Remote Fees Analyst

Dental Care AllianceSarasota, FL
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
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