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.
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 We’re 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
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Salary: USD 60000 - 80000 per year
Experience: 7 years required