Fees Analyst

Sarasota, FL - USA

Monthly Salary: Not Disclosed

Posted on: 2 days ago

Vacancies: 1 Vacancy

Job Summary

Overview

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.

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

Systems Experience: Denticon Cloud 9 and other dental OMS/PMS platforms supporting multi-location and enterprise dental operations including plan configuration fee schedule management and payer setup.

Qualifications

What Were Looking For

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

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

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

Required Experience:

OverviewDental 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 dent...