Rita Darden
Franklin,VA
Summary
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in delivering top-tier customer service, fostering long-term customer connections, and overseeing the service team members.
Overview
6
6
years of professional experience
Work History
Manager, Provider Services
Molina Healthcare
10.2023 - 05.2024
- Managed and motivated employees to be productive and engaged in work.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Collaborated with claims teams to resolve billing and payment issues promptly.
- Spearheaded research and audit of rosters and contract configurations resulting in over 500 data element corrections
Provider Services Manager
Molina Healthcare
08.2018 - 09.2023
- Served as primary point-of-contact for providers for regional providers and over 400 state skilled nursing facilities, fostering strong relationships built on trust and open communication.
- Collaborated with other departments to ensure seamless coordination in handling provider inquiries and issues.
- Streamlined administrative processes, enabling better focus on core responsibilities while reducing errors and redundancies.
- Reduced response times by implementing an effective tracking system for incoming requests and queries.
Education
Bachelor of Arts - Business Administration
St. Leo University
NorfolkSkills
- Verbal and written communication
- Complex Problem-Solving
- Strategic Planning
- Staff Management
- Customer Relationship Management (CRM)
- Policy Implementation
- Financial Management
- Negotiation and Conflict Resolution
- Interpersonal Relations
- Performance Tracking and Evaluation
- Healthcare Industry Knowledge
- Provider Relations
- De-Escalation Techniques
- Relationship Building
- Account Reconciliation
Timeline
Manager, Provider Services
Molina Healthcare
10.2023 - 05.2024
Provider Services Manager
Molina Healthcare
08.2018 - 09.2023
Bachelor of Arts - Business Administration
St. Leo University
Similar Profiles
Mayra GarciaMayra Garcia
Claims Auditor at Bright Healthcare Plan & Molina Healthcare PlanClaims Auditor at Bright Healthcare Plan & Molina Healthcare Plan
Katrevia CarrKatrevia Carr
Healthcare Customer Service Representative at Molina HealthcareHealthcare Customer Service Representative at Molina Healthcare
Reagan BisaillonReagan Bisaillon
Case Manager Supervisor at Molina HealthcareCase Manager Supervisor at Molina Healthcare
Eduardo MunozEduardo Munoz
Case Manager at Molina HealthcareCase Manager at Molina Healthcare
Gary MunfordGary Munford
Telecommunication Technician at East Coast CommunicationsTelecommunication Technician at East Coast Communications