Fees Analyst jobs in United States
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Dental Care Alliance · 2 days ago

Fees Analyst

Dental Care Alliance (DCA) is seeking an experienced RCM Fees Analyst / Insurance Specialist with strong expertise in dental insurance fee schedules. This role is critical to maintaining billing accuracy and reimbursement integrity across 400+ dental practices nationwide, involving responsibilities such as building and updating fee schedules, resolving discrepancies, and partnering with cross-functional teams.

DentalHealth CareMedical

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

Qualification

Dental insurance expertiseFee schedule managementPayer plan configurationMicrosoft ExcelAnalytical skillsCommunication skillsDetail-oriented

Required

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

Preferred

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

Company

Dental Care Alliance

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Management and licensing services to dental practices in Florida.

Funding

Current Stage
Public Company
Total Funding
unknown
2023-01-16Acquired
2021-03-01Debt Financing
1997-11-04IPO

Leadership Team

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James Nick
Chief Operating Officer
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David Pegg
Chief Development Officer
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Company data provided by crunchbase