Kim Mendigo
Consolacion, Province of Cebu
Summary
Dynamic Customer Service Representative with a proven track record at Optum, excelling in communication and critical thinking. Adept at navigating complex medical accounts and enhancing patient experiences through efficient problem-solving. Committed to continual improvement and collaboration, delivering exceptional support that drives positive outcomes for members and providers alike.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
5
5
years of professional experience
Work History
Provider Services
Optum
02.2022 - 03.2025
Pharmacy Helpdesk | Optum (2022)
Supported pharmacy inquiries, providing assistance related to prescription claims, benefits, and general pharmacy-related questions.
Helped resolve issues efficiently while maintaining compliance with company protocols and HIPAA regulations.
Service Advocate, Provider Services | Optum (2024)
Volunteered to take on a new Line of Business (LOB) in Provider Services, where I assist providers with claim status, prior authorization (PA) status, appeal status, and more.
Verified accounts to ensure they were HIPAA-compliant before releasing any sensitive information.
Assisted callers with the reprocessing of claims by ensuring supporting documents were attached to corrected claims.
Provided detailed information regarding copay, coinsurance, and deductible based on the member’s Explanation of Benefits (EOB).
Customer Service Representative
Qualfon
03.2020 - 05.2021
Education
No Degree - Aircraft Maintenance
Philippine State College of Aeronautics
Lapu-Lapu City, Province Of Cebu, PhilippinesSkills
- Excellent communication skills, both verbal and written
- Worked well in a team setting, providing support and guidance
- Demonstrated respect, friendliness and willingness to help wherever needed
- Passionate about learning and committed to continual improvement
- Managed time efficiently in order to complete all tasks within deadlines
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Strengthened communication skills through regular interactions with others
Timeline
Provider Services
Optum
02.2022 - 03.2025
Customer Service Representative
Qualfon
03.2020 - 05.2021
No Degree - Aircraft Maintenance
Philippine State College of Aeronautics
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