Kenya Johnson

Acted as primary liaison between internal teams and insurance carriers for submissions, quotes, and policy processing.

• Resolved irregularities identified during reconciliations, ensuring accuracy in financial reporting.
• Reconciled billing, payment, and policy discrepancies, facilitating compliance with audit requirements and enhancing reporting reliability.
• Analyzed financial discrepancies in reconciliation processes to enhance accuracy.
• Reduced reconciliation discrepancies by identifying trends and improving tracking methods.
• Compared billed versus received amounts in premium reconciliation, efficiently resolving discrepancies to maintain financial integrity.

• Led Maryland and DC meetings to address escalated cases from Tuesday to Friday.
• Partnered with functional analyst to effectively resolve issues, enhancing overall case management.
• Supported functional analyst in managing DC and Maryland tracker cases to ensure timely resolutions.
• Processed DC adds and updates to CF tracker in SharePoint.
• Applied critical and analytical skills daily to enhance problem-solving.
• Responded promptly to external and internal emails from multiple departments.
• Created SharePoint requests for transfers and refunds for management approval.
• Coordinated daily distribution of DC emails and addressed Maryland emails, maintaining workflow during analyst absence.

• Reviewed applications for aid programs to ensure eligibility for assistance and facilitate access to resources.
• Handled applications, payments, corrections, endorsements, and cancellations to streamline processing and enhance customer service.
• Updated, entered, and reviewed customer information to maintain accurate records.
• Resubmitted edited claims after denial to secure approvals and minimize outstanding debt.
• Followed strict procedures to protect sensitive patient data, including medical records.
• Maintained excellent attendance record with punctuality for all shifts.

• Pulled accurate patient records within 24 hours to ensure timely access.
• Utilized Epic and Healthsource systems to track and confirm patient information.
• Entered data into Epic, including payments, account details, and call logs.
• Verified data accuracy and integrity through diligent double-checking procedures.
• Reviewed departmental documents to ensure accurate distribution and effective filing processes.
• Addressed customer inquiries and managed phone requests to enhance service efficiency.
• Scanned and copied documents to maintain organized client filing system.
• Maintained excellent attendance and punctuality, consistently arriving ready to work.

• Coordinated customer service, patient appointment scheduling, billing, collections, and office administration to enhance patient experience.
• Verified insurance benefits and eligibility, documenting details in Athena system to ensure accurate patient processing.
• Documented patient medical histories and insurance information for seamless appointment processing.
• Ensured accurate entry and processing of patient prescriptions into company system.
• Supported administrative and healthcare staff with clerical tasks, overseeing supply management and office inventories for efficient operations.
• Received, recorded, and responded to incoming and outgoing communications via phone and email.
• Oversaw staffing for resident care and memory care, contributing to pre-admission assessments.
• Monitored quality assurance program to uphold high standards of care.

• Organized and scheduled patient care by tracking provider schedules and scope of practice to ensure timely appointments.
• Managed insurance correspondence to confirm patient coverage, facilitating smooth patient visits.
• Maintained current patient data, verifying insurance demographics and medical history to support accurate billing and care.
• Handled over 90 calls daily, enhancing overall office efficiency.
• Welcomed each patient warmly, providing desk sheets for streamlined sign-in.
• Utilized calendar software to set up physician appointments and procedures.
• Processed patient payments and scanned identification and insurance cards for records.
• Took and relayed patient messages to appropriate personnel while adhering to HIPAA guidelines.