Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Kervin Daniel

Manager-Operations-CPPM, CPC, CRCP
Gainesville,FL

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
Gainesville, FL
02.2020 - 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
Gainesville, FL
10.2011 - 02.2020

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
Haile Plantation, FL
08.2011 - 09.2012

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
Queens, NY
10.2007 - 07.2011

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
Green Acres, NY
07.2004 - 10.2007

Daily sales of prescription glasses

Daily reconciliation of Sears Optical accounts with parent company Luxottica International

Manager/Key Accounts Coordinator

Cox And Company
Castries, St Lucia
10.2002 - 05.2004

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
Roseau, Dominica
08.1992 - 08.2002

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
The Bronx, NY
08.2005 - 01.2009

Associate of Science - Accounting And Economics

Clifton Dupigny Community College
Roseau, DM
09.1987 - 05.1990

High School Diploma -

St Mary's Academy
Roseau, Dominica
09.1982 - 05.1987

Skills

Healthcare Administration

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Certification

Certified Physician Practice Manager (CPPM)

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
02.2020 - Current

Certified Physician Practice Manager (CPPM)

03-2017

Certified Revenue Cycle Professional (CRCP)

10-2015

Certified Professional Coder (CPC)

03-2015

Clinical Financial Counselor

University Of Florida- College Of Dentistry
10.2011 - 02.2020

Provider Credentialing Consultant

NCF Diagnostics & DNA Technologies
08.2011 - 09.2012

Operating Room Schedule Coordinator

Elmhurst Hospital Center
10.2007 - 07.2011

Bachelor of Science - Health Care Administration

City University Of New York-Herbert Lehman College
08.2005 - 01.2009

Optical Sales Associate

Sears Optical
07.2004 - 10.2007

Manager/Key Accounts Coordinator

Cox And Company
10.2002 - 05.2004

Costing Clerk/Customs Brokerage Representative

Costing Clerk/Customs Brokerage Representative
08.1992 - 08.2002

Associate of Science - Accounting And Economics

Clifton Dupigny Community College
09.1987 - 05.1990

High School Diploma -

St Mary's Academy
09.1982 - 05.1987
Kervin DanielManager-Operations-CPPM, CPC, CRCP