Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennie Li

46-16 195st Flushing,NY

Summary

Insurance professional with over three years of experience in policy review, data accuracy, and member retention. Skilled in resolving discrepancies, supporting cross-department operations, and ensuring compliance with healthcare regulations. Currently seeking to transition into a Claim Analyst role to apply analytical precision and continue contributing to efficient claim resolution.

Overview

10
10
years of professional experience

Work History

Retention Representative,

Fidelis Care (Centene)
03.2022 - Current
  • Review and verify member policy and claims data for accuracy and compliance.
  • Work with Claims, Provider, and Member Services teams to resolve discrepancies.
  • Process around 90 renewal cases monthly and ensure timely resolutions.
  • Identify delinquent accounts to maintain continuous member coverage.
  • Provide suggestions to improve workflow and service efficiency.

Real Estate Assistant

JOJO'S Property LLC.
Hinesville, GA
08.2019 - 12.2021

⦁ Organized and maintained systems to track leads coming from social media, website and other funnels.
⦁ Answered phone calls and responded to questions regarding tenant's concerns and complaints.
⦁ Prepared forms needed for real estate transactions, contracts, deeds, closing statements and leases.
⦁ Responded quickly to customer inquiries, asking questions to better understand needs.
⦁ Handled client complaints calmly and professionally, notify management when necessary.

Medical Receptionist

Dr. Willy Ky Ophthalmology.
Flushing, NY
09.2017 - 03.2018

⦁ Greeted patient to sign in and out, entered insurance, demographics and health history into patient database.
⦁ Collected co-pays and posted on the system, check outstanding balance adjustments.
⦁ Follow up with patients to confirmed scheduled appointments and obtain additional information when needed.
⦁ Prepared patient charts, located and organized patients records on spreadsheets.
⦁ Confirmed eligibility for insurance
⦁ Managed office phone lines by checking voicemail, returning calls and directing messages to team members.

Front Desk Receptionist

Ocean Nails
Oceanside, NY
06.2015 - 10.2017
  • Greeted customer to front desk and engaged in friendly conversations while conducting check-in process.
  • Collected and post payment included credit card transactions
  • Introduced new product and promotion
  • Managed inventory and purchases supplies
  • Responded to appointment inquiries made online, phone or email.

Education

High School Diploma -

Francis Lewis High School
Fresh Meadows, NY
08.2018

Some College (No Degree) - Nursing

Montgomery County Community College
Blue Bell, PA

Skills

  • Policy review and data accuracy
  • Documentation and record management
  • Cross-department collaboration
  • Customer service and communication
  • Problem-solving and critical thinking
  • Technical proficiency in Excel, Salesforce, and Facets

Timeline

Retention Representative,

Fidelis Care (Centene)
03.2022 - Current

Real Estate Assistant

JOJO'S Property LLC.
08.2019 - 12.2021

Medical Receptionist

Dr. Willy Ky Ophthalmology.
09.2017 - 03.2018

Front Desk Receptionist

Ocean Nails
06.2015 - 10.2017

High School Diploma -

Francis Lewis High School

Some College (No Degree) - Nursing

Montgomery County Community College
Jennie Li
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