Summary
Overview
Work History
Education
Skills
Languages
Certification
Accomplishments
Timeline
Generic

Kervin Daniel

Manager-Operations-CPPM, CPC, CRCP
Gainesville

Summary

Results-oriented Healthcare Operations Manager with over 15 years of experience in healthcare financial operations with an excellent reputation of finding and maintaining the strategic balances between delivery of the highest quality of care and reimbursement while sustaining patient satisfaction across the continuum.

Overview

3
3
Languages
3
3
Certifications
11
11
years of post-secondary education
29
29
years of professional experience

Work History

Manager of Operations

University Of Florida-College Of Dentistry
2020-02 - Current

Directs the day-to-day financial operations for three clinical practices daily strategically, by coordinating the delivery of the care through robust revenue cycle management and personnel management.

Works with the Chair of the Department of Oral Diagnostics and Sciences to focus on attainment of key business metrics and continuous improvement initiatives for direct reports.

Monitors employee productivity and optimized procedures to reduce costs by increased clean claims submission, timely payment collections and effective denial processing.

Builds and maintains external providers while creating product line expansion using financial reviews with oversight.

Clinical Financial Counselor

University Of Florida- College Of Dentistry
2011-10 - 2020-02

Ensured the accurate billing of Radiology procedures for FORS/OMFS and Implant Center clinics. Reconciled radiology requests with missing charges reports and daily sign-in sheets

Implemented revenue collection protocols for Radiology, Oral Medicine and Pathology Accounts Receivables. Recovered over $450,000 in Pathology receivables

Created and maintained master database for PECOS (ordering and referring providers by Medicare) and validated 133 ordering/referring providers;

Reviewed, adjusted and implemented billing protocol for Hialeah and St Petersburg Clinics in relation to interpretation of CT scans;

Recovered payments incorrectly allocated for these 2 clinics to 36hrs; Improved collection rates of receivables for the Radiology, Pathology and Oral Dept in the last 12 months;

Sustained billing turnaround time in Oral Medicine in the last 12 months;

Assisted in the credentialing of Radiology providers. Provided timely updates on all new Medicare and industry regulations and changes to Faculty;

Provider Credentialing Consultant

NCF Diagnostics & DNA Technologies
2011-08 - 2012-09

Strategized and created support structures and logistics for all lines of DNA typing with advanced PCR Primer;

Formulating and designing educational materials for distribution to provider network by the assigned geographic area;

Established positive, professional relationships with participating providers;

Operating Room Schedule Coordinator

Elmhurst Hospital Center
2007-10 - 2011-07

Coordinated with surgery departments, attending doctors and scheduling department on referrals and patients schedules;

Verified the financial and medical status of patient cases for surgery; Reconciled of the daily OR elective surgery schedule;

Registered ambulatory surgery patients in Unity 23 system;

Reconciled the monthly preoperative care patient lists;

Optical Sales Associate

Sears Optical
2004-07 - 2007-10

Daily sales of prescription glasses

Daily reconciliation of Sears Optical accounts with parent company Luxottica International

Manager/Key Accounts Coordinator

Cox And Company
2002-10 - 2004-05

Conceived and implemented budgetary measures to increase profits

Analyzed market information to implement strategic market positioning

Managed a team of 12 sales and marketing associates

Costing Clerk/Customs Brokerage Representative

Costing Clerk/Customs Brokerage Representative
1992-08 - 2002-08

Analyzed market information and implemented strategic market positioning

Prepared mark-up on imported products

Valued inventory and prepared cost reports for auditors

Education

Bachelor of Science - Health Care Administration

City University Of New York-Herbert Lehman College
2005-08 - 2009-01

Associate of Science - Accounting And Economics

Clifton Dupigny Community College
1987-09 - 1990-05

High School Diploma

St Mary's Academy
1982-09 - 1987-05

Skills

Healthcare Administration

Physicians Office Management

Strategic Planning

Medicare/Medicaid/Commercial Insurances

ICD-10/CPT

Credentialing

Multi Cultural Team Building

Customer service excellence

Medical Coding and Billing

Languages

French Creole

French

Spanish

Certification

Certified Physician Practice Manager (CPPM)

2017-03

Certified Professional Coder (CPC)

2015-03

Certified Revenue Cycle Professional (CRCP)

2015-10

Accomplishments

Single handedly collected approximately $375,000 in the last 3 years of outstanding accounts for the Pathology Department

Conceived, designed and implemented the PECOS/Medicare Enrollment protocol which has shown dividends in reducing claim denials for referring providers from Medicare by $120,000 annually in the last 4 years

Reduced the Radiology and Oral Medicine accounts receivables by double digit percentages of 25 and 20 percent respectively

Timeline

Manager of Operations

University Of Florida-College Of Dentistry
2020-02 - Current

Certified Physician Practice Manager (CPPM)

2017-03

Certified Revenue Cycle Professional (CRCP)

2015-10

Certified Professional Coder (CPC)

2015-03

Clinical Financial Counselor

University Of Florida- College Of Dentistry
2011-10 - 2020-02

Provider Credentialing Consultant

NCF Diagnostics & DNA Technologies
2011-08 - 2012-09

Operating Room Schedule Coordinator

Elmhurst Hospital Center
2007-10 - 2011-07

Bachelor of Science - Health Care Administration

City University Of New York-Herbert Lehman College
2005-08 - 2009-01

Optical Sales Associate

Sears Optical
2004-07 - 2007-10

Manager/Key Accounts Coordinator

Cox And Company
2002-10 - 2004-05

Costing Clerk/Customs Brokerage Representative

Costing Clerk/Customs Brokerage Representative
1992-08 - 2002-08

Associate of Science - Accounting And Economics

Clifton Dupigny Community College
1987-09 - 1990-05

High School Diploma

St Mary's Academy
1982-09 - 1987-05
Kervin DanielManager-Operations-CPPM, CPC, CRCP