Daniel Gillies Business Planning Consultant at Less Stress QA Partners

Quality Assurance Specialist

DataForce

Jan 2024 - Current (2 years 5 months)

Ensuring the quality of generative AI prompts that are utilized by smart home and communication devices through their AI voice assistant services such as Siri, Google, Bixby, Sonos. Contributor to quality review and content integrity prior to launch of products and services.

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Business Planning Consultant

Less Stress QA Partners

Jan 2024 - Current (2 years 5 months)

· Business plan optimization, website development consult, and creation of workflow in Jira ticket resolution. · Delivering cost effective acquisition strategy with meticulous communication between clients and QA team

East Region Billing Operations Manager

Cover Whale

Mar 2023 - Dec 2023 (10 months)

Leadership in product ownership and billing operations excellence by streamlining processes to meet cash flow demands, return premium and commission payouts on time. Responsible for automating the agency statement creation after migrating years of scattered financial data into an organized live pivot table accompanied by user-friendly video tutorials in navigation. Excelled in customer service manager escalations and call handling training. Assisted in creating more relevant onboarding procedures that align with the specific roles after a short focused team introduction. Additionally, effective typing skills were essential for managing communication across the entire region, ensuring timely and accurate information dissemination. Innovation

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Sales Manager

Great Freight Quotes

Jan 2022 - Feb 2023 (1 year 2 months)

Freight Agent negotiating shipping and logistics contracts with potential freight carriers, individual operators and vendors.

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Finance Coordinator

Reproductive Medicine Associates of New York

Nov 2020 - Nov 2021 (1 year 1 month)

As the lead billing coordinator, I was responsible for financial reporting and clarification of patient fiduciary obligations. I was accountable for account collections efforts and payment arrangements, along with the review of health benefits. Additionally, I was tasked with reporting hormonal levels during IVF treatments to ensure proper coordination of medical documentation at various stages in the cycle for approvals or denials. Furthermore, I utilized typing skills to efficiently manage documentation and communication, and leveraged platforms like Zoom and Google Workspace to facilitate remote collaboration and maintain productivity during the Covid-19 pandemic, ensuring seamless operations in a challenging environment.

Account Administrator

Weill Cornell Medicine

Jun 2019 - Nov 2020 (1 year 6 months)

- Led revenue cycle account management, ensuring efficient processing and resolution of accounts. - Maintained strong vendor relationships to facilitate smooth operations and communication. - Updated and investigated clearing house processing delays, proactively addressing issues to minimize disruptions. - Advised team on claim trends and appeals status, providing insights to enhance overall performance. - Reviewed benefits and utilization for prior authorizations, ensuring compliance and accuracy. - Ensured claims were paid properly based on ICD-10 codes and remittances, maintaining high standards of accuracy. - Demonstrated typing proficiency of at least 50 wpm, essential for effective documentation and communication within Cornell

Night Auditor

Hotel Indigo

Oct 2018 - Mar 2019 (6 months)

-Front desk general management for overnight shift in bustling downtown Brooklyn hotel. -Conducted vacancy/capacity audit reporting to management and shareholders. -Fully accountable for nightly financial reporting to corporate office - Handled large sums of money accurately, performed booking upgrades and processed point of sale closeouts and charge backs. -Ensured all guest complied with property management rules and safety efforts. -Handled all emergency readiness response mandates.

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Client Acquisition & Network Tech

SECURITY TECH SOLUTIONS

Oct 2018 - Sep 2019 (1 year)

Closed cold and warm leads regarding acquisitions of boutique hotel accounts for close circuit television security devices. Followed up on collections, invoices, and contract extensions. Responsible for the installation and maintenance of wiring and hanging ceiling mounts for security cameras, Wi-Fi routers, and Bluetooth hubs. Additionally, utilized customer service skills to enhance client acquisition efforts, recognizing that effective communication and support are essential for building strong client relationships. Conducted initial meetings and product offerings through Zoom, leveraging technology to facilitate connections and streamline the acquisition process.

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Senior Claims Representative

Centers Plan for Healthy Living

Jul 2016 - Sep 2018 (2 years 3 months)

Managed Care Organization, medical claims adjudication

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Provider Relations Specialist

Fidelis Care New York

Jan 2014 - Jun 2016 (2 years 6 months)

- Led a team, averaging 78 calls daily with minimal escalations, ensuring high-quality service delivery. - Maintained a superior 98% first call resolution rate, contributing to an impressive 97% average service level. - Investigated provider requests and patient inquiries, ensuring accurate verification of credentials and locations, network participation, proper capitation rates, billing discrepancies, and patient capacity audits. - Reviewed Electronic Medical Records (EMR) as an essential part of the role, ensuring comprehensive understanding and effective communication regarding provider relations and patient care.

Daniel Gillies

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