Bruce Pirmann Email & Phone Number

 Lead on handling and assessing thousands of provider contracts within the Philadelphia Region to implement provider specific agreements and payments  Project lead on the evaluation of work processes with providers to create seamless transition across Blue Cross software Provide rates based on the negotiated services for specialized codes Perform ad hoc investigations to ensure providers are getting paid accordingly within their contractual obligations Upload provider… Show more  Lead on handling and assessing thousands of provider contracts within the Philadelphia Region to implement provider specific agreements and payments  Project lead on the evaluation of work processes with providers to create seamless transition across Blue Cross software Provide rates based on the negotiated services for specialized codes Perform ad hoc investigations to ensure providers are getting paid accordingly within their contractual obligations Upload provider business contracts into the Blue Cross system to track and analyze any trends  Identify root causes by documenting, tracking, and updating trending issues to manage better workflows for providers Provide a detailed evaluation on Excel to the senior analyst detailing the work processes and advise of new implementation practices for quicker turnaround times Show less

Philadelphia,Pa

 Provided information on products/vaccines to customers and with field-based sales teams, prioritizing and assigning work to specialists. Processed requests across all therapeutics areas for US Medical Affairs, including helping develop PowerPoint presentations and for copyright requests for full articles, figures/graphs, and congresses. Managed the logistics associated with contacts for event booth planning, coordinating with vendors. Routed materials (reference materials… Show more  Provided information on products/vaccines to customers and with field-based sales teams, prioritizing and assigning work to specialists. Processed requests across all therapeutics areas for US Medical Affairs, including helping develop PowerPoint presentations and for copyright requests for full articles, figures/graphs, and congresses. Managed the logistics associated with contacts for event booth planning, coordinating with vendors. Routed materials (reference materials, PowerPoint presentations, and data on files) through workflows in the Medical Information database system. Collected data on information requests to generate reports against KPIs Show less

 Conducted QA on reports and of the Case Specialist documents to ensure coded and pegged the correct conditions. Provided on-site customer training on software, write reports, and educate them on the VA rating system. Expedited reports from the physicians and sending them back to the Veterans Affairs so claimants can receive their proper benefits within a timely fashion  Coordinated with vendors to make sure the diagnostics and x-rays were completed

Greater Philadelphia Area

 Triaged a daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran's Administration Performed market analyses, including for providers and other clinics home page software to ensure each appointment is correctly coded and pegged based upon each unique case  Validated appointment coding was pegged correctly by analyzing providers & clinics home pages’ software. Confirmed the quality of each case, ensuring CPT… Show more  Triaged a daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran's Administration Performed market analyses, including for providers and other clinics home page software to ensure each appointment is correctly coded and pegged based upon each unique case  Validated appointment coding was pegged correctly by analyzing providers & clinics home pages’ software. Confirmed the quality of each case, ensuring CPT and CLIN codes and other data was correct before scheduling Show less