PARRIS BROWN

Dynamic healthcare professional with extensive experience at SSM Health Cancer Care, excelling in revenue integrity and prior authorization management. Proven ability to enhance processes and train cross-functional teams, ensuring timely communication and improved patient outcomes. Proficient in EMR systems and skilled in fostering collaboration among diverse stakeholders.

• Functioning in a lead-like capacity by implementing formal processes and protocols for referral, billing, and denial workflows.
• Achieves high authorization approval rates and significantly reduces turnaround times through proactive communication with providers and insurance companies.
• Handles hospital billing issues across multiple work queues (WQs), contributing directly to the fiscal responsibility of the department.
• Improves billing accuracy, reduces rework, and prevents unnecessary patient charges through Revenue Integrity & Reimbursement Support.
• Coordinates support across multiple sites, ensuring consistency and efficiency in referral operations.
• Preemptively writes appeal letters for cases likely to go into review, staying current with NIH, ASTRO, and CMS guidelines for Medicare and Medicaid.
• Investigates and researches complex cases, serving as the go-to person during crises related to referral and authorization processes.
• Trains new staff members and supports onboarding, demonstrating leadership and mentorship within the team.