-practice dental organization preferred

Responsibilities

Build, update, and assign high-volume fee schedules in Denticon by payer, provider, plan, and location
Interpret and apply payer contracts and leased networks (e.g., Zelis, Connection Dental, DenteMax)
Investigate and resolve fee discrepancies, plan mismatches, and underpayments using EOBs and claims data
Configure new insurance carriers and plans, ensuring accurate participation and fee alignment
Manage and resolve plan and fee support tickets from dental offices and internal teams
Partner cross-functionally with revenue cycle, operations, and payer relations teams
Communicate with carriers and network administrators to obtain and validate fee schedules
Analyze trends in denials, underpayments, and payer inconsistencies and recommend improvements
Support and educate field teams on plan setup and billing best practices
Stay current on reimbursement models, leased networks, and compliance requirements