KENYA JOHNSON
Columbia
Summary
Analytical and detail-oriented professional with strong experience in reconciliation analysis, operational analytics, APTC/subsidy investigation, and cross-functional problem resolution within healthcare and insurance environments. Skilled in analyzing complex datasets, identifying trends, validating system outputs, and improving workflows. Adept at supporting system enhancements, documenting procedures, and collaborating with business and technical teams to resolve discrepancies and optimize operations. Recognized for accuracy, analytical depth, and the ability to translate findings into actionable solutions.
Overview
11
11
years of professional experience
Work History
Reconciliation Specialist
CRC Group
Towson, MD
03.2025 - Current
- Perform detailed financial and policy reconciliation, analyzing billed vs. received amounts to identify discrepancies and ensure data accuracy across systems.
- Conduct variance and trend analysis to uncover recurring issues and root causes impacting financial integrity.
- Develop improved tracking and reporting methods, enhancing reconciliation efficiency and reducing error rates.
- Collaborate with internal teams and carriers to resolve complex discrepancies, providing analytical insights and data-driven recommendations.
- Maintain audit-ready documentation and support compliance through accurate reporting and issue resolution.
Enrollment Technician II
CareFirst BlueCross BlueShield
Owings Mills, MD
06.2023 - 03.2025
- Led analytical meetings with Maryland and DC jurisdictions to review, interpret, and troubleshoot APTC and subsidy discrepancies, ensuring accurate eligibility and premium calculations.
- Conducted data analysis on subsidy variances, identifying patterns, system defects, and root causes impacting member accounts.
- Partnered with the Functional Analyst to research escalated issues, validate system outputs, and recommend corrective actions based on analytical findings.
- Managed DC and Maryland tracker cases, performing trend analysis to monitor recurring issues and improve resolution workflows.
- Processed system updates, adds, and corrections in SharePoint, ensuring data integrity through detailed verification and documentation.
- Facilitated daily escalations meetings, gathering facts, analyzing case data, and coordinating cross-functional solutions to reduce processing delays.
- Created transfer and refund requests with full documentation, supporting financial accuracy and audit compliance.
- Provided analytical support to internal teams by explaining system behavior, interpreting data, and delivering clear operating information.
Enrollment Specialist I
CareFirst BlueCross BlueShield (Zolon Temp Agency)
Owings Mills, MD
08.2022 - 06.2023
- Reviewed and validated applications for accuracy, eligibility, and compliance, performing data checks to reduce processing errors.
- Processed updates, payments, corrections, and cancellations while maintaining accurate customer records.
- Conducted data verification to support operational accuracy and ensure alignment with program requirements.
Health Information Specialist
Ciox
Columbia, MD
01.2022 - 04.2023
- Retrieved and validated patient records within strict timelines, ensuring accuracy and compliance.
- Entered and verified data in Epic and Healthsource, performing quality checks to ensure data integrity.
- Analyzed documentation for accuracy and completeness, supporting workflow efficiency and compliance.
- Maintained organized filing systems and documentation to support operational processes.
Medical Secretary
Foxhall Internists
Washington, DC
02.2019 - 04.2020
- Coordinated administrative workflows including scheduling, billing, insurance verification, and documentation.
- Ensured accurate entry of patient information and supported process consistency across departments.
- Monitored quality assurance processes to maintain compliance and operational standards.
Medical Receptionist
The Feldman ENT Group
Chevy Chase, MD
09.2015 - 11.2018
- Managed patient scheduling, insurance verification, and data entry to support accurate billing and care coordination.
- Handled high-volume communication and maintained accurate records in alignment with HIPAA guidelines.
- Supported operational workflows through documentation, payment processing, and appointment coordination.
Education
Certification - Medical Billing & Coding
Fortis College
Lanham, MD12-2020
Skills
- Data Analysis & Reporting
- Reconciliation & Variance Analysis
- Root-Cause Investigation
- APTC/Subsidy Analysis
- Operational & Systems Analysis
- Process Optimization & SOP Development
- Testing & Validation
- Cross-Functional Collaboration
- Microsoft Excel (Pivot Tables, Lookups)
- SharePoint, Epic, Healthsource
- Documentation & Quality Assurance
- Trend Identification & Issue Tracking
Timeline
Reconciliation Specialist
CRC Group
03.2025 - Current
Enrollment Technician II
CareFirst BlueCross BlueShield
06.2023 - 03.2025
Enrollment Specialist I
CareFirst BlueCross BlueShield (Zolon Temp Agency)
08.2022 - 06.2023
Health Information Specialist
Ciox
01.2022 - 04.2023
Medical Secretary
Foxhall Internists
02.2019 - 04.2020
Medical Receptionist
The Feldman ENT Group
09.2015 - 11.2018
Certification - Medical Billing & Coding
Fortis College