Rcm Fees Analyst / Insurance SpecialistDental 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 400dental practices nationwide.ResponsibilitiesBuild, update, and assign high-volume fee schedules in Denticon by payer, provider, plan, and locationInterpret 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 dataConfigure new insurance carriers and plans, ensuring accurate participation and fee alignmentManage and resolve plan and fee support tickets from dental offices and internal teamsPartner cross-functionally with revenue cycle, operations, and payer relations teamsCommunicate with carriers and network administrators to obtain and validate fee schedulesAnalyze trends in denials, underpayments, and payer inconsistencies and recommend improvementsSupport and educate field teams on plan setup and billing best practicesStay current on reimbursement models, leased networks, and compliance requirementsSystems 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.Qualifications7years of experience in dental billing, payer operations, or fee schedule administrationStrong knowledge of leased networks, PPO contracts, plan types, and UCR methodologiesExperience working in a DSO or multi-practice dental organization preferredProficiency in Microsoft Excel (pivot tables, VLOOKUP, data validation)Hands-on experience with DentalXChange, Denticon and Cloud 9 requiredHighly analytical, detail-oriented, and organizedStrong communicator able to translate complex payer data into clear action.
Experience: 7 years required