Fees Analyst

Title: Remote Fees Analyst

Location: Sarasota, Florida, United States

Department: Business Careers & Support

Type: Full-Time

Job Description:

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