Lori Sturgis
Fenton,MI
Summary
Results-driven A/R Insurance Billing Specialist with extensive expertise in billing software utilization, diagnostic code assessment, and payment reconciliation. Proven ability to resolve billing discrepancies and enhance customer relationships.
Overview
2027
2027
years of professional experience
Work History
A/R Insurance Billing Specialist
Trinity Health
Livonia, Michigan
08.1999 - 03.2026
- Processed insurance claims using advanced billing software for healthcare services.
- Communicated with insurance companies to resolve billing discrepancies and inquiries.
- Validated policyholder eligibility for coverage of services rendered.
- Processed payments from insurance companies in accordance with established procedures.
- Interpreted Explanation of Benefits documents from various insurers.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Managed patient inquiries regarding billing statements and payment options effectively.
- Participated in meetings with other departments to discuss ways to improve workflow processes related to insurance billing activities.
Medical Biller
Olsten Kimberly Home Care
Flint, Michigan
1995 - 04.1999
- Processed medical claims for various insurance providers efficiently.
- Submitted electronic claims to various insurance carriers.
- Resolved discrepancies in billing statements promptly.
- Maintained organized records of patient accounts and payments.
- Utilized electronic health record systems for data entry and management.
Data Entry/Billing Clerk
Glasrock Home Health Care
Flint, Michigan
1984 - 1988
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Executed data import, scanning, and manual keying to ensure invoice accuracy.
- Processed claims to insurance companies, researching and resolving denials and explanations of benefit rejections.
- Assisted with administrative tasks to maintain smooth office operations.
Education
High School Diploma -
Durand Area High School
Durand, MI06-1975
Skills
- Claims processingBilling software utilizationDiagnostic code assessmentEligibility verificationPayment reconciliationClient managementProblem solvingClaims resolutionBilling software utilizationDiagnostic code assessmentEligibility verificationPayment reconciliationCustomer relationship managementProblem solvingClaims resolution strategiesAttention to detail
- Customer relationship management
- Problem solving
- Attention to detail
- Payment reconciliation
- Claims resolution
- Claims denial management
- Client management
- Attention to detail
- Claims denial management
Timeline
A/R Insurance Billing Specialist
Trinity Health
08.1999 - 03.2026
Medical Biller
Olsten Kimberly Home Care
1995 - 04.1999
Data Entry/Billing Clerk
Glasrock Home Health Care
1984 - 1988
High School Diploma -
Durand Area High School