RemX | The Workforce Experts · 4 days ago
Plans & Fees Analyst – dental insurance experience - hybrid 1 week/month onsite - $55/hr. - Oakland, CA
Oakland, CA
Full-time
Hybrid
Senior Level
$55/hr - $55/hr
5+ years expRemX | The Workforce Experts is a leader in dental plan administration with technology-enabled services, and they are seeking a Plans & Fees Analyst. This position is responsible for ensuring accurate configuration of payer plans and fee schedules within the Epic system while collaborating with various teams to support accurate estimates and reimbursement outcomes.
Information TechnologyStaffing Agency
Hiring Manager
Viviana Meza
Responsibilities
Load and maintain payer plans, benefit structures, and Payor and Employee plan fee schedules within Epic according to organizational and payer requirements
Perform testing and validation to ensure correct fee mapping, contract adherence, and reimbursement accuracy
Collaborate with the RCM Business Analyst, Billing, and Contracting teams to identify configuration gaps, discrepancies, and opportunities
Conduct end-to-end testing of fee and plan builds, documenting all test cases and validation results
Troubleshoot issues related to plan configuration and fee schedule mapping, escalating as needed
Maintain version control and documentation for all loaded plans and fees
Participate in process improvements initiatives to enhance accuracy and efficiency of fee management
Support go-live readiness activities and provide post-implementation validation
Annual review and update of plans within Epic
Qualification
Required
Bachelor's degree in healthcare administration, Finance, Business, or related field preferred
5+ years' experience in revenue cycle, payer contracting, or fee schedule management
Strong understanding of dental insurance reimbursement methodologies, payer contracts, and fee loading process
Ability to collaborate across teams and communicate technical findings effectively
Proficiency in Excel and data validation tools
This position requires attention to detail, strong analytical skills
Company
RemX | The Workforce Experts
RemX is the professional staffing division of EmployBridge, a $3 billion staffing organization with more than 600 offices in the U.S. and Canada.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase