Anna Ramos
Miami,FL
Summary
Detail-oriented credentialing specialist with expertise in regulatory compliance and customer service. Known for coordinating complex processes and ensuring accurate documentation to support healthcare provider credentialing. Proactive professional with extensive experience in credentialing and volunteer coordination. Skilled in communication, organization, and teamwork, contributing to streamlined processes and successful wish grant outcomes in the healthcare sector. Service-oriented Volunteer committed to collaborating with others to achieve common objectives. Cultured and friendly individual versed in providing clerical support and filing documentation. Commended for assisting with volunteer recognition activities and events to drive outreach.
Overview
13
13
years of professional experience
Work History
Volunteer
Make A Wish Foundation of South Florida
Miami, FL
08.2013 - Current
- Meet with the wish child and family. Communicate with wish child and find out what are their likes and dislikes. what is their favorite thing to do. Where would they like to go? What is their wish.
- Complete application of wish, child.
- Gather all necessary documents.
- Communicate with coordinators, and provide necessary documentation in order to determine if the wish can be granted.
- Grant a wish!
Credentialing Specialist
Jackson Health Systems
Miami, Florida
03.2013 - 11.2025
- Coordinated provider credentialing processes and maintained accurate documentation.
- Assisted in verifying licenses, certifications, and professional references for healthcare providers.
- Managed data entry for credentialing applications using electronic systems.
- Supported compliance with regulatory standards and internal policies during credentialing reviews.
- Communicated with healthcare professionals regarding credentialing status and requirements.
- Organized files and records for efficient access and review during audits.
- Collaborated with team members to streamline credentialing workflows and procedures.
- Conducted routine audits of documentation to ensure accuracy and completeness.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
- Provided support in responding to inquiries from external parties regarding credentialing information.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Checked applications for missing information and organized all paperwork.
- Participated in periodic audits of credentialing files to maintain compliance with applicable regulations and policies.
- Maintained detailed records of provider data in the credentialing database system.
- Coordinated with internal departments such as medical staff services or risk management to resolve any issues identified during the verification process.
- Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
- Attended meetings and seminars related to healthcare industry regulations and trends.
- Organized records to prepare for site visits by representatives and associated audits.
- Responded to verification inquiries from other healthcare organizations and insurance companies.
- Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
- Conducted thorough background checks and verified educational and professional qualifications.
Education
High School Diploma -
William H. Maxwell Vocational High School
Brooklyn, NY06-1981
Skills
- Application processing
- Documentation management
- Credentialing compliance
- Background verification
- Data entry
- Healthcare coordination
- Communication skills
- Attention to detail
- Organizational skills
- Telephone etiquette
- Empathy and patience
- Customer service
- Multitasking and organization
- Administrative tasks
- Clerical support
- Answering phones
- Teamwork and collaboration
- Verbal and written communication
Languages
Spanish
Professional
References
References available upon request.
Timeline
Volunteer
Make A Wish Foundation of South Florida
08.2013 - Current
Credentialing Specialist
Jackson Health Systems
03.2013 - 11.2025
High School Diploma -
William H. Maxwell Vocational High School