Process Improvement System

Regenia F. Johnson

**** ** ******

Portland, OR *7211

971-***-**** (Home)

503-***-**** (Cell)

**********@*******.***

Objective: To secure a position with a well established organization with

a stable environment that will lead to a lasting relationship in the field

of Health Technology,

Experience:

Ochin (Oregon Community Health Information Network) May 2008 to

Present

707 SW Broadway, Suite 1200

Portland, OR 97204

Position: Application Specialist (Tapestry)

Description of Responsibilities:

. Design, system build, testing, training, and implementation of managed

care software and related applications

. Maintain system master files and updates as assigned

. Support managed care, claims processing, and FQHC/CHC protocols

. Support system AP claims, referrals, and enrollment

. Support system Implementations, and travel when needed

. Provide technical and help desk support to internal and external users on

system applications, along with coordination of issue resolution

. Perform Epic managed care software application demonstrations, and

conduct design and build sessions

. Consult with system users to identify current work flow processes

. Research, coordinate, and complete special projects as required

. Document work flow processes, and system build based upon business

analysis

. Organize and conduct adult user training of system functionality

. Assist with development of training material where needed

. Other duties as assigned

Achievement(s):

. As the only certified Tapestry Analyst within the organization, I

successfully learned and installed a new product (Tapestry) for a client

CareOregon (Managed Medicaid) May 2002 to May 2008

522 SW 5th Ave., Suite 900

Portland, OR 97204

503-***-****

Position: Claims Auditor

Description of Responsibilities:

. Coordinated with other team members the development and implementation of

the Audit Program to identify non-compliance with claims processing

policies and procedures

. Performed independent and objective monthly, quarterly and yearly claim

audits

. Documented and report audit findings to internal management and executive

staff

. Performed trend analysis of audited claims data activity

. Provided training to new employees

. Ensure that CMS (Center for Medicaid/Medicare Services) audit

requirements were met

. Provided continuous process improvement through audit results

. Other duties as assigned

Achievement(s):

. Implemented a new audit program for the organization

. By providing continuous process improvement; the quality of claim audits

were either met or exceeded the organization standard of 98%.

Certifications:

. Epic Tapestry

. Epic Benefits Engine

Education:

Portland Community College (Business Administration)

Reference Upon Request

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