Dynamic Data Processing Specialist in Healthcare Authorization

MARIA E REYES SUNTAY

Gilbert, *****, AZ, 480-***-****, ***********@*****.***

SUMMARY Dynamic Data Processing Executive with over 3 years of experience in healthcare authorization, focusing on Medicaid, Medicare, and Ambetter. Skilled in decision-making for approvals and denials, ensuring compliance with regulatory standards. Previous roles include extensive loan processing and underwriting in the mortgage industry. Proven track record of contributing to operational efficiencies and maintaining high-quality standards in documentation and processes. Eager to leverage expertise to enhance authorization workflows and support healthcare initiatives. WORK EXPERIENCE

Data Processing Executive

COGNIZANT TECHNOLOGY SOLUTIONS

11/2021 – 07/2025 Gilbert, United States

Engineered and updated Authorizations for Health Plans, specifically Medicaid, Medicare, and Ambetter Marketplace across various participating states.

Evaluated and determined approval or denial of Authorizations prior to submission to Claims.

Para Educator

HIGLEY UNIFIED SCHOOLS DISTRICT

10/2016 – 07/2021 Gilbert

Supported Special Education Teachers in instructing and caring for students with special needs, including Autism and Down Syndrome, as well as assisting below-average academic children in both skill areas. Administered quarterly assessments to 1st and 2nd graders. Junior Underwriter / Loan Processor

PRIMARY RESIDENTIAL MORTGAGE INC

11/2015 – 06/2016 Tempe

Underwrote Conventional loans utilizing AUS for approval. Assisted Senior Underwriters in resolving conditions for Conventional loans. Demonstrated thorough knowledge of FNMA and FHLMC guidelines, including Desktop Underwriter and Loan Prospector requirements. Familiarity with resources such as AllRegs, Selling Guides, Collateral Underwriter, and Early Check.

Prepared the 1008 Loan Transmittal Form and updated the 1003 Loan Application.

Senior Loan Processor

WELLS FARGO HOME MORTGAGE

08/2009 – 10/2015 Chandler

Reviewed appraisals, titles, credit reports, income, assets, and other documentation necessary for credit approval.

Calculated income for various borrower types, effectively handling complex tax returns and related financial statements to assess creditworthiness. Delivered quality loan processing by keeping abreast of the latest underwriting guidelines and requirements.

Exhibited proficiency in computer systems, including Encompass 360. Processed Conventional, FHA, VA, USDA, and Housing/Bond loans. CONTRACT LOAN PROCESSOR

SELF-EMPLOYED

12/2006 – 07/2009 Chandler

Reviewed loan applications submitted by loan officers to verify their completeness and accuracy.

Managed initial loan disclosures in accordance with RESPA/TILA guidelines. Issued disclosures for all newly locked loans.

Ensured quality loan processing by maintaining current knowledge of compliance and disclosure guidelines.

Demonstrated proficiency in computer systems, including Encompass 360. Sales Associate

MACYS WEST

06/2006 – 08/2009 Chandler

Assistant to the President

INTEX HOLDINGS CORPORATION

01/1999 – 01/2006 Manila, Philippines

EDUCATION

St Paul College

Bachelor of Science in Commerce (BSC), Finance/Accounting 07/1967 – 04/1971 Manila, Philippines

SKILLS Encompass 360 Desktop Underwriter (DO/DU)

Loan Prospector Calyx Point

Microsoft Windows Microsoft Office Suite

Access Word

Excel Outlook

PowerPoint Chase - Zippy

Chase - CLOSR FraudGuard

Loan disclosures RESPA/TILA guidelines

Mortgage processing Underwriting guidelines

FNMA guidelines FHLMC guidelines

AllRegs Selling Guides

Collateral Underwriter Early Check

Organization Customer Service

Communication Analytical Skills

Mastering procedures and

guidelines

Learning technology

Diplomatic Tactful

Handling confidential records Deadline-driven

Working under pressure Multi-tasking

Attention to detail

LANGUAGES English (Native) Filipino (Tagalog) (Native) Spanish (Intermediate)

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