Erick Constantino

Resolved patient and insurance billing issues, including eligibility, authorization, and payment-related disputes, while maintaining strict HIPAA and patient confidentiality standards. Investigated chargebacks and short payments by reviewing Explanation of Benefits (EOBs) and payor documentation to ensure timely, compliant, and accurate resolutions. Negotiated structured payment plans with patients, managed outstanding Patient AR, and maintained comprehensive documentation of follow-up actions and account history.

Billing Analyst at OPTUM GLOBAL SOLUTIONS (2024-10 – Present)

• Resolved patient and insurance billing issues, including eligibility, authorization, and payment-related disputes, while maintaining strict HIPAA and patient confidentiality standards.
• Investigated chargebacks and short payments by reviewing Explanation of Benefits (EOBs) and payor documentation to ensure timely, compliant, and accurate resolutions.
• Negotiated structured payment plans with patients, managed outstanding Patient AR, and maintained comprehensive documentation of follow-up actions and account history.
• Answered inbound patient and insurance calls regarding billing inquiries, claim status, and coverage questions.
• Collaborated with cross-functional healthcare teams, including clinics and the patient experience division, to optimize resolution workflows.

Healthcare Associate at SAGILITY (2023-09 – 2024-09)

• Supported healthcare providers with timely resolution of patient eligibility, claims, authorizations, disputes, and appeals across Commercial, Medicare, and Medicaid payor lines.
• Processed a high volume of 500 claims within a single week while maintaining sharp attention to detail and strong organizational skills, enhancing operational productivity.
• Updated insurance payor information and profiles, tracked claims aging for revenue cycle reporting, and worked closely with medical providers on high-priority claims audits using advanced spreadsheet tools.

Auditing & Procurement Intern at ECHAGUE MUNICIPAL GENERAL SERVICE OFFICE (2023-03 – 2023-06)

• Conducted thorough field audits on government fixed assets, including large and semi-expandable items, operational supplies, and disbursed resources to ensure complete accountability and strict compliance with national auditing standards.
• Maintained close collaboration with the Commission on Audit (COA), ensuring strict compliance with public procurement policies, asset verifications, and regulatory frameworks.
• Played an active role in the formal canvassing and deliberation processes for supply procurement across various municipal departments, contributing to cost-effective procurement practices.

Human Resource Intern at CITY HUMAN RESOURCE OFFICE (2023-02 – 2023-03)

• Aided in the administration of payroll systems for employees across all government departments, ensuring meticulous accuracy, confidentiality, and adherence to public financial regulations.
• Facilitated the compliance processing of formal travel orders and corporate leave applications, optimizing internal workflows and ensuring adherence to local civil service policies.
• Supported digital transformation initiatives for government employee records by systematically auditing, indexing, and organizing legacy physical files, improving data retrieval efficiency.

Bachelor of Science in Management Accounting – ISABELA STATE UNIVERSITY (2023)