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