Eric Macaya Soliman

Motivated Medical claims processor with a verifiable record of accurate bookkeeping and skill in working with customer management. Accounts receivable expert adept in completing tasks on time with high commitment to exceptional performance efficiency and accuracy.

Insurance Officer (Sheikh Khalifa Medical City) - REACH Employment Services - Sheikh Khalifa Medical City

(2018-09 - 2020-11)

• Motivate and inspire team members.
• Facilitate problem solving and collaboration.
• Members have the necessary education and training to effectively participate on the team.
• Making sure everyone is on track and organized.
• Support and motivate the team members to accomplish the assigned tasks.
• Giving prompt and accurate information on individual staff member performance.
• Reporting to senior managers.
• Involves coordinating with Insurance Company with regards to approvals.
• Sending the pre-authorization request for approval to insurance company with appropriate CPT and ICD codes.
• Asking verbal approvals when necessary.
• Auditing the claims before sending the claims for submission.
• Processing the bills before sending to insurance company.
• Prepare the resubmission file of claims with comments with additional information if required.

Medical claims Processor - Burjeel Hospital

(2014-03 - 2018-07)

• Responsible for submission of claims Inpatient/Outpatient includes long term, Transfer Case, Hemodialysis and IVF. Adjudicates for provision of deductibles, Co-Payment, Co-Insurance Maximum and Provider settlements.
• Performed audit of each claims to ensure quality processing.
• Provided timely customer service to members, providers, Billing departments and other insurance companies on the subject of claims.
• Recognized by supervisor for proactively assisting hospital clients with billing and simple inquiries.
• Works with billing error margin of only less than 2% monthly.
• Exceeded KPIs in maintaining SAP system that leads to company leverage.

Document Controller cum Archive Clerk - Advanced Business concept (ABC) LLC

(2011-10 - 2013-11)

• Encodes information from department forms into Baan ERP 5 system to ensure information is accurately processed.
• Keep track of all documents correspondences and transactions. Maintain and Updates all documents.
• Awarded "Employee of the Month" for three (3) consecutive months for efficiently serving customers.
• Able to reach and exceed monthly personal quota within the store.

Bachelor of Science - business Administration, Major in computer Management - National College of business and Arts (2000 - 2003)